Quality Assurance Specialist

Valley Community Services Board (VCSB) is looking for a Quality Assurance Specialist to join our team! Under the direction of the Quality & Compliance Manager, the Quality Assurance Specialist plays a vital role in the agency’s data gathering, analysis, and reporting.

Benefits

• Health insurance as low as $21.16/month for individuals. Family and dependent plans are also available.
• Sign-on bonus of $1,500, included in full with the first paycheck.
• Nine paid holidays.
• Accrue up to 20 days of paid time off (PTO) per year from year one. PTO is immediately available upon accrual.
• Participation in the Virginia Retirement System.
• Professional development assistance provided at no cost.

Essential Functions

Coordination of Client Records Audits.

• Coordinates monthly internal audits to identify potential areas of non-compliance.
• Collaborate with clinical team leaders to maintain high quality records in accordance with federal, state, and agency requirements.
• Stays up to date on payer and licensure requirements for all clinical services.

Incident Reporting

• Assists as needed with submission of fraud reports to the Centers of Medicare & Medicaid Services.
• Ensures timely submission of qualifying incidents or complaints to the Department of Behavioral Health & Developmental Services’ abuse, neglect, and exploitation reporting system.
• Maintains confidentiality at all times in accordance with applicable privacy laws and regulations including, but not limited to, the HIPAA Privacy Rule and C.F.R. 42.

Electronic Record System Training

• Serves as the subject matter expert for the agency’s electronic health record system.

• Assists with the development and delivery training on the EHR for new hires and in response to quality and compliance concerns as needed.

Minimum Requirements

• Bachelor’s degree in behavioral health, health information management, or related field.
• Must pass required pre-employment screenings, including, but not limited to, criminal history and experience verification.

Preferred Qualifications

• Two years of experience working in an electronic health records system (EHR).
• Experience working at a Community Services Board or similar healthcare organization.
• Demonstrated familiarity with regulations pertaining to healthcare delivery including, but not limited to, licensing requirements.
• An understanding of the complex relationships between state and federal healthcare agencies and their impact on healthcare providers.
• General knowledge of HIPAA and Privacy Standards.

Valley Community Services Board is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

Job Type: Full-time

Pay: Up to $47,026.00 per year

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Relocation assistance
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus pay

Education:

• Bachelor's (Required)

Experience:

• Documentation review: 1 year (Required)
• EHR systems: 1 year (Required)

Work Location: One location