Quality Assurance Specialist

Main Street Direct is seeking a Quality Assurance Specialist to support the quality and compliance of clinical records, facilities, and programs. The role conducts audits, analyzes and reports data trends, monitors corrective action plans, and collaborates with program managers to improve documentation, safety, and regulatory compliance.

Responsibilities

Maintain Standards that apply to Confidentiality and 42 CFR/HIPAA

At the direction of the Assistant Director of Quality Assurance complete full audits of patient health records and facilities

Ensure documentation is in accordance with the directives and guidelines of OASAS, OMH, OTDA, DOH/Health Homes, OMIG, DEA, CARF and/or any other governing, licensing or accreditation agencies

Review, retrospectively, medical, and clinical records and pertinent documentation in accordance with established site review tools and company policy

Use critical thinking skills to extract, compile, interpret, analyze, and trend data from the electronic health records system and audit tools

Effectively communicate data information to stakeholders with various levels of data literacy

Conduct random spot checks on the safety and quality of program environments as assigned

Utilize Quality Assurance tools and conduct scheduled audits. Revise and coordinate tools necessary for upcoming audits

Utilize MS Excel to track documentation workflow and provide status reports

Use statistical techniques to provide ongoing reports in the form of tables, charts, and graphs

Prepare periodic reports on error rates, incidents, training, and other criteria as specified

Identify areas of billing errors and report to supervisor. Assist in communicating this to the Director of Compliance and Compliance Coordinators

Identify and interpret trends in data, as they relate continuous quality improvement

Uphold the standards of agency’s Continuous Quality Assurance Program

Participate in meetings as assigned

Record and produce minutes of Quality Assurance Committee meetings as assigned

Safeguard and ensure integrity of all data collected within the assigned department

Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency

Performs other duties as assigned or that may develop

Management has the right to add or change the duties of this position at any time

Preferred

preferred in the field of human services or relevant field

Human Services Background

Related Field Background

Company

Multi-channel marketing and direct response solutions for financial institutions.

New York, New York, USA

https://mainstreetdirect.com/

Founded in 2004

11-50 employees

Qualifications

A two-year degree is required

equivalent experience may be considered in lieu of formal education

Proficient in MS Excel and other Microsoft products

experience with and be able to effectively use an electronic health record (EHR)

an essential understanding of process improvement

Must be self-managed, responsive, and dedicated to customer service and support

Must maintain valid driver's license and acceptable driving record

Equivalent experience may be considered in lieu of formal education

Experience with and be able to effectively use an electronic health record (EHR)

An essential understanding of process improvement

Preferred in the field of human services or relevant field

Required skills

Microsoft Excel, Microsoft Office, Electronic Health Records (EHR), Process Improvement, Statistical Analysis, Quality Assurance Auditing, HIPAA

Preferred skills

preferred in the field of human services or relevant field, New York, New York, USA, https://mainstreetdirect.com, Company data provided by, AI Tools, Customize Your Resume, Maximize your interview chances, Build Cover Letter, Make your application stand out, Analyze How Well You Fit, Understand your strength & weakness

Experience

Mid level