Psychology Quality Assurance & Compliance Specialist

Telos Health Systems is hiring a Psychology Quality Assurance & Compliance Specialist to support quality assurance and compliance across Psychology Services. The role reviews clinical documentation, educates providers, monitors compliance, and supports quality improvement and follow-up.

Responsibilities

• Conduct chart audits and clinical documentation reviews
• Review documentation for accuracy, completeness, medical necessity, and compliance
• Support provider onboarding, training, and ongoing documentation education
• Provide feedback to providers and track corrective actions through resolution
• Monitor documentation workflows and identify recurring quality or compliance concerns
• Assist with QA processes, audit tools, SOPs, and provider education
• Maintain tracking and reporting of QA findings and trends
• Utilize EHRs, Microsoft Office, and AI-supported QA tools as appropriate

Preferred

• We welcome candidates with relevant experience in healthcare QA, compliance, behavioral health, post-acute care, medical records, or utilization review
• Behavioral health or Psychology QA/compliance experience
• Experience with Medicare behavioral health documentation and medical necessity
• Experience developing QA processes, audit tools, SOPs, or provider training
• Clinical license or credential (LCSW, LMSW, LPC, LMHC, LMFT, etc.) is a plus, but not required
• Experience with AI-assisted documentation or chart-review tools
• Healthcare Quality Assurance
• Healthcare Compliance
• Behavioral Health
• Post-Acute Care
• Medical Records
• Utilization Review
• Medicare Behavioral Health Documentation
• Medical Necessity
• QA Process Development
• Audit Tool Development
• SOP Development
• Provider Training
• Clinical Licensure
• Credentials
• AI-Assisted Documentation
• Chart-Review Tools

Benefits

• Fully remote work arrangement

Company

• Technology-enabled primary and behavioral care for post-acute senior living
• Englewood Cliffs, New Jersey, USA
• https://teloshealthsystems.com/
• 51-200 employees

Qualifications

• A clinical license is not required
• Bachelor's degree in Psychology, Social Work, Healthcare Administration, or a related field, or equivalent relevant healthcare experience
• 2+ years of relevant healthcare experience
• Strong attention to detail, organization, communication, and problem-solving skills
• Ability to work independently in a fully remote environment
• We welcome candidates with relevant experience in healthcare QA, compliance, behavioral health, post-acute care, medical records, or utilization review
• Behavioral health or Psychology QA/compliance experience
• Experience with Medicare behavioral health documentation and medical necessity
• Experience developing QA processes, audit tools, SOPs, or provider training
• Clinical license or credential (LCSW, LMSW, LPC, LMHC, LMFT, etc.) is a plus, but not required
• Experience with AI-assisted documentation or chart-review tools
• 2+ years of relevant healthcare experience.

Required skills

• AI-Assisted Documentation, Behavioral Health QA and Compliance, Clinical Documentation Review, Healthcare Quality Assurance, LCSW, LMFT, LMHC, LMSW, LPC, Medical Necessity, Medicare Behavioral Health Documentation, Provider Training

Preferred skills

• Behavioral health or Psychology QA/compliance experience

Experience

• 2+ years