Clinical Quality Analyst
New
C
Charlie HealthBehavioral Health
Remote, United StatesFull-TimeMiddle
Salary57,000 - 75,000 USD per year
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Job Details
- Experience
- 2+ years
- Required Skills
- Microsoft ExcelQuality Assurance
Requirements
- 2+ years of experience in healthcare auditing
- Bachelors or master’s degree in behavioral health or similar field preferred
- Healthcare or behavioral health operations experience preferred
- Strong knowledge of state and federal statutes regarding patient confidentiality laws
- Knowledge of ASAM criteria
- Knowledge of mental health recovery model and LOC guidelines
- Knowledge of The Joint Commission Behavioral Health Standards
- Exhibits a comprehensive understanding of healthcare regulatory and compliance (HIPAA)
- Proficient in Microsoft Office, especially Word & Excel
- Ability to work with sensitive and/or confidential information
- Ability to function independently with minimal supervision
- Ability to collaborate effectively with clinical and cross-functional teams
Responsibilities
- Audit assigned medical and clinical records daily and meet established productivity expectations
- Apply audit criteria consistently and accurately
- Complete monitoring reports that summarize audit results, findings, and trends
- Provide education and feedback based on audit findings and identified opportunities for improvement
- Lead and/or participate in the implementation of quality improvement processes
- Assist in developing cross-company documentation procedures that support clinical compliance
- Participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives
- Assist with incident reporting, review, tracking, and investigation procedures, including serious incident analysis
- Support corrective action plans and complete required follow-up within established timeframes
- Support Quality and Safety readiness activities for new state or program launches
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