Quality Assurance (QA) Reviewer

Job Description

Job Description

Northeast Family Services is seeking an experienced Quality Assurance (QA) Reviewer to join our growing team!

The Quality Assurance Reviewer is responsible for conducting documentation and record reviews to ensure compliance with agency policies, program requirements, and state and federal regulations. Helps ensure programs complete documentation accurately and on time through various quality assurance activities and participates in agency committees and workgroups as needed to support and promote a culture of continuous quality improvement.

In order to be successful, this role requires strong analytical, reporting, and Excel skills, as well as superior attention to detail and the ability to multitask.

This is a remote position, but you must reside in RI, MA, NH, or NY.

Duties and Responsibilities include:

• Conduct documentation and record reviews to ensure compliance with agency policies, program requirements, and state and federal regulations

• Support agency quality improvement initiatives and performance monitoring activities

• Assist in conducting internal audits and quality reviews of program documentation

• Help Track, analyze, and report quality assurance data and audit findings

• Identify documentation trends, compliance risks, and areas for improvement

• Support development and implementation of corrective action plans when needed

• Collaborate with program leadership to promote high standards of documentation and compliance

• Participate in agency quality committees and workgroups

• Maintain accurate records of audit findings and quality metrics

• Assist with preparation for internal and external regulatory audits

• Support coaching and training efforts related to documentation quality and compliance

• Complete other duties as assigned

Qualifications:

• HS Diploma or equivalent required; Bachelor's degree in Health Information Management (HIM), Data Analytics, Healthcare Informatics, Healthcare management, or related field preferred.

• Minimum 3 years of experience in healthcare documentation review, quality assurance, HIM, credentialing, or healthcare data analysis.

• Behavioral Health Experience preferred

• Strong Excel and reporting skills

• Strong administrative and communication skills

• Strong analytical and organizational abilities

• Excellent attention to detail

• Ability to work independently in a remote environment

• Must reside in RI, MA, NH, or NY.

Benefits:

• Health, Dental & Vision

• 3 weeks paid vacation

• 11 Paid holidays (including Juneteenth, the day after Thanksgiving, Christmas Eve, and NY Eve.)

• Generous sick time including mental health days

• 401k retirement plan with up to 4% match

• Voluntary short and long-term disability

• Voluntary Life Insurance

• Mileage reimbursement

• Longevity award - Monetary bonus and a vacation day annually

• Company provided laptop and cell phone

• Opportunity for professional growth

• Supervision for licensure provided

• Tuition Reimbursement

• Personal cell phone discount
  

Compensation:

• Full Time Salary - $55,000 - $65,000