Clinical Quality and Compliance Auditor, Part-Time

3 weeks ago

Madison, United States Bend Health Full time
Job DescriptionJob Description**Position is remote or [preferred located in Madison, WI]**Available part-time (20 to 30 hours weekly) with opportunities for full-time soon.Who we are:

Bend Health is revolutionizing the treatment of mental health conditions for kids and teens. Our innovative technology achieves better outcomes and leads to happier, healthier lives while ensuring stigma, costs, and logistics are no longer barriers. Come and be part of a fun, collaborative, supportive, motivated, and data-driven team creating the first scalable and integrated model in mental healthcare for kids and teens. Help shape the future of pediatric mental health and bend the healthcare system to work better for everyone.

Today's world can be intense and stressful, and it's taking an unprecedented toll on kids, teens, and families. Bend Health's collaborative care model relies on therapy to help families manage the ups and downs of everyday life. These challenges could involve managing emotions, challenging negative thinking, and reducing stress and anxiety.

We are looking for a Part-Time, Clinical Quality and Compliance Auditor passionate about whole-person, whole-family mental health care to join our clinical team.What you'll do:

In this role, you'll be responsible for auditing behavioral health records, ensuring accuracy and compliance with established policies and procedures, including familiarity with joint commission and other behavioral health accreditation rules and regulations.

Your primary duties will involve:

  1. Conduct EHR record reviews to enhance payment accuracy and improve program administration and clinical quality, adhering to Bend Health and other accreditation standards.
  2. Thoroughly gather data and statistics regarding EHR discrepancies.
  3. Analyze data to identify discrepancies in documentation and clinical outcomes.
  4. Disseminate information to practitioners, including coaches, therapists, psychiatric providers, and Behavioral Care Managers (BCM), ensuring adherence to internal and external guidelines.
  5. Follow up with practitioners to ensure completion of required documentation and compliance with established standards.
  6. Memorialize policies and procedures determined by the Chief Medical Officer (CMO), Chief Clinical Officer (CCO), EVP, Head of Care Operations, and quality assurance team.

Who you are:

  1. You are an active registered nurse (RN)
  2. You are proficient with technology and comfortable with a high volume of auditing records.
  3. You maintain a high standard of excellence in your work.
  4. You are proactive, detail-oriented, and familiar with auditing behavioral health records, JCAHO, and other accreditation standards.
  5. You are able to pull data, analyze it for discrepancies, and effectively communicate findings to practitioners while ensuring compliance with regulatory requirements.
  6. You are flexible and able to adapt to the organization's needs while always being focused on maintaining accuracy, compliance, and quality in EHR documentation.

The salary range for United States residents is $30 per hour. Pay is based on several factors, including but not limited to education, work experience, certifications, etc. In addition to your salary, Bend Health offers a comprehensive benefits package, incentive and recognition programs, equity, and 401k contribution (all benefits are subject to eligibility requirements). Come join us to expand access to quality mental health care for kids, teens, and families

We want to inform you regarding fraudulent postings and communications from individuals posing as Bend Health employees to job seekers. Please look at our current openings to ensure they match with third-party job hosting sites. If you are applying for a position with us, we will always take the following steps:


We will only email you from the @bendhealth.com domain. Our screenings and interviews will be via phone or Zoom/Google Meets Video - Never chat or instant message We will not send you a check until you are actively employed. We will never ask you for personal payment or require you to purchase equipment

We are here to help if you have any questions or concerns about a job posting. Please reach out directly to hiring@bendhealth.com for inquiries. Thank you again for your interest, and we look forward to connecting with you

At Bend Health, we believe that our diverse perspectives are our biggest strengths - and that embracing them will create real change in healthcare. As an equal-opportunity employer, we are committed to building an inclusive environment where you can be you.

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