Quality Assurance Specialist

2 months ago

Oakland, United States WestCoast Children's Clinic Full time
Job DescriptionJob Description

WestCoast Children's Clinic, located in Oakland, California, is a non-profit community psychology clinic that provides mental health services to Bay Area children, youth and families. Working at WestCoast Children's Clinic means being part of an organization that is client-centered, trauma-informed, collaborative, and committed to justice and equity.

The Quality Assurance Specialist (QAS) assures that clinical documentation meets county and state standards. The QAS is responsible for medical records review and quality assurance/utilization review, audit preparation, intake assistance, and serves as a resource for clinical staff around charting, billing, and eligibility. QAS also provides general support for all programs as needed.

Key Responsibilities:

  • Provides detail-focused review of clinical documentation to ensure quality, regulatory compliance, and audit-readiness
  • Tracks all aspects of the MediCal process including but not limited to: monthly MediCal eligibility monitoring, setting up MediCal files, coordinating and monitoring dates for quality assurance reviews, and monitoring the thorough completion of all client documentation (e.g., signatures, co-signatures, dates, etc.)
  • Provides support to clinicians around documentation, charting, and billing procedures
  • Provides administrative assistance to the clinical intake process
  • Assists in utilization review and research programs
  • Provides general administrative support such as answering and directing calls, assisting clients, and other support tasks
  • Creates, maintains, and updates client's electronic records, charts, and file room
  • Additional duties as requested by the Associate Director of QA and Compliance

Qualifications:

  • Must be able to work Monday through Friday during the hours of 9:00am-5:30pm
  • Previous experience with MediCal or managed care documentation, billing, and audits preferred
  • College degree preferred, and/or related administrative experience in healthcare or human services organizations
  • Clean California DMV and insurance

Competencies (Skills, Abilities, and Knowledge):

  • Ability to work independently
  • Ability to prioritize projects appropriately and attend to details. Efficiency and thoroughness is required
  • Sensitivity and awareness in recognizing and addressing race, gender, power, and privilege, and how these impact community mental health.
  • Proven understanding of client confidentiality and HIPAA
  • Excellent interpersonal, communication, and writing skills
  • Excellent organizational and computer skills, as well as spoken and written communication skills
  • Knowledge of MS Office Suite including Excel, PowerPoint, Google Calendar, and Google Mail on a Mac OS platform
  • Bilingual candidates are encouraged to apply
Position Details and Compensation:

This is a full-time, hourly position. Starting rate is $24.00 hourly, with 10% language differential (if applicable), and includes competitive benefits and compensation package, 403b and performance-based compensation plans.

Why work here?

-Be part of a compassionate, driven team that is social justice-focused: We have Staff Affinity Groups such as Staff of Color, LGBTQ+, Equity and Inclusion, Health and Wellness, and more

-Make a difference for the Bay Area's most vulnerable populations: We serve hundreds of vulnerable kids and their families each year to create positive changes in their lives

-Access a growth-oriented learning community: As a Joint Commission Accredited agency, we are dedicated to providing the highest standard of care, and offer extensive clinical trainings and seminars led by field experts.

We also offer:
  • Annual incentive compensation and retirement plan contribution
  • 100% Employer paid medical (base plan, Kaiser HMO), dental, vision, life insurance, and long-term disability coverage for full-time employees
  • Variety of medical plan options including a variety of carriers and types of plans
  • 403b retirement plan with ROTH and 403b contribution options
  • Flex-spending options - Medical, Dependent Care and Commuter Plans
  • 15 days paid time off per year (equivalent to 3 weeks), 11 Paid Holidays, plus Self-Care Leave (additional PTO accrual with increased years of service)
  • Professional development stipend
  • Monthly wellness stipend

Join us and make a difference in the lives of vulnerable children and families in the Bay Area.

WCC is passionate about leading and encouraging open conversations around race, gender, power, and privilege and how these impact community mental health. We are an equal opportunity employer. We are committed to diminishing the influence of privilege and discrimination in our field and our workplace, whether due to differences concerning age, citizenship, color, disability, marital or parental status, race, religion, gender, or sexual orientation.

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