JOB DESCRIPTION
Under supervision of the Quality Assurance Supervisor, the QA Technician will: Conduct internal audits of client medical records that are related to the requirements set by Medi-Cal, Community Care Licensing, and other contact-funded programs; Possess a good knowledge base of Monterey County Behavioral Health documentation and billing requirements as described in their "Documentation Manual." Prepare internal reports detailing audit findings; Provide Medi-Cal trainings for program staff and disseminate training materials to staff on a variety of mental health topics. This position is responsible for minimizing funding disallowances from funding sources resulting from improper documentation and billing, while ensuring that all documentation is accurate and compliant.
WHO WE ARE
Looking to make a difference? Our mission at Interim is to provide services and affordable housing to supporting members of our community with mental illness by building productive and satisfying lives in a world in which people with mental illness are able to live, work, learn and participate fully in the community. Join our team and instill hope in the community.
BENEFITS WE OFFER
Competitive Compensation Tuition reimbursement for eligible positionsClinical licenses and training reimbursement for eligible positionsLoan repayment for eligible positionsGenerous health, vision, dental, Employee Assistance Program (EAP), and life insurance coverage for full-time employeesMonthly payment in lieu of insurance coverage for eligible positions403b Retirement Plan with Interim matching contributionCompetitive vacation and sick leave accruals. You can earn up to 24 days of vacation in your first year.Professional development and learning opportunities.BBS registered supervisors onsite for ongoing Clinical SupervisionAnnual employee recognition and staff appreciation eventsEmployee referral bonus program Offers flexible work schedulesA fulfilling career while providing a family centered focus and work-life balance
HOW TO APPLY
To learn more about Interim and to apply for this position, please go to our website at http://www.interiminc.org/employment/.
COMPENSATION
$31.57 - $41.11 per hour. Nonexempt; 40 hours/week; Eligible for overtime. Compensation based on education and experience.
REPORTS TO
Quality Assurance Supervisor.
QUALIFICATIONS
Required: BA degree in social work, psychology or related mental health field, plus a minimum of one year of experience providing direct services to adults with serious psychiatric disabilities or in the general mental health field; Good computer skills focusing on documentation; Knowledge of electronic health/medical records systems, preferably Avatar; Ability to work individually and with a team demonstrating strong interpersonal skills and oral/written communication skills; and Ability to deal effectively with a diversity of individuals and personality types, regardless of ethnic, racial, gender, religious background, or socio-economic level.
Preferred: Experience in client documentation responsibilities and a working knowledge of Medi-Cal rules and regulations; Experience and/or ability to provide staff training on Medi-Cal documentation;
Driver's license for at least two years and driving record acceptable to insurance carrier.
Valid driver's license; auto in safe operating condition; auto liability insurance; good driving record; criminal record clearance; proof of authorization to work in the United States as required by Immigration and Reform Act of 1986. Ability to work independently with minimal supervision.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Under the supervision of the Quality Assurance Supervisor, the Quality Assurance Technician will assist with the following duties:
Conduct internal audits of client records and any other relevant documents. Review Medi-cal documentation of Interim staff and provide feedback, ensuring quality, frequency, and timeliness of documentation. Communicate documentation changes, Medi-Cal requirements, and form updates to program staff. Organize and provide Medi-cal training to both new hires and experienced staff individually and in groups. Audit client Progress Notes to provide Bi-monthly program Medi-cal trainings with QA staff. Conduct follow-up reviews to ensure that chart deficiencies have been corrected by program staff. Regularly examine compliance reports & communicate with supervisors and management. Examine the required monthly annual plan forms in Avatar and communicate with clinicians/ coordinators. Work with Interim's Grants & Contracts Manager to ensure there is no duplicate billing. Attend Medi-Cal documentation-related meetings and training at MCBHB and disseminate relevant information to staff. Collect data for various types of reports as assigned by supervisor. Assist in organizing and coordinating agency-wide training sessions. Keep track of staff's required training, staff who attend Interim's in-service trainings and disseminate training materials to staff on a variety of mental health topics. Assist the Quality Assurance Supervisor with the administrative process for the agency's re-accreditation or accreditation of programs by CARF (Commission on Accreditation of Rehabilitation Facilities) as needed. Other duties as assigned by supervisor.
PHYSICAL REQUIREMENTS
Ability to: drive an automobile to travel to program sites and meetings, ability to see well enough to read data on a computer screen and client records, ability to hear normal conversations and answer telephone, ability to communicate with other staff; hand, finger and body coordination sufficient to write clearly and to input data into a computer. Capable of the following extended activities: walking, sitting, working on keyboard.
This job description is intended to have an accurate reflection of the qualifications and job duties; current management reserves the right to revise the job at any given time when circumstances change. This job description replaces all previous description for this position.
Interim, Inc. is an equal opportunity employer.
Interim Inc. is guided by the precept that in no aspect of its programs, services or employment practices shall discrimination be permitted because of race, color, national origin, gender, age, creed, religion, physical or mental disability, marital status, medical condition, pregnancy, childbirth, or related medical condition, citizen status, veteran status, military status, sexual orientation, gender identity, or other characteristic protected by state or federal law. To comply with the Americans with Disabilities Act and other applicable laws ensuring equal employment opportunities to qualified individuals with a disability, reasonable accommodations are made for the known physical or mental limitations of an otherwise qualified individual with a disability, unless hardship, direct threat to health or safety, or other job-related consideration exists. Individuals who feel that they have been unlawfully discriminated against because of membership in one of the protected classes should contact the following: Director of Human Resources, Interim, Inc., PO Box 3222, Monterey, CA 93942. (831) 649-4522.