QM Auditor

Description

Quality Management Auditor

Purpose:

The overall goal of this position is to assist in ensuring compliance with federal and state regulations as well as agency policies, procedures, and protocols.

Scope & Objective:

To provide support to management and clinicians in regard to compliance issues. To assist in identifying regulatory, practice, protocol, and scope of profession issues and concerns. To recognize areas where processes improvements are needed and provide suggestions and feedback to management in that regard.

Will review patients charts to determine compliance with federal, state, and agency guidelines. Helps to assure quality in the agencys delivery of care to patients.

Travel:

This position does not normally require travel but on rare occasions travel to the home office may be required for training purposes.

Tasks/Duties & Job Responsibilities:

• Assists in reviewing patients files to ensure proper compliance with state and federal guidelines.
• Analyzes data collected in the chart review and provides feedback to the Quality Management Lead and/or Supervisor.
• Conducts regular chart audits as directed by supervisor or his/her designee and provide education to field staff.
• Provides feedback and recommendations to the Quality Management Lead and/or Supervisor, clinical office staff, administrative office staff and field clinicians as necessary/needed.
• Assist Quality Management Supervisor on any special projects that relates to clinical compliance and education/training as directed.
• Other tasks or special projects that may be assigned from time to time,
• Promotes agency reputation and staff morale by serving both internal relationships with professionalism and excellent customer focus/service.
• Collaborates with other team members of the agency to promote efficiency and effectiveness of overall agency operations
• Upholds Optimal Vision and Mission and Core Values of commitment, advocacy, respect, and excellence.
• Complies with agency Policies and Procedures as well as Employee Handbook detailing Human Resources policies.
• Participates in exercises and drills for emergency preparedness, as required.
• Completes emergency preparedness training as identified as appropriate for this employee level.
• Other duties and tasks as assigned by the Quality Management Lead and/or Supervisor.

Qualifications

Qualifications:

• Education: Associate or higher degree from, an accredited college or university.
• Need to have background in medical field.
• Working knowledge of medical terminology.
• Experience: experience in a quality management/assurance role preferred
• Effective with both written and verbal communication
• Possess adequate and effective interpersonal skills
• Working knowledge of designated software and computer systems.