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Elements Behavioral Health Director of Quality Assurance in Wimberley, Texas

Primary Duties and Responsibilities

  • Manages and coordinates, with assistance, key components of the Compliance Program that are designed to meet the requirements or recommendations of Federal and State regulatory agencies.
  • Supports the field compliance team in managing the day-to-day operations of the enterprise-wide Compliance Program, including assisting with the documentation needed to accompany state licensure applications and the voluntary accreditation process.
  • Creates reports for Compliance meetings.
  • Develops and maintains critical organizational systems designed to meet deadlines issued by regulatory bodies, organizes key policies and procedures and responds to escalated medical record requests.
  • Interfaces with client satisfaction survey vendor and Marketing department to develop reports to be used in Performance Improvement initiatives throughout the organization.
  • Sort, alphabetize and scan client documents accurately in client electronic medical records.
  • Review medical records for completeness, assemble records into standard order, and file records in designated areas according to applicable alphabetic and numeric filing systems.
  • Review files and documents in clients' electronic medical charts for accuracy.
  • Respond to requests for information from files according to established policies and procedures.
  • Maintain alphabetic filing system by organizing client records on shelves to ensure records are readily accessible by all departments.
  • Respond to inquiries from Clinical staff pertaining to medical records. Comply with federal HIPAA regulations and practice policies for the privacy and security of client information; explain the law and our privacy policy to clients as needed; maintain appropriate documentation of access to medical records.

Knowledge, Skills, and Abilities

  • Thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
  • Knowledge of basic data processing procedures.
  • Knowledge of medical record keeping principles and practices and electronic medical records preferred.
  • Knowledge of medical terminology, standard nomenclature and classification of diagnoses and operations preferred.
  • Strong verbal and written communication skills.
  • Advanced Excel skills including pivot tables and formulas.
  • Ability to create and maintain policy and procedure documentation.

Qualifications and Requirements

Education/Licensing:

  • BS, BSN, or MA preferred.
  • Must meet pre-employment and maintain all applicable state and job-related guidelines for background screening, fingerprinting, drug testing, health screening, DMV, Insurance, CPR/Basic First Aid and license/credential verifications.

Experience:

  • Minimum of five (5) years of work experience in a compliance or quality assurance role.
  • Minimum 6 months medical records experience preferred.
  • Experience handling sensitive information with complete confidentiality.
  • Experience maintaining policy and procedure documentation.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

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