Behavioral Health Quality Improvement Coordinator

Acacia Network; New York (NY); On-site; USD 63,000 - 77,000; Full time

Job summary

Acacia Network, Bronx, NY, is seeking a Quality Improvement Coordinator to perform comprehensive analyses of clinical documentation and compliance, under the Corporate Compliance Officer. You will identify audit findings, assist in corrective actions, and improve patient outcomes in behavioral health programs.

Responsibilities include leading EHR reviews, audits, and CQI initiatives, with knowledge of OMH/OASAS guidelines and HIPAA requirements.

Qualifications

• Associates degree in Social Work, Psychology, Public Health, RHIA or related field required.
• Undergraduate degree in Social Work, Psychology, Public Health, RHIA or related field preferred.
• Two (2) years’ experience in project coordination, audit readiness and/or care management preferred.
• Minimum of 1-year experience working in a mental health, primary care or substance abuse setting required
• Knowledge of OMH, OASAS and Health Homes concepts and processes required.
• Track record of success in audits, chart reviews, and incident management preferred
• Strong interpersonal and verbal communication skills, ability to engage staff at all levels
• Collaborative team player; ability to work with a culturally diverse environment
• Ability to multitask and work under pressure
• Proficient knowledge of medical terminology, ICD-10 and CPT codes
• Knowledge of Medicaid and other federal/state compliance guidelines

Responsibilities

• Concurrent reviews of OASAS and OMH medical records to validate completeness, compliance, and consistency with clinical documentation.
• Champion Evidence Based Practices by leading behavioral health EHR review, PDSA’s and performance improvement projects.
• Provides constructive recommendations to management as determined by audit findings.
• Ensure audits are complete, accurate and documented timely.
• Facilitate monthly continue Quality Improvement (CQI) meetings with programs. Monitor and analyze behavioral health documentation.
• Modify business processes to measure patient outcomes and satisfaction as driven by Patient satisfaction survey.
• Develop and monitor systems to ensure compliance with HIPAA. Research state regulations and compliance guidelines.
• Establish compliance tracking systems with timeliness as mandated by applicable legislative and accrediting organizations.
• Provides routine/scheduled and ad hoc audit reports, including trend identification and root cause analysis.
• Provides coaching and feedback to staff as part of quality assurance training.

Skills

Interpersonal skills

Verbal communication

Medical terminology

ICD-10/CPT knowledge

Education

Associate degree in Social Work/Public Health/RHIA or related field

Undergraduate degree in related field preferred

Job description

Acacia Network, Bronx, NY, is seeking a Quality Improvement Coordinator to perform comprehensive analyses of clinical documentation and compliance, under the Corporate Compliance Officer. You will identify audit findings, assist in corrective actions, and improve patient outcomes in behavioral health programs.

Responsibilities include leading EHR reviews, audits, and CQI initiatives, with knowledge of OMH/OASAS guidelines and HIPAA requirements.