EMS Documentation Quality Specialist

Priority OnDemand, LLC; Rancho Cucamonga (CA); On-site; USD 34,000 - 48,000; Full time

Job summary

Priority Ambulance seeks a Documentation Quality Assurance Specialist to review, audit, and validate patient care documentation for accuracy and billing readiness. This role functions as a quality gate before submission, ensuring regulatory compliance and revenue cycle integrity.

The DQA Specialist will collaborate with Operations, Clinical Services, and Training to drive documentation improvements, support audits, and maintain HIPAA and privacy standards across EMS documentation and reporting

Qualifications

• Has knowledge of EMS documentation standards and patient care reporting requirements.
• Familiar with medical terminology and payer documentation requirements.
• Able to follow HIPAA and privacy regulations.
• Strong analytical and communication abilities.

Responsibilities

• Review PCRs for completeness, accuracy, and compliance.
• Audit PCRs to ensure medical necessity and reimbursement alignment.
• Verify documentation is present before billing submission.
• Identify deficiencies and coordinate corrections with field personnel.
• Reconcile PCRs with CAD records and other docs to account for transports.
• Monitor adherence to policies, regulations, and quality standards.
• Provide coaching to staff on documentation improvements.
• Generate and share documentation quality reports and trends.
• Collaborate with billing and operations to resolve documentation issues.

Skills

EMS documentation standards

Communication skills

Attention to detail

Time management

Microsoft Office

Typing 40 WPM

Independent and team work

Education

High School Diploma or GED

Associate degree in EMS, Nursing, Healthcare Admin, HIM or related field preferred

Tools

Electronic patient care reporting systems

Job description

Priority Ambulance seeks a Documentation Quality Assurance Specialist to review, audit, and validate patient care documentation for accuracy and billing readiness. This role functions as a quality gate before submission, ensuring regulatory compliance and revenue cycle integrity.

The DQA Specialist will collaborate with Operations, Clinical Services, and Training to drive documentation improvements, support audits, and maintain HIPAA and privacy standards across EMS documentation and reporting