Medicaid Compliance & Records QA Specialist

WestCare Inc; Henderson (NV); On-site; USD 59,629,000 - 68,354,000; Full time

Job summary

WestCare Inc in Henderson, NV seeks a Quality Assurance/Documentation Specialist to ensure Medicaid, Medicare and related funding documentation meets chapter and contract guidelines. The role focuses on clinical records review, interdepartmental communication, and maintaining compliance across programs.

You will develop monitoring tools, conduct site reviews, and manage the agency’s electronic health record system.

Qualifications

• Bachelor’s degree from an accredited institution.
• Previous QA experience in behavioral health preferred.
• Knowledge of Medicaid/Medicare documentation guidelines.

Responsibilities

• Perform clinical records review to ensure compliance with Medicaid/Medicare and funding guidelines.
• Develop and/or utilize monitoring tools and processes for compliance across programs.
• Conduct quality assurance site-based reviews of client files.
• Maintain and utilize the agency’s electronic health record system.
• Prepare concise reports and distribute to management on a defined basis.

Skills

HIPAA regulations

Quality assurance (QA)

Records review

Microsoft Office

EHR system

Education

Bachelor's degree

Tools

Electronic health records (EHR)

Job description

WestCare Inc in Henderson, NV seeks a Quality Assurance/Documentation Specialist to ensure Medicaid, Medicare and related funding documentation meets chapter and contract guidelines. The role focuses on clinical records review, interdepartmental communication, and maintaining compliance across programs.

You will develop monitoring tools, conduct site reviews, and manage the agency’s electronic health record system.