QA & Compliance Coordinator (Healthcare)

Independent-Living-Cente

Joplin (MO)

Sur place

USD 21 000 - 30 000

Temps partiel

14 jours+

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Résumé du poste

The Independent Living Center, Inc. (TILC) in Joplin, MO is seeking a detail-oriented Quality Assurance Coordinator to support QA, compliance and continuous improvement across agency programs and services.

The role conducts internal reviews, monitors corrective actions, and ensures Medicaid, EVV, and program documentation meet required standards while maintaining confidentiality and using Microsoft Office for recordkeeping. This part-time, non-exempt position reports to the Executive Team.

Qualifications

High school diploma or equivalent required.
Experience in healthcare, human services, disability services, Medicaid, quality assurance, compliance, auditing, case management, or a related field preferred.
Experience reviewing records and documentation preferred.
Strong attention to detail and organizational skills.
Ability to understand and follow policies, procedures, regulations, and program requirements.
Strong written and verbal communication skills.
Ability to maintain confidentiality and handle sensitive information.
Proficiency with Microsoft Office and electronic records systems.
Ability to work independently and meet established deadlines.

Responsabilités

Conduct and maintain routine and risk-based internal reviews of participant, consumer, and program records.
Review CDS, ADS/direct care, Independent Living, and other program documentation for accuracy, completeness, and compliance.
Monitor EVV compliance and monthly utilization.
Review Medicaid eligibility, required documentation, signatures, dates, authorizations, and supporting records.
Monitor complaints, grievances, customer service, and participant satisfaction surveys.
Document audit findings and communicate deficiencies to appropriate supervisors or department directors.
Identify significant, recurring, or high-risk concerns and escalation appropriately.
Develop and monitor corrective actions and internal performance improvement plans, including goals and timelines.
Conduct follow-up reviews to ensure identified issues are addressed.
Maintain organized records and files in accordance with TILC retention and confidentiality requirements.
Assist with compliance reviews and documentation required by Missouri Medicaid, applicable programs, payers, and TILC policies.
Perform other duties as assigned.