Quality Audit Analyst

Jobtailor; Phoenix (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor in Phoenix is seeking a quality auditor to conduct remote and onsite audits of Behavioral Health Agencies, review clinical documentation, and verify regulatory compliance. You will coordinate audit scheduling, provide real-time feedback, and develop action plans to improve documentation and performance.

Responsibilities include compiling findings, supporting root cause analysis, and educating providers on quality guidelines while navigating EHR systems and ensuring timely corrective

Qualifications

• Bachelor’s degree or equivalent in Behavioral Health-related fields.
• 2–4 years of relevant experience in quality management, process improvement and project leadership.
• Arizona residency required.
• Proficiency in Word, Excel, Outlook and Teams.
• Experience navigating Electronic Health Record systems.

Responsibilities

• Conduct remote and onsite audits of Behavioral Health Agencies.
• Coordinate audit scheduling and maintain communication with agencies using virtual tools.
• Provide real-time feedback and technical assistance to improve compliance and documentation.
• Compile audit reports with findings, corrective actions, and quality improvement recommendations.
• Navigate EHR systems to review clinical documentation.
• Implement and monitor providers against regulatory requirements.
• Coordinate and educate providers on quality guidelines and performance measures.
• Assist with root cause analysis and corrective actions.
• Track and trend audit results and create finding reports.
• Provide training in continuous quality improvement methodologies.

Skills

Quality management

Process improvement

Project leadership

Time management

Data analysis

Client relations

Program development

Process streamlining

Budget management

Training delivery

Independent work

Productivity metrics

Education

Bachelor’s degree or equivalent in Behavioral Health-related fields

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Teams

Job description

• Conduct remote and onsite audits of contracted Behavioral Health Agencies, including medical record reviews, policy and procedure assessments, and regulatory compliance verification
• Coordinate audit scheduling and maintain communication with agencies using virtual tools
• Provide real-time feedback and technical assistance to agencies to improve compliance and documentation practices
• Compile audit reports with findings, corrective actions, and quality improvement recommendations
• Navigate Electronic Health Record systems to review and assess clinical documentation
• Implement and monitor program providers against regulatory and statutory requirements
• Define quality requirements and develop audit tools based on the ACC Contract
• Coordinate and educate providers on quality guidelines and performance measures
• Assist with root cause analysis and corrective and preventive actions following provider audits
• Track and trend medical record review results and create audit finding reports
• Provide technical assistance and training in continuous quality improvement methodologies and tools
• Close out audit findings and ensure timely resolution of investigations and corrective actions
• Suggest improvements to services, processes, or products
• Solve complex problems and determine how and when to achieve results
• Interpret customer needs and identify solutions to non-standard requests
• Work with department and cross-department peers, supervisors, customers, managers, patients, and physicians

Requirements

• Bachelor’s degree or equivalent working knowledge in Behavioral Health-related fields
• Two to four years of relevant experience in quality management, process improvement, project leadership, organization/time management, data collection/analysis, client relations, program development, process streamlining, project evaluation, budget management, training, and development
• Arizona residency required
• Proficiency in Microsoft Word, Excel, Outlook, and Teams
• Comfort navigating various Electronic Health Record systems
• Strong computer skills
• Ability to work independently and manage time effectively
• Ability to meet daily and weekly productivity metrics
• Self-motivated and detail-oriented
• Completion of post-offer Occupational Health physical assessment, drug screen, and background check required
• AZ Board of Behavioral Health Licensing and/or CPHQ preferred
• Additional related education and/or experience preferred

Core Competencies

Demonstrates expertise in conducting audits and ensuring compliance within Behavioral Health Agencies, utilizing Electronic Health Record systems and quality improvement methodologies. Proficient in data analysis, project leadership, and effective communication with diverse stakeholders.