Quality Improvement Coordinator

Acacia Network; New York (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Acacia Network in New York City seeks a Quality Improvement Coordinator under the Corporate Compliance Officer to analyze clinical documentation, review compliance requirements, and report audit findings to leadership for corrective action.

You will lead CQI projects, monitor behavioral health records, and develop systems to improve patient outcomes and the accuracy of documentation, while ensuring adherence to OMH, OASAS and HIPAA guidelines.

Qualifications

• Associates degree required in social/health field.
• Undergraduate degree preferred in related fields.
• 2+ years in project coordination, audit readiness or care management preferred.
• 1+ year experience in mental health/primary care/substance abuse setting required.
• Knowledge of OMH, OASAS and Health Homes concepts.
• Proficient in ICD-10 and CPT codes; medical terminology familiarity.
• Knowledge of Medicaid and federal/state compliance guidelines.
• Strong interpersonal and verbal communication; collaborative team player.

Responsibilities

• Concurrent reviews of OASAS and OMH records to verify completeness and compliance.
• Lead behavioral health electronic record reviews and performance improvement projects.
• Provide actionable recommendations based on audit findings.
• Ensure audits are complete, accurate and timely.
• Facilitate monthly CQI meetings; monitor program chart audits.
• Develop systems to measure patient outcomes and satisfaction; drive improvement.
• Establish compliance tracking with timeliness as required by regulation.
• Provide routine and ad hoc audit reports with trend analyses.
• Coach staff as part of quality assurance training.

Skills

Interpersonal skills

Verbal communication

Team collaboration

Multitasking

Medical terminology proficiency

Education

Associates degree in Social Work, Psychology, Public Health, RHIA or related field

Undergraduate degree in Social Work, Psychology, Public Health, RHIA or related field

Job description

Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of underserved communities in New York City and beyond. We are one of the leading human services organizations in New York City and the largest Hispanic-led nonprofit in the State, serving over 150,000 individuals every year. Our programs serve individuals at every age and developmental level, from the very young through our daycare programs to mature adults through our older adults centers. Our extensive array of community-based services are fully integrated, bilingual and culturally competent.

POSITION OVERVIEW

Under the supervision of the Corporate Compliance Officer, the Quality Improvement Coordinator is responsible for performing comprehensive analyses of clinical documentation, review of key administrative and compliance requirements, as well as informs the leadership team of audit findings, potential deficiencies and assists in the development of corrective action plans to evaluate procedures and services performed as required by OASAS , OMH and any other regulatory agency for behavioral health programs. In addition, this role is responsible for ensuring quality of documentation, performance trends with a high degree of accuracy and quality, maintaining current knowledge of healthcare regulatory guidelines that impact reimbursement and quality outcomes and communicates with up-line management of identified trends and areas of risk to provide recommendations for improvement in the patient experience and clinical outcomes.

Under the direction of the Corporate Compliance Officer, the Quality coordinator facilitates quality assurance and improvement projects. Skills and competencies required for the position include planning, organization, analytical problem solving, and leadership skills.

KEY ESSENTIAL FUNCTIONS

• Concurrent reviews of OASAS and OMH medical records to validate completeness, compliance, and consistency with clinical documentation in accordance with federal and state regulations.
• Champion Evidence Based Practices by leading behavioral health electronic record 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 (monthly program specific chart audits). Document quality assurance audit reports/summaries.
• Modify business processes to measure patient outcomes and satisfaction as drive by Patient satisfaction survey (Perception of Care survey).
• Develop and monitor systems to ensure compliance with (Health Insurance Portability and Accountability Act). Research state regulations and compliance guidelines.
• Establish compliance tracking systems with timeliness as mandated by applicable legislative and accrediting organizations, including trend identification and root cause analysis
• Provides routine/scheduled and ad hoc audit reports, including trend identification and root cause analysis (treatment plan and progress note-reviews/problem identification).
• Provides coaching and feedback to staff as part of quality assurance training.

REQUIREMENTS

• Associates degree in Social Work, Psychology, Public Health, Registered Health Information Administration or related field required.
• Undergraduate degree in Social Work, Psychology, Public Health, Registered Health Information Administration 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 strong team of professionals in a culturally diverse environment.
• Ability to multitask and to work and function under pressure.
• Proficient knowledge of medical terminology, ICD-10 and CPT codes.
• Knowledge of Medicaid and other federal/state compliance guidelines.

WHY JOIN US

Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid holidays, to support a healthy work-life balance. We prioritize the well-being of our employees both professionally and personally.

As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.