Quality Assurance and Process Improvement Coordinator II #736
LifeWorks NW's Quality Assurance and Process Improvement Coordinator II is a core contributor to the Quality Assurance and Process Improvement team. The QAPI team is the primary point of contact for clinical documentation and compliance questions. The Coordinator II executes customer service activities related to clinical documentation and compliance, including creating and leading staff training on these topics as needed. The Coordinator II audits charts, participates/leads quality improvement projects and change management initiatives, and works to develop the skills necessary to lead quality improvement and change management work independently. The Coordinator II investigates HIPAA violations and fraud, waste and abuse reports, responds to client and staff complaints, conducts internal audits, and prepares for state/country relicensing external audits.Location: This position is based out of LifeWorks NW's Sylvan site.Pay/Benefits: $69,869-$90,411 annual salary, plus Full benefits.Salary Placement NoticeThe posted salary range reflects the compensation potential for this role. Most candidates will be placed between the entry level and midpoint of the range, depending on their experience and qualifications. However, more seasoned professionals with extensive exact or similar experience may be considered for placement toward the higher end of the range. Final salary offers are made in alignment with internal compensation processes in accordance with Oregon Pay Equity laws.Essential ResponsibilitiesDevelops and delivers staff training on Feedback Informed Treatment (FIT), the ORS/SRS tool, chart audits, HIPAA and CFR 42 Part 2 regulations, Medicaid/Medicare fraud, waste, and abuse, and other topics in response to staff needProvides research, conducts reviews/investigations, and writes recommendations regarding quality complaints, compliance issues, and HIPAA violationsDrafts and updates policies and procedures pertinent to the Quality Assurance and Process Improvement programExecutes internal auditsFacilitates the completion of external auditsAssists with an/or leads quality improvement work utilizing established methodologies such as Lean and Six SigmaAttends internal and external meetings as requiredInteracts with LWNW billing department to ensure proper documentation for service deliveryTrouble shoots clinical software issues and reports EHR issues to ITParticipates in professional development activities, maintains professional affiliations and promotes staff interactions, harmony and teamworkIn the interest of continuing to understand the evolution of the EMR and changes in clinical practice, Coordinator II may maintain a small caseload in the area of their clinical specialtyRequired QualificationsMaster's degree; MHACBO QMHP level of certificationRequires clinical experience with psychiatric and substance use disordersAble to write, present, and facilitate trainings that engage participants in a positive learning environmentAbility to examine clinical documentation for accuracy, compliance and completenessKnowledge of and adherence to HIPAA rules and regulations that protect Personal Health Information (PHI and ePHI)Ability to work effectively with clients and co-workersAbility to communicate clearlyA basic knowledge of Oregon Administrative RulesProficiency with the Microsoft suite of softwareAbility to master use of proprietary software including electronic health record.Preferred QualificationsCADC preferred1-3 years in similar role/department within the behavioral health field preferredEqual Opportunity Employerwww.lifeworksnw.orgDrug Free/Tobacco Free Site 01/09