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Quality Assurance Analyst, PT

Company: Catholic Charities of the Archdiocese of Washingto
Location: Washington
Posted on: May 6, 2021

Job Description:

COMPANY OVERVIEW: Catholic Charities is the social ministry outreach of the Archdiocese of Washington. We believe in strengthening the lives of all in need by giving help that empowers and hope that lasts. Catholic Charities works to create a world in which every person is cherished, regardless of individual limitations, and strengthened in the use of personal gifts in order to reach his or her full potential as a valued member of the community. We are looking for exceptional people who share our vision and values.Inspiring Hope. Building Futures.JOB SUMMARY: The PART TIME Quality Assurance Analyst reviews Mental Health Rehabilitation Services (MHRS) clinical documentation to ensure it meets MHRS regulations for documenting reimbursable services.ESSENTIAL DUTIES and RESPONSIBILITIES:

  • Maintain understanding of District of Columbia Department of Behavioral Health (DBH) Mental Health Rehabilitation Services (MHRS) regulations for documenting reimbursable services.
  • Review and approve MHRS documentation prior to billing to ensure it meets MHRS standards including medically necessity, appropriate interventions for the service, adequate documentation to justify the time and use of correct billing codes including but not limited to location and recipient codes.
  • Provide feedback to staff to ensure all documentation is sufficient to meet DBH/Medicaid standards prior to approving the service for billing.
  • Audit billed services as directed and provide feedback to internal Claims Audit committee.
  • Provide training to staff as needed. EDUCATION and EXPERIENCE:
    • Master's degree in Social Work or Counseling.
    • Appropriate District of Columbia license.
    • Experience in quality assurance work.
    • Experience working with different levels of staff in an organization.SKILLS and COMPETENCIES:
      • Attention to detail.
      • Documentation and follow through skills.
      • Communication (written and oral) skills.
      • Skill in the use of computers, preferably in a PC, Windows-based operating environment.#CB

        Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

        The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: Catholic Charities of the Archdiocese of Washingto, Washington DC , Quality Assurance Analyst, PT, Professions , Washington, DC

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