Quality Assurance & Documentation Specialist

Essential Duties and Responsibilities

Documentation Review & Quality Assurance

• Review documents for accuracy, completeness, and compliance with agency standards.
• Perform routine quality assurance monitoring of service documentation and person-served records.
• Communicate with staff to correct documentation errors, address missing information, and reinforce documentation expectations.
• Ensure all documentation is goal‑oriented and reflects meaningful progress toward individual outcomes.
• Downsize and archive past plan-year files as needed.

Billing & Data Management

• Gather, code, and transmit person-served service information for the accounting department to support Medicaid reimbursement.
• Review person-served records for proper coding and completeness; make corrections as needed.
• Analyze billing records for accuracy and obtain additional information or clarification when necessary.
• Assist with resolving billing discrepancies by researching and correcting errors prior to submission.
• Prepare billing reports to ensure accuracy and alignment with accounting records.
• Log service units into billing workbooks to support accurate billing and utilization tracking.
• Monitor service utilization to ensure individuals use authorized units appropriately and within limits.

Administrative & Program Support

• Coordinate with Office Manager to prepare and accurately organize and store person served files.
• Write monthly summaries as needed and convert completed summaries into PDF format for distribution.
• Assist at the front desk when required.
• Communicate with service coordinators regarding reviews, updates, and required documentation.
• Maintain and update the service coordinator contact list.
• Ensure transportation records are complete, accurate, and aligned with service documentation.
• Utilize new filing systems and tracking sheets to improve organization, accuracy, and compliance across programs.

Professional Expectations

• Represent the agency positively and uphold organizational values.
• Follow agency systems, protocols, policies, and procedures.
• Communicate clearly and professionally with supervisors and coworkers.
• Meet established timelines and deadlines.
• Maintain satisfactory attendance and participate in staff meetings and assigned functions.
• Complete required trainings within established timelines.
• Demonstrate strong teamwork, problem‑solving skills, and adaptability.
• Perform additional duties as assigned by the supervisor or designee.

Required Qualifications & Skills

• Integrity, discretion, and respect for confidentiality.
• Strong oral communication skills with the ability to resolve errors diplomatically.
• Proficient typing and data entry skills.
• Knowledge of data organization and record storage practices.
• Proficiency in Microsoft Office (Excel, Word, Outlook).
• Strong interpersonal and customer service skills.
• High attention to detail and strong analytical abilities.
• Ability to prioritize tasks and work effectively under pressure.
• Strong time‑management and organizational skills.
• Ability to work independently and collaboratively.
• Strong spelling, math, and documentation skills.
• Experience working in an office setting.
• Previous billing, bookkeeping, or clerical experience preferred.

Education & Additional Requirements

• Associate’s degree or a minimum of 3 years of relevant experience in documentation, quality control, or a related administrative role.
• Ability to pass criminal and registry background checks.
• Ability to obtain and maintain a Class E driver’s license.
• Ability to pass and maintain required trainings such as CPR/First Aid and Positive Behavioral Support Training.

Pay: From $22.00 per hour

Education:

• High school or equivalent (Required)

License/Certification:

• Driver's License (Required)

Ability to Commute:

• Reeds Spring, MO 65737 (Required)

Work Location: Hybrid remote in Reeds Spring, MO 65737