Quality Assurance Specialist -ECM (Los Angeles)

Ca.Full-Timemid

Quality Assurance SpecialistLaboratory & Life Sciences

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Amity Foundation, an internationally acclaimed Teaching, and Therapeutic Community is seeking compassionate and enthusiastic individuals with a desire to teach,

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Quality Assurance SpecialistLaboratory & Life Sciences

Amity Foundation, an internationally acclaimed Teaching, and Therapeutic Community is seeking compassionate and enthusiastic individuals with a desire to teach, learn and join our community as an ECM- Quality Assurance Specialist. This groundbreaking opportunity will allow you to work with our prison and re-entry programs helping the community and will also enhance your training and experience in the field.

About Amity:

Amity Foundation is a safe place where people can change in an environment that fosters trust; where new values can be formed; responsibility developed, and lasting relationships built. Amity is dedicated to the inclusion and habilitation of people marginalized by addiction, homelessness, trauma, criminality, incarceration, poverty, racism, sexism, and violence. Amity is committed to research, development implementation, and dissemination of information regarding community building.

Remembrance, Resolution, Reconciliation, Restoration, Renewal

Regularly review ECM student files to ensure compliance with auditing standards set by local, state, and federal funding regulations.

Collect, enter, and manage program data, ensuring accuracy and integrity of student records.

Generate reports and submit data as required to support program evaluation and funding requirements.

Regularly review services in the electronic health record system for possible errors, duplications, or other issues that could cause claim denials in an effort to make the reporting for month end billing seamless and to reduce the potential of claim denials.

Prepare reports from the electronic health record system for the timely submission of claims, working closely with the accounting department to ensure proper reimbursement for services.

Assist in the development and implementation of quality assurance policies and procedures.

Maintain a thorough understanding of agency systems and policies to effectively support ECM program staff and contribute to quality improvement initiatives.

Interface with contracted Managed Care Plan (MCP) electronic systems, including for client information sharing and service claiming.

Manage receipt of student information files (MIF) from MCPs and provide MCPs with information regarding outreach and engagement status.

Ensure complete client charts within agency’s Electronic Health Record (EHR).

Provide reports to program faculty from EHR regarding note timeliness, documentation completion and other metrics as determined necessary by Project Director.

Handle all client and agency information with the highest degree of confidentiality and discretion.

Answer phones, respond to emails, and interface with others in a professional and courteous manner.

Perform other related duties as assigned, demonstrating flexibility and a willingness to contribute to the team in a dynamic work environment.

Attend workshops, meetings, and trainings as requested by supervisor.

Performs other related duties as assigned.

Excellent organizational skills and attention to detail.

Ability to foster teamwork and cohesiveness.

Excellent written and verbal communication skills.

Extensive knowledge of office management systems and procedures.

Ability to maintain confidential information.

Ability to operate general office equipment.

Proficient in Microsoft Office Suite or similar software.