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