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Clinical Quality Analyst
Charlie Health. Audit assigned medical and clinical records daily and meet established productivity expectations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare auditing, compliance, and quality improvement processes, with a strong understanding of regulatory standards and patient confidentiality laws. Proficient in collaborating with clinical teams and developing documentation procedures to enhance clinical compliance.
Highest-signal resume keywords
Healthcare Auditing ExperienceKnowledge of ASAM CriteriaUnderstanding of HIPAA ComplianceProficient in Microsoft OfficeKnowledge of The Joint Commission Standards
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare AuditingQuality Improvement ProcessesCompliance ReportingIncident ReportingData AnalysisDocumentation ProceduresPatient Confidentiality LawsBehavioral Health GuidelinesMonitoring ReportsTrend Analysis
Soft Skills
CollaborationIndependenceCommunicationFeedback ProvisionEducation
Industry Keywords
Behavioral HealthClinical ComplianceState AccreditationFederal StatutesMental Health Recovery ModelLOC GuidelinesQuality and Safety ManagementHealthcare Regulatory StandardsPayer ComplianceAccreditation Survey Preparedness
About the role
Key responsibilities & impact- Audit assigned medical and clinical records daily and meet established productivity expectations
- Apply audit criteria consistently and accurately
- Complete monitoring reports summarizing audit results, findings, and trends
- Provide education and feedback based on audit findings and improvement opportunities
- Lead or participate in quality improvement processes
- Support clinical teams implementing quality improvement initiatives
- Assist in developing cross-company documentation procedures supporting clinical compliance
- Collaborate with administration and other departments to develop interdepartmental procedures
- Notify the Quality and Safety Manager about medical-record integrity matters
- Maintain confidentiality regarding audit reviews and findings
- Submit medical records within required timeframes
- Report on compliance and quality initiatives
- Provide reports to the Director of Quality, Safety, and Compliance Operations
- Participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives
- Assist with incident reporting, review, tracking, and investigations, including serious incident analysis
- Support corrective action plans and required follow-up
- Support Quality and Safety readiness for new state or program launches
- Participate in special projects and perform other assigned duties
Requirements
What you’ll need- 2+ years of experience in healthcare auditing
- Bachelor’s or master’s degree in behavioral health or similar field preferred
- Healthcare or behavioral health operations experience preferred
- Strong knowledge of state and federal statutes regarding patient confidentiality laws
- Knowledge of ASAM criteria
- Knowledge of mental health recovery model and LOC guidelines
- Knowledge of behavioral health guidelines or assessments, treatment plans, and LOC
- Knowledge of The Joint Commission Behavioral Health Standards
- Ability to work with sensitive and/or confidential information
- Proficient in Microsoft Office, especially Word & Excel
- Basic understanding of applicable laws, regulations, industry standards, and related compliance issues, particularly regarding The Joint Commission and State accreditation
- Comprehensive understanding of healthcare regulatory and compliance (HIPAA)
- Ability to function independently with minimal supervision
- Ability to collaborate effectively with clinical and cross-functional teams
- Applicants living within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule
- Applicants in AK, CA, CO, CT, MA, ME, MN, NJ, NY, OR, WA, and Washington D.C. are not currently being considered
Benefits
Comp & perks- Comprehensive benefits for all full-time, exempt employees
- Additional Charlie Health-sponsored benefits may be included in the total compensation package