Quality Improvement Assistant


This is work of highly specialized complexity in the Quality Improvement department. The Quality Improvement Assistant is responsible for working with the other members of the Quality Improvement department to coordinate the development of reports to de used in directing Quality Assurance/Improvement efforts of the agency. Work involves coordination with the Quality Improvement, Billing, and Corporate Compliance departments. This employee will be cross trained to coordinate accounts receivable functions including compiling and analyzing data from billing and activity logs, checking data for completeness and accuracy, recording, entering, and retrieving information in an automated database, preparing invoices for payers, and resolving payer problems as needed. The employee is expected to have a thorough understanding of all agency Quality Improvement, Billing, and Compliance terminology and functions. This employee is expected to understand regulatory requirements and to exercise an ability to compile and present reports in a manner that is meaningful for the agency Quality Improvement efforts.



1. Assist with the organization and implementation of the agency’s quality improvement activities and processes, including but not limited to data collection and analysis, identification of trends, and prepares both technical and general reports which summarize results.

2. Assists appropriate program/department staff in establishing and maintaining any needed tracking systems to ensure effective plan implementation and modifications, when necessary.

3. Assists with organizational performance tracking; prepares statistical reports of performance tracking.

4. Coordinates and/or assists in activities regarding the development and implementation of plans for correcting deficiencies involving compliance with accreditation, contractual, and/or certification standards.

5. Implements assigned accounts receivable activities; coordinates accounts receivable service functions.

6. Researches accounts receivable denials and make contact with payer sources to resolve problems.

7. Ensures accuracy and completeness of information entered in Care Logic and CIMOR databases.

8. Researches and analyzes accounts receivable batching rejections; resolves problems; and resubmit for payments.

9. Creates spreadsheet of accounts receivable denials; analyzes; and takes action to resolve process problems.

10. Prepares and analyzes billing reports and data to ensure that established policy and procedure is followed and that the billing process is efficient and effective.

11. Monitors programs and services in order to ensure that desired changes are effected, objectives are achieved, and program changes are maintained; documents client outcomes which can be attributed to changes resulting from performance improvement efforts.

12. Integrates quality improvement and quality assurance processes while directing performance improvement projects of significant complexity across multiple behavioral treatment modalities to drive a continuous quality improvement effort of the agency.

13. Develop and implement agency policies and internal operating procedures consistent with accreditation, contractual, and/or certification standards.

14. Exercises considerable independent judgment and initiative in the performance of duties; receives general administrative direction.

15. Performs other related work as assigned.



Comprehensive knowledge of the field of substance abuse, mental illness, and of current trends and methods employed in the care, treatment, habilitation, and evaluation of clients.

Comprehensive knowledge of medical billing and coding, accounts receivable functions, credentialing, invoicing, and electronic record management.

Intermediate knowledge of research methods including design and controls, evaluation strategy and methodology, and statistical techniques.

Ability to develop, plan, implement, and evaluate quality improvement activities of substantial scope and complexity.

Ability to analyze and interpret data, and to effectively communicate findings.

Ability to supervise and coordinate the work of staff.

Ability to establish and maintain effective working relationships with facility employees, staff of various survey agencies, and the general public.



Required – High School Diploma or GED certificate
Preferred – Bachelor’s Degree in human services related field


Required – Three (3) experience, quality/performance improvement, healthcare billing, Medicaid and Medicare claims, and experience with Electronic Health Records systems.

Required – Three (3) years experience in the development of Quality Improvement reports including knowledge and experience with available software.

Preferred – Three (3) years minimum experience working in the field of substance abuse and mental health



No candidate may be considered for employment who is, or has been for the past two (2) years under the supervision of Federal, State, County or Municipal Corrections Department nor have any pending felony or misdemeanor charges other than minor traffic charges.

Driving may be required for this position. The successful candidate must have and remain in possession of a valid current driver’s license, automobile insurance, and be insurable under the agency’s motor vehicle insurance policy.

All candidates for employment must meet the established minimum qualifications for employment as identified by the applicable regulatory agencies.

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