Quality Assurance Specialist

WestCoast Children’s Clinic, located in Oakland, California, is a non-profit community psychology clinic that provides mental health services to Bay Area children, youth and families. Working at WestCoast Children’s Clinic means being part of an organization that is client-centered, trauma-informed, collaborative, and committed to justice and equity.

The Quality Assurance Specialist (QAS) assures that clinical documentation meets county and state standards. The QAS is responsible for medical records review and quality assurance / utilization review, audit preparation, intake assistance, and serves as a resource for clinical staff around charting, billing, and eligibility. QAS also provides general support for all programs as needed.

Key Responsibilities :

• Provides detail-focused review of clinical documentation to ensure quality, regulatory compliance, and audit-readiness
• Tracks all aspects of the MediCal process including but not limited to : monthly MediCal eligibility monitoring, setting up MediCal files, coordinating and monitoring dates for quality assurance reviews, and monitoring the thorough completion of all client documentation (e.g., signatures, co-signatures, dates, etc.)
• Provides support to clinicians around documentation, charting, and billing procedures
• Provides administrative assistance to the clinical intake process
• Assists in utilization review and research programs
• Provides general administrative support such as answering and directing calls, assisting clients, and other support tasks
• Creates, maintains, and updates client’s electronic records, charts, and file room
• Additional duties as requested by the Associate Director of QA and Compliance

Qualifications :

Competencies (Skills, Abilities, and Knowledge) :

Position Details and Compensation :

This is a full-time, hourly position. Starting rate is $24.00 hourly, with 10% language differential (if applicable), and includes competitive benefits and compensation package, 403b and performance-based compensation plans.

Why work here?

We also offer :

Join us and make a difference in the lives of vulnerable children and families in the Bay Area.

WCC is passionate about leading and encouraging open conversations around race, gender, power, and privilege and how these impact community mental health. We are an equal opportunity employer. We are committed to diminishing the influence of privilege and discrimination in our field and our workplace, whether due to differences concerning age, citizenship, color, disability, marital or parental status, race, religion, gender, or sexual orientation.