The Quality Assurance Department Manager is responsible for overseeing all service record quality assurance and compliance activities for the programs Freedom Health Systems contractually supports. The QA Manager ensures all services meet regulatory and contractual obligations, including those outlined by COMAR, CARF, OHCQ, MDH, and managed care organizations by applying checklist guidelines to each note entered by rendering providers.
Requirements
- Supervise daily QA operations and staff including auditors, file reviewers, and compliance specialists
- Monitor program compliance with COMAR, CARF, CSA, OHCQ, HIPAA, and other applicable standards
- Oversee documentation review to ensure that records entered by service providers meet organizational checklist requirements
- Maintain audit schedules, workflows, and documentation templates across programs
- Conduct internal audits of clinical, administrative, and billing records to assess compliance
- Develop and distribute monthly QA reports and dashboards for executive review
- Maintain regulatory readiness through ongoing mock audits and staff education
- Collaborate with program managers and clinical directors to review findings and implement corrective action plans (CAPs)
- Manage incident reporting workflows and documentation
- Coordinate and support external audits, surveys, and licensing visits
- Update policies and procedures in collaboration with leadership and regulatory updates
- Ensure orientation and re-orientation of staff on QA policies, documentation standards, and reporting responsibilities
- Provide coaching, support, and education to departments around best practices and documentation expectations
- Ensure confidentiality, security, and auditability of all QA documentation
- Oversee intake and fulfillment of internal and external medical records requests, ensuring compliance with HIPAA and legal timelines