Quality Assurance Specialist

Responsibilities

• Conduct regular audits of client files, treatment plans, session notes, and supervision documentation to ensure compliance with clinical, payer, and regulatory standards
• Monitor adherence to BACB, state, and insurance documentation requirements
• Review behavior intervention plans (BIPs) and treatment plans for accuracy, completeness, and quality
• Identify documentation gaps, compliance risks, and operational inefficiencies
• Provide structured feedback to BCBAs and RBTs to improve documentation quality
• Track authorizations, reauthorizations, and payer compliance standards
• Develop and maintain QA checklists, auditing tools, and internal compliance systems
• Prepare QA reports and present findings to leadershipSupport corrective action plans and process improvement initiatives
• Assist with maintaining HIPAA compliance and internal policy a...