Note: The job is a remote job and is open to candidates in USA. AJ Residence Support Services is a licensed provider of residential group home and day support services for individuals with developmental disabilities in Virginia. They are seeking a Medicaid Documentation QA Specialist to ensure the accuracy and completeness of documentation in their electronic health record system. The role involves reviewing daily documentation, coaching staff, and maintaining quality standards for regulatory compliance.
Responsibilities
- Review daily shift documentation for residential individuals
- Identify missing, late, incomplete, or copy-pasted entries and track each one to resolution
- Coach and retrain staff one-on-one on proper documentation, including how to document unusual situations correctly
- Coordinate corrections with the staff member who provided the service, ensuring late entries and addenda are completed by the original author and properly dated
- Verify documentation aligns with everyone’s Individual Support Plan (ISP)
- Maintain a daily completion log and report weekly trends to leadership, including repeat gaps and common errors
- Use reporting and AI-assisted tools to pull, format, and summarize documentation data
- Support audit and licensing inspection preparation by keeping records continuously inspection-ready
Skills
- Associate degree or higher (health information, human services, healthcare administration, or related field preferred)
- Experience with an electronic health record or documentation platform; experience with Practical Health Solutions, Therap, or a comparable ID/DD system strongly preferred
- Strong written communication and the judgment to evaluate whether a note accurately describes a situation
- Reliable home internet and a quiet workspace; availability during Eastern Time business hours
- Candidates from health information management (RHIT or related coursework)
- Medical records or billing
- Medicaid waiver services (DSP, QIDP, program management, support coordination)
- Clinical documentation review
- Quality assurance roles
- Former direct care professionals who want remote, detail-focused work
Benefits
- Fully remote with regular virtual meetings with program leadership.
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