Quality Assurance Specialist

Job Title: Quality Assurance Specialist

• 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 leadership
• Support corrective action plans and process improvement initiatives
• Assist with maintaining HIPAA compliance and internal policy adherence

Requirements

• Bachelor’s degree in Psychology, ABA, Healthcare Administration, or related field
• BCBA certification preferred (or strong ABA clinical knowledge)
• Minimum 2 years experience in an ABA setting
• Strong understanding of ABA documentation standards and insurance requirements
• Familiarity with EMR/EHR systems (e.g., Central Reach or similar platforms)
• Proficiency in Microsoft Excel
• Excellent written and verbal English communication skills
• Exceptional attention to detail and analytical ability
• Ability to work independently and meet deadlines
• Strong organizational and time management skills

Benefits

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