Quality Control Analyst

OVERVIEW:

AmeriBest Home Care provides quality in-home care to our clients. The Quality Control Analyst is a crucial member of the AmeriBest team for ensuring the quality of our services by conducting audits and evaluations.

Reporting to the Chief Compliance Officer, and working closely with the Quality Control Administrator, it is the Quality Control Analyst's responsibility to analyze operational workflows and data to measure and evaluate our compliance with internal policies and industry regulations. The success of the Quality Control Analyst will be measured by productive completion of audits, effective presentation of each audit's results, and successful implementation of corrective action plans to improve quality and compliance.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Perform independent control testing and auditing activities and document results

Analyze data and information to identify trends and patterns related to quality

Develop and maintain quality control procedures and protocols; support the refinement of testing scripts

Collaborate with cross-functional teams to resolve quality issues and implement corrective actions

Prepare detailed audit reports on quality control activities and results

Analyze time records, Electronic Visit Verification data, billing records, payroll records, personnel files, authorization records, and other related data to confirm processes were completed correctly

Educate other departments on discovered quality gaps

Stay current with industry trends and best practices in quality control

Assist in developing and maintaining issue management best practices

Assist with gathering records to respond to external requests and audits

Assist with Ad hoc projects as necessary

Other duties as assigned

COMPLIANCE AS REQUIREMENT OF PERFORMANCE:

Compliance with AmeriBest policies and procedures is a responsibility of all AmeriBest associates. It is a part of each associate's performance to follow these requirements:

All associates are expected to participate in any investigatory activities

All associates are expected to report any violation of AmeriBest policies and procedures

All associates are expected to conduct themselves in an ethical manner consistent with the AmeriBest mission statement and Standards of Conduct

All associates are expected to protect the privacy of protected records and must conduct themselves consistent with all applicable laws and policies regarding privacy protection, including HIPAA and state specific privacy laws

COMPETENCIES/SKILLS (Required):

Bachelor's degree preferably in a business-related field

Must have advanced computer skills - strong proficiency in Microsoft 365 including Excel, Word, Outlook, SharePoint, and Teams

Must be able to comprehend regulations and guidance documents and apply critical thinking skills to evaluate requirements

Must be detail oriented and able to effectively communicate verbally and in writing

Able to work independently on projects with minimum oversight

Able to safeguard confidential information

Able to function effectively as a member of a team

PREFERRED EXPERIENCE (Not Required):

Experience in Home Care Agency operations

Familiarity with the HHAeXchange software system

Experience with Microsoft Power BI or SQL tools

Knowledge of Risk Management and Internal Audit concepts

PHYSICAL DEMANDS:

Regular requirement to sit; use hands to touch, handle or feel

Ability to work using a computer during entire shift

Occasional requirement to stand; walk and reach with hands and arms

Occasional requirement to lift and/or move up to 30 pounds

Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus

WORK ENVIRONMENT:

Business Office Environment

Noise level is usually moderate