Accreditation and Quality Coordinator

Federal Hearings And Appeals•Wilkes-Barre, PA

17h

About The Position

The Accreditation and Quality Coordinator supports the Director with organizational accreditation, document control, and arbitration quality assurance. The role coordinates accreditation activities across their full lifecycle, maintains audit readiness and documentation, and supports compliance with URAC, NCQA, ISO, and applicable CMS requirements. The coordinator manages controlled documents in FHAS’ Document Control System, including periodic reviews, version control, inventories, project documentation, and records retention. The position also performs quality assurance reviews of arbitration outcomes and related communications, identifies errors and compliance gaps, documents findings, and contributes to feedback, corrective actions, and QA tools. The role requires at least five years of relevant experience, hands-on support of an accreditation, certification, or external audit cycle, experience administering controlled documents, and proficiency with Microsoft Word, Excel, and electronic document management or project tracking systems. Core hours are 8 a.m.–5 p.m. EST.

Requirements

At least 5 years of experience in healthcare accreditation, quality management, audit coordination, document control, or a closely related function.
Hands-on experience supporting at least one accreditation, certification, or external audit cycle, including coordinating evidence collection, preparing submissions, tracking findings, and following corrective actions through completion.
Experience administering controlled documents, including version control, approval workflows, periodic reviews, document inventories, and records retention.
Proficiency with Microsoft Word and Excel, and electronic document management or project tracking systems.
Strong organizational, written communication, and follow-through skills.
Ability to manage competing deadlines, maintain accurate records, and handle confidential information.

Nice To Haves

Experience with URAC, NCQA, or ISO accreditation.
SharePoint experience.

Responsibilities

Assist the Director in coordinating, implementing, and maintaining organizational accreditations, from applications through renewals and reaccreditation.
Coordinate with departments to ensure compliance with accreditation standards and maintain continuous audit readiness.
Collect, validate, and maintain centralized evidence, documentation, and reports for applications, audits, and renewals.
Develop and maintain accreditation timelines, work plans, and tracking tools; support preparation and submission of applications, annual reports, and responses to accrediting bodies.
Monitor accreditation-standard and regulatory changes and communicate updates to the Director and relevant departments.
Support internal audits, mock audits, and readiness reviews to identify documentation gaps, noncompliance, and improvement opportunities.
Track departmental deliverables and assist with developing and monitoring corrective action plans for audit findings or compliance deficiencies.
Serve as liaison among the Director, internal departments, and external accrediting organizations as needed.
Identify opportunities to streamline workflows, strengthen documentation practices, and improve organizational readiness.
Prepare, update, and maintain controlled documents in FHAS’ Document Control System in compliance with current URAC, NCQA, and ISO requirements.
Manage the document periodic review process and maintain a master list of controlled documents.
Provide quarterly policy and procedure updates to the Quality Management Committee (QMC).
Control project documentation across simultaneous projects and provide document control support for each.
File controlled documents in accordance with FHAS’ Record Retention Policy.
Support internal and regulatory audits and inspections, and perform departmental compliance monitoring as directed by the Compliance and Ethics Committee.
Conduct quality assurance reviews of arbitration outcomes for accuracy, support, clarity, and consistency with FHAS standards, policies, and decision-making guidelines.
Review outcome letters and related communications for compliance with applicable CMS regulations, including required content, language, and timeliness.
Evaluate the application of applicable standards, supporting rationale, and use of the case record in arbiter determinations.
Identify errors, inconsistencies, and compliance gaps, and communicate findings to the arbiter, QA & Training, and relevant departments.
Provide feedback, recommend targeted training or coaching, and support corrective action plans to improve arbiter quality and compliance.
Maintain audit-ready documentation of QA reviews, scoring, and findings, and support audits as required.
Contribute to the development and maintenance of QA tools, review criteria, scorecards, and sampling methodologies.