Clinical Quality Assurance Specialist

Colure HealthNew York, NY

About The Position

Colure Health is scaling rapidly across multiple states, and we are looking for a QA & Documentation Specialist who can own the accuracy, completeness, and compliance of our clinical documentation. This role is essential to protecting billing integrity, reducing denials, and ensuring our care teams meet the highest standards of quality. You will partner closely with Operations, Billing, and our vendor teams to audit charts, correct documentation issues, and build scalable quality workflows. This is a high‑impact role that directly influences revenue, compliance, and patient care.

Requirements

  • 2–4+ years of experience in clinical documentation, QA, medical records, or RCM‑adjacent roles
  • Strong understanding of CCM/RPM documentation requirements (or willingness to learn quickly)
  • High attention to detail and comfort reviewing large volumes of charts
  • Ability to communicate clearly with clinical and non‑clinical teams
  • A process‑builder mindset — you improve systems, not just complete tasks

Responsibilities

  • Review CCM and RPM documentation for accuracy, completeness, and compliance.
  • Flag issues, correct documentation gaps, and ensure charts meet billing standards.
  • Produce weekly QA reports for leadership and vendor partners.
  • Maintain and update documentation guidelines as workflows evolve.
  • Provide feedback to care coordinators and vendor teams to reduce recurring errors.
  • Partner with Billing to ensure claims are supported by compliant documentation.
  • Identify workflow gaps and help build scalable QA systems as we grow.
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