QA & I Specialist

Lutheran Community Services Northwest•Seattle, WA

12d

About The Position

The QA & I Specialist supports quality assurance and improvement activities at Lutheran Community Services NW, a nonprofit serving communities throughout Washington, Oregon, and Idaho. The role reviews client records, documentation, workflows, and reports to support accuracy, compliance, billing, program monitoring, audits, and quality improvement. It also assists with referral, enrollment, and eligibility processes; provides staff guidance and system support; monitors trends; and coordinates quality-related administrative activities. The position could transition to QA&I Supervisor if it takes on ongoing direct supervision of assigned employees. At that time, the expanded responsibilities, job description, title, and compensation would be reviewed and updated as appropriate. The position works in professional office settings and may also work in community-based settings, including partner organizations, community locations, and faith-based facilities. Occasional travel between worksites is required. The work week is 37.5 hours.

Requirements

Associate's degree in healthcare administration, business administration, human services, or a related field; equivalent education and experience may be considered.
At least one year of experience in quality assurance, healthcare administration, program coordination, health information management, or a related field.
Knowledge of documentation standards, quality assurance practices, and regulatory requirements applicable to healthcare, behavioral health, or social services programs.
Experience using electronic health records or comparable information systems to maintain records, review documentation, and prepare reports.
Ability to review information for accuracy and completeness, identify concerns, track corrections, and support process improvements.
Ability to interpret and apply established policies, procedures, and program requirements, and recognize when issues require escalation.
Ability to provide clear guidance and training to staff with varying levels of technical knowledge and experience.
Intermediate proficiency in workplace technology and digital tools, including independently using common applications to create documents, manage data, coordinate work, and complete moderately complex tasks.
Ability to work effectively with people across different programs, roles, backgrounds, and perspectives in a complex organizational environment.
Ability to maintain confidentiality and handle sensitive client and organizational information in accordance with applicable privacy and security requirements.
Meet LCSNW criminal background clearance requirements, including applicable state and federal background checks and verification of eligibility to work with vulnerable populations.
Interact with others and perform tasks in person and through technology; regularly sit, talk, and hear, and occasionally stand, walk, and write or type. Requires close vision, peripheral vision, and the ability to adjust focus.
Frequently move equipment or materials weighing up to 10 pounds and occasionally up to 25 pounds.
Occasional travel between worksites.

Responsibilities

Review client records, service documentation, and program workflows for accuracy, completeness, timeliness, and compliance with program requirements, agency standards, and applicable regulations.
Conduct routine quality assurance reviews, identify documentation or process concerns, track corrections, and follow up with staff and program leadership to support timely resolution.
Prepare, review, and maintain reports using electronic health records and other systems to support program monitoring, billing accuracy, state reporting, audits, and quality improvement activities.
Support accurate referral, enrollment, and eligibility processes, including reviewing insurance information, maintaining client records, and ensuring required information is entered correctly into applicable systems.
Provide staff training, guidance, and technical support on electronic health records, documentation standards, reporting requirements, and established program processes, including coordinating staff system access.
Monitor quality trends, identify opportunities to improve documentation and administrative workflows, and partner with program leadership to develop and implement process improvements.
Coordinate quality-related administrative processes, including hospital notifications, chart review activities, and preparation for internal and external audits.

Benefits

Medical, dental, vision, and prescription benefits
Employer-paid short- and long-term disability insurance
Life insurance coverage at no cost
Up to two weeks of vacation in the first year, based on hours worked
Up to two weeks of sick leave, based on hours worked
12 paid agency-recognized holidays
Two floating holidays
403(b) retirement plan with employer matching, subject to eligibility
Employee Assistance Program (EAP) for employees and their families
Potential eligibility for student loan forgiveness through the organization's 501(c)(3) nonprofit status
37.5-hour work week