Quality Improvement/Compliance Specialist - Tucson, AZ (Bonita) Tucson, AZ, USA
Job Description Looking to build a lasting career? Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?
Exceptional health, dental, and disability benefits
Career and compensation advancement programs
Student loan forgiveness programs
401k company match
Holiday, PTO and employer paid life insurance
Clinical licensure supervision and reimbursement
Evidence-based treatment approaches, training, and supervision.
Intermountain Centers and its statewide affiliates are currently recruiting career-minded individuals interested in opportunities within the largest adult and child service continuum in Arizona.
General Summary The Quality Improvement Specialist/Compliance Specialist serves in a dual-capacity role designed to support both the integrity of Implementation of performance and quality improvement strategies and medical record systems and across Intermountain Centers and its affiliated programs. This position ensures compliance with local, state, and federal regulations regarding documentation, privacy, and reporting requirements. The incumbent will also assist with audit readiness, data tracking, and quality analytics, serving as a bridge between frontline operations and compliance leadership. Performance will be evaluated against specific key indicators of success.
Job Responsibilities Medical Records Management Medical Documentation Processing:
Receive, organize, scan, and upload medical documents into Electronic Health Records (EHR) systems. Ensure all entries are correctly named, categorized, and placed in the appropriate member files within 48 hours of receipt.
Records Requests and Releases :
Manage all internal and external requests for medical records. Verify requests, obtain appropriate authorizations, and ensure timely and secure release in compliance with HIPAA, 42 CFR, and other applicable laws and organizational policies.
Records Maintenance and Retention:
Ensure physical and digital records are stored, retained, and destroyed in accordance with federal and state regulations, as well as organizational policy. Coordinate offsite archiving and retrieval processes with third-party vendors like Iron Mountain.
System Proficiency and Documentation Accuracy:
Maintain a high level of proficiency in all electronic medical records systems utilized by the organization. Conduct regular audits to ensure documentation accuracy, completeness, and proper classification.
Compliance Monitoring:
Ensure the organization meets all regulatory requirements concerning PHI/PII, including developing and maintaining tracking logs for records requests, releases, and destruction logs.
Quality Improvement and Data Reporting Contractual and Regulatory Reporting:
Develop and oversee processes to ensure timely and accurate submission of quality reports in compliance with funder requirements (e.g., AHCCCS, DDD, DCS), accreditation standards, and internal benchmarks.
Data Analysis and Trend Reporting:
Analyze quality and performance data to identify trends, service gaps, or compliance issues. Create written reports summarizing findings and offering recommendations for improvement.
Audit Coordination and Corrective Actions:
Serve as point of contact for internal and external audits related to documentation and quality performance. Assist program sites in the preparation and monitoring of corrective action plans.
Process Improvement Support:
Lead or assist in continuous quality improvement initiatives that improve outcomes, efficiency, or compliance. Provide insight into documentation improvement and system inefficiencies.
Staff Training and Support Onboarding and Ongoing Training:
Deliver training sessions to new and current staff on medical record-keeping, privacy/confidentiality requirements, data reporting procedures, and quality improvement processes.
Standard Operating Procedures (SOPs):
Create and maintain comprehensive SOPs and process documentation for medical records management and quality improvement reporting.
Subject Matter Expert Consultation:
Provide ongoing guidance to sites and staff on regulatory changes and best practices in documentation and performance tracking. Act as a resource for resolving compliance concerns.
Responsible for following any policies, procedures, and controls established by the organization, the HIPAA Privacy Officer, and/or the HIPAA Security Officer regarding access to, protection of, and the use of the PHI.
Maintains an approved schedule, and acceptable level of attendance.
Other duties as they relate to the general nature of the position.
Qualifications Minimum Education Required: High School Diploma or Equivalent
Minimum Experience Required: Minimum of two (2) years in primary care, behavioral health, or healthcare compliance setting; direct experience with medical records systems, electronic health records (EHRs), and regulatory reporting.
License Requirement: N/A
Preferred Education: Bachelor’s degree in healthcare administration, public health, or data analytics preferred.
Regulatory Minimum 18 years of age.
Valid AZ DPS Level I fingerprint clearance card (must maintain valid card throughout employment)
Questions about this position? Contact us at HR@ichd.net .
Intermountain Centers is an equal opportunity employer. Intermountain Centers does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.