Documentation Integrity Specialist (Remote)

About Us

Brave Health is on a mission to expand access to high-quality, affordable care for behavioral health conditions. We utilize the power of technology to eliminate barriers and expand access to high quality mental health and substance use disorder treatment. Through telehealth services we are able to reach those in need, when and where they need it. As a community based start-up, our goal is to make quality mental health services accessible for all.

We are seeking a Documentation Integrity Specialist to join our Quality Assurance Team. This role will be responsible for upholding the quality of documentation, working closely with internal stakeholders and clinical providers to address any concerns and actively participate in initiatives aimed at enhancing the overall effectiveness of our therapy team.

Benefits: Our team works 100% remotely from their own homes!

• Full-time W2 hourly position; comprehensive benefits package
• Monday - Friday 9am-6pm schedule; No on-call or weekends!
• All equipment provided 

Requirements: 

• Bachelor's degree or beyond in a relevant field (e.g., Social Work, Counseling, Psychology).
• 2+ years of experience in a quality assurance/auditing role.
• Excellent interpersonal and communication skills.
• Knowledge of relevant industry regulations and standards.
• Experience with electronic health record (EHR) systems.
• Proficiency in Microsoft Office and Google Suite programs
• Capacity to adhere to provided instructions.
• Capability to interpret and excel in a data-driven environment.

Preferred Skills:

• Familiarity with behavioral health documentation.
• Strong organizational and problem-solving abilities.

Key Responsibilities

Documentation Review

• Thoroughly review clinical records including treatment plans, progress notes, and other documentation completed by our mental health providers.
• Organize findings by constructing audit summaries that indicate the accuracy, completeness, and adherence to pertinent regulatory standards and organizational guidelines of the documentation.

Compliance Assurance

• Monitor and ensure compliance with all applicable laws, regulations, and accreditation standards in the healthcare industry.
• Stay up-to-date with industry changes and inform the team in the most effective ways about any updates affecting documentation requirements.

Quality Control

• Perform routine and spontaneous audits to evaluate the documentation's quality and pinpoint areas in need of enhancement
• Deliver structured, comprehensive summary findings along with constructive feedback through a written report to the CCQAM.
• Detect patterns among providers and communicate thematic areas for improvement to the CCQAM through a data report.
• Ensure that all providers undergo clinical chart audits quarterly, and ensure that the findings and conclusions are communicated to their supervisors. 

Collaboration

• Work closely with the CCQAM to address any issues related to documentation quality and compliance.
• Effectively communicate audit summaries to the clinical supervision team.
• Transmit ongoing and urgent matters to CCQAM and other relevant parties.
• Cultivate a collaborative environment that promotes open communication and continuous improvement.

Record Keeping

• Maintain accurate records of all documentation reviews, feedback provided, and corrective actions taken.
• Generate reports on the overall quality of documentation and compliance levels.

Brave Health is very proud of the diverse team we have that cares for our diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status