Quality Assurance (QA) & Billing Specialist

Job description

Position Title: Quality Assurance (QA) & Billing Specialist Department: Administrative: Report to: Sr. Director of Finance & Operations Salary Range: $33 - $38 per hour Location: Residential Facility: Type: Full Time, Non-Exemp t: Position Summary: The Quality Assurance (QA) & Billing Specialist works onsite at the Residential Facility and is responsible for supporting the integrity, accuracy, and compliance of billing and clinical documentation for residential substance use disorder treatment services under the Drug Medi-Cal Organized Delivery System (DMC-ODS). This position ensures that services billed to Medi-Cal and other funding sources comply with requirements established by the California Department of Health Care Services (DHCS), the San Diego County Substance Use Disorder Provider Operations Handbook (SUDPOH), and applicable federal and state regulations. The QA & Billing Specialist works collaboratively with clinical, administrative, and finance staff to review documentation, verify service eligibility, support billing accuracy, and identify areas requiring corrective action or training. This position plays a key role in maintaining compliance with documentation standards...