Quality Assurance & Compliance Officer
Know Boundaries ABA · Not specified · onsite · Posted 59d ago
About a minute. You'll make an account on the way through.
About this role
Quality Assurance & Compliance Officer
Department: Quality, Compliance & Clinical Operations
Reports To: Executive Leadership / CEO
Works Closely With: Clinical Director, Regional Managers, BCBAs, RCM, Intake, HR, and
Operations
Position Summary
The Quality Assurance & Compliance Officer is responsible for developing, implementing, and
monitoring Know Boundaries quality assurance and compliance systems across all service
locations and states. This position ensures that clinical services, documentation, employee
requirements and operational processes are consistently aligned with applicable laws,
regulations, and company policies.
The QA & Compliance Officer will establish a proactive culture of compliance by identifying risks
before they become problems, monitoring performance through regular audits, developing
corrective action plans, and partnering with clinical and operational leadership to continuously
improve the quality and efficiency of services.
Core Responsibilities
Clinical Documentation & Quality Audits
Develop and maintain a standardized audit program for:
● Assessments and reassessments
● Treatment plans
● Progress reports
● Session notes
● Parent/caregiver training documentation
● Supervision documentation
● BCBA documentation
● RBT documentation
● Treatment integrity
● Discharge documentation
Conduct routine audits to identify:
● Missing documentation
● Late documentation
● Inconsistent documentation
● Billing/documentation discrepancies
● Authorization issues
● Clinical compliance concerns
Provide feedback and corrective action plans when needed.
State & Regulatory Compliance
Maintain a compliance matrix for every state in which Know Boundaries operates.
Monitor requirements related to:
● BCBA licensure
● RBT requirements
● Supervision
● Background checks
● Training
● Medicaid requirements
● Commercial payer requirements
● Clinical documentation
● Record retention
● Employee credentialing
RBT & Employee Compliance
Partner with HR and Clinical Operations to ensure required employee documentation remains
current.
Monitor:
● Background checks
● RBT certification
● BCBA licensure
● Professional licenses
● Required training
● Competency assessments
● Supervision requirements
● Annual/recurring training
● Employee files
Improve internal tracking system as needed
Incident Management
Develop and maintain a standardized process for reporting and investigating:
● Client incidents
● Injuries
● Safety concerns
● Allegations of abuse/neglect
● Medication-related concerns
● Elopement
● Significant behavioral events
● Parent complaints
● Employee complaints
● Privacy/HIPAA concerns
Ensure appropriate documentation, escalation, investigation, and follow-up.
HIPAA & Privacy Compliance
Oversee compliance related to:
● HIPAA
● Protected Health Information
● Electronic records
● Client communications
● Release of information
● Data security
● Privacy policies
● Staff privacy training
Conduct periodic audits of privacy practices.
Internal Audit Program
Establish a recurring audit schedule. Demonstrate strong competence with Insights reports and
Central Reach. Specific reporting to be updated as needed
Monthly
● Documentation audits
● RBT supervision audits
● Credentialing audits
● Incident review
● Billing/documentation review
Quarterly
● Full clinical compliance audit
● Payer compliance review
● State compliance review
● Policy/SOP review
● Corrective action follow-up
Annually
● Enterprise-wide compliance assessment
● Risk assessment
● Policy review
● Compliance training
● Emergency preparedness review
Conduct other tasks and duties as assigned
Sourced from foundit