Medicaid Documentation Quality Assurance Specialist – IDD Residential Services (Remote)

About AJ Residence

AJ Residence operates as a DBHDS-licensed provider delivering residential group home and day support services to adults and children with developmental disabilities in Virginia. Their services rely on Virginia Medicaid waivers, making thorough and precise documentation essential for regulatory adherence and financial reimbursement.

Position Overview

This remote role focuses on meticulous, detail-oriented review work. The position requires ensuring daily documentation from direct support staff, recorded in an electronic health record system, is complete, accurate, timely, and ready for audits across your assigned caseload.

Core Responsibilities

• Daily examination of shift documentation for residential clients.
• Detection and resolution tracking of absent, late, incomplete, or duplicated records.
• Providing individualized coaching and retraining to staff on proper and accurate documentation, including handling unusual circumstances.
• Collaborating with original service providers for timely corrections and appropriate dating of late entries and addenda.
• Confirming documentation aligns with each individual's Individual Support Plan (ISP).
• Maintaining daily completion logs and delivering weekly analytic reports to leadership highlighting recurring errors and documentation gaps.
• Utilizing reporting and AI-enabled tools to extract, format, and summarize documentation information.
• Preparing and sustaining documentation readiness for audits and licensing inspections.

Ideal Candidate Traits

This work requires a patient, self-motivated individual who enjoys repetitive, focused tasks and thrives in independent, screen-based environments. Strong communication skills and the persistence to follow up respectfully until all tasks are complete are essential.

Minimum Qualifications

• Associate degree or above, preferably in health information, human services, healthcare administration, or related disciplines.
• Hands-on experience with electronic health record systems; familiarity with Practical Health Solutions, Therap, or similar ID/DD platforms is highly desirable.
• Strong written communication skills with the ability to assess note accuracy critically.
• Dependable home internet connection and quiet work setting; availability aligning with Eastern Time business hours.

Preferred Experiences

• Background in health information management (e.g., RHIT or equivalent coursework), medical records, Medicaid waiver service roles (DSP, QIDP, program management, support coordination), clinical documentation review, or quality assurance.
• Former direct support professionals seeking remote, detailed documentation roles are encouraged to apply.

Work Schedule and Compensation

The role begins with approximately 30 hours weekly, with prospects to expand to full-time as duties extend to training development and audit support. The pay scale ranges between $23 and $28 per hour, depending on experience and familiarity with electronic health records. The position is fully remote, with periodic virtual meetings involving program leadership.

Application Details

Applicants must provide a resume accompanied by a brief description of their experience with service documentation review or creation. Applications lacking this note will not be considered.