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 robust 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
📌 Quality Assurance & Compliance Officer (India)
🏢 Know Boundaries ABA
📍 India
Reply to this offer
Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.