Job Description

Job Description

Job Description

Job Type:  Full-Time (W2)

Location: Philadelphia, PA (In-person)

Schedule: Monday – Friday (8:30 AM- 5 PM)

Our Mission 

Dunbar Wellness Group, Inc.  was founded by a group of dedicated community-based partners. Our mission is to integrate a holistic treatment approach that includes understanding community ecology and social advocacy for children and families in Philadelphia.

In addition, we promote quality therapeutic services that are resiliency and recovery-focused, trauma-informed, and culturally sensitive to the unique needs of urban children and families.

Position Summary

Reporting to the IBHS Clinical Director, the IBHS Clinical Documentation Reviewer is responsible for reviewing and monitoring clinical documentation completed by Behavioral Consultants (BC), Mobile Therapists (MT), and Behavioral Health Technicians (BHT) to ensure compliance with IBHS regulations, agency policies, and payer requirements. The IBHS Clinical Documentation Reviewer will ensure that progress notes are accurate, clinically appropriate, complete, and submitted within required timelines.

The IBHS Clinical Documentation Reviewer supports quality assurance efforts by identifying documentation deficiencies, providing corrective feedback, and promoting high standards of clinical documentation across the IBHS program.

Essential Duties & Responsibilities

Documentation Review

• The IBHS Clinical Documentation Reviewer will review BC, MT, and BHT progress notes for accuracy, completeness, and compliance. 
• Ensure documentation reflects medical necessity, individualized interventions, and measurable progress toward treatment goals. 
• Verify that notes include objective observations, appropriate clinical language, and behaviorally specific interventions. 
• Monitor documentation for timeliness and completion according to agency and payer requirements. 
• Identify missing signatures, incomplete sections, inconsistencies, or compliance concerns. 
• Ensure interventions documented align with approved treatment plans and service authorizations. 

  Quality Assurance & Compliance

• The IBHS Clinical Documentation Reviewer will conduct routine chart audits and documentation quality reviews. 
• Ensure compliance with:
  • Pennsylvania IBHS regulations 
  • Medicaid and managed care standards 
  • HIPAA confidentiality requirements 
  • Agency documentation policies 
• Maintain tracking systems for documentation compliance and corrective actions. 
• Assist with preparation for audits, licensing reviews, and payer requests. 

Staff Support & Feedback

• The IBHS Clinical Documentation Reviewer will provide constructive feedback and recommendations to BCs, MTs, and BHTs regarding documentation improvements. 
• Collaborate with supervisors and clinical leadership to address recurring documentation issues. 
• Support staff training related to clinical documentation standards and best practices. 
• Communicate documentation deadlines and compliance expectations to staff as needed. 

  Qualifications

• Master’s degree in Counseling, Social Work, Psychology, Human Services, or related field required. 
• Experience working within IBHS, behavioral health, or children’s mental health services preferred. 
• Strong understanding of clinical documentation standards and behavioral health terminology. 
• Knowledge of IBHS regulations and medical necessity criteria preferred. 
• Excellent written communication, organization, and attention to detail. 
• Ability to work independently and meet deadlines. 
• Proficiency with electronic health records (EHR) systems and Microsoft Office. 

Preferred Skills

• Experience reviewing progress notes or conducting quality assurance audits. 
• Strong analytical and problem-solving skills. 
• Ability to provide professional and supportive feedback to staff. 
• Strong time management and organizational abilities. 

Work Environment

• In-person, office-based setting.
• Frequent computer and documentation review work.
• Collaboration with clinical and administrative teams. 
• Fast-paced behavioral health environment requiring professionalism and adaptability. 

Benefits

• Competitive salary
• Paid time off
• Professional development opportunities
• Supportive team culture

Equal Opportunity Employer

Dunbar Wellness Group is an Equal Opportunity Employer committed to fostering an inclusive and supportive workplace for all employees.

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