Clinical Documentation Advocate & Quality Assurance Specialist

Company: Aion Therapy Location: 100% Remote Classification: Part\-Time (15\-20 hours/week) Compensation: $45\-$65/per hour About Aion Therapy Portland: Aion Therapy is a mission\-driven mental health agency committed to delivering exceptional client care while creating a sustainable, supportive environment where clinicians can thrive professionally. Our work is grounded in collaboration, operational excellence, and a deep commitment to reducing the administrative burden on clinicians so they can focus on what matters most—providing high\-quality care. As we continue to grow, we are investing in the systems, people, and infrastructure that will support our next chapter. Job Description: This is a highly collaborative role that serves as a protective shield for our providers through education and documentation compliance. This position will partner with our clinicians, helping them refine their documentation and utilize Feedback\-Informed Treatment (FIT) data—specifically the Outcome Rating Scale (ORS) and Session Rating Scale (SRS)—to robustly justify medical necessity, protect their income, and insulate the agency from external insurance audits (particularly CareOregon/Medicaid Managed Care, Kaiser Permanente, and commercial payers). In response to the increasingly complex and aggressive utilization reviews by major insurance payers, we are seeking a part\-time (20 hours per week, 100% telehealth) contractor to manage and implement Aion’s Documentation Quality Assurance (QA) \& Clinical Advocacy needs. We are seeking a highly organized, proactive, and solutions\-oriented professional who enjoys building efficient systems, improving processes, and contributing to a collaborative team culture. This is an opportunity to join a respected and growing organization where your expertise will have a meaningful impact on both provider success and client access to care. If you are someone who takes initiative, values continuous improvement, and is energized by supporting a mission\-driven organization through periods of growth, we would love to hear from you. Duties \& Responsibilities: 1\. Collaborative Chart Advocacy \& Qualitative Reviews (40%) Clinical Documentation Advocacy: Review progress notes and treatment plans with a supportive, peer\-to\-peer eye. Ensure that clinician notes qualitatively capture their interventions and client functional outcomes so that no external auditor can question them. Audit Risk Identification: Review caseload data to proactively identify high\-risk insurance audit profiles. Data\-Driven Defense: Partner with clinicians to ensure their written narrative aligns seamlessly with their SRS/ORS scores, building an undeniable data\-driven justification for the client’s frequency of care. 2\. Peer Consultation \& Supportive FIT Training (40%) Empowering Tapering Strategies: Train and support clinicians on how to confidently utilize CareOregon’s primary care/episodic model. Teach providers how to use ORS data to collaboratively and clinically identify appropriate session frequency. FIT Optimization: Provide warm, accessible coaching on administering and tracking the SRS/ORS, focusing on how to effortlessly weave these scores into daily progress notes. Alliance Rupture Coaching: Help clinicians interpret low SRS alliance scores as a clinical tool to repair the therapeutic relationship, adjust treatment approaches, and protect against client dropouts or no\-shows. 3\. Culture \& Quality Assurance Leadership (20%) Maintaining a Non\-Punitive Culture: Foster a deeply collaborative QA culture where internal audits are viewed by staff as an act of protection, care, and financial security. Template Optimization: Collaborate with the admin team to design and refine streamlined documentation templates that minimize the time clinicians spend writing notes while maximizing compliance with insurer expectations. Contract Security: Monitor aggregate agency health data to safeguard Aion Therapy’s collective insurance contracts and support the long\-term financial stability of our team, providing a feedback loop to leadership regarding concerns or patterns observed. Cross\-Team Collaboration: Collaborate with administrative team members to effectively monitor and communicate provider needs and QA concerns, to support continuity across the team for provider relationship management. Documentation: Maintain clear and thorough documentation records of audits performed, provider status, as well as trends and needs that are encountered throughout the role. Qualifications \& Skills Required: Clinical Licensure: Active, unrestricted clinical license in Oregon (e.g., LCSW, LPC, LMFT, or PsyD). Utilization \& Insurer Familiarity: Minimum of 2 years of experience navigating clinical documentation reviews, insurance criteria, or utilization management. Must understand the qualitative expectations and workflows of CareOregon and Kaiser Permanente. FIT Proficiency: Direct experience or robust training in Feedback\-Informed Treatment (FIT), including the practical application of the SRS and ORS scales. Telehealth Fluency: Comfort working 100% remotely, with advanced proficiency navigating EHR metrics and digital data\-tracking tools. Exceptional Empathy \& Peer Communication: The absolute ability to translate complex, rigid insurance standards into supportive, accessible clinical concepts, providing feedback to peers in a way that respects their clinical autonomy. Knowledge of documentation standards, regulatory requirements, and payer guidelines (e.g., medical necessity, coding fundamentals, compliance best practices). Strong written communication skills, with the ability to clearly document findings, create guidance materials, and provide feedback to clinicians. High attention to detail, organizational skills, and the ability to manage multiple charts, tasks, and priorities in a fast\-paced environment. Proficiency with electronic health record (EHR) systems and basic office software (e.g., word processing, spreadsheets, secure communication tools). Ability to work collaboratively with clinical and administrative staff, using a supportive and educational approach to promote documentation excellence. Understanding of mental and behavioral health terminology and treatment modalities; prior experience in therapy or counseling environments is beneficial. Commitment to maintaining confidentiality, ethical standards, and a trauma\-informed, culturally responsive perspective in all documentation practices. Pay: $45\.00 \- $65\.00 per hour Experience: insurance utilization management: 2 years (Required) feedback\-informed treatment (SRS/ORS scales): 1 year (Preferred) License/Certification: unrestricted license in Oregon (LCSW, LPC, LMFT, PsyD) (Required) Work Location: Remote