The Director of Quality Assurance & Compliance will lead the strategy for maintaining and elevating clinical and operational quality across the network of clinics. This role ensures strict adherence to regulatory requirements, internal policies, and best-practice standards in all aspects of patient care, documentation, safety and business operations. Reporting to executive leadership, the Director will build and manage a comprehensive quality and compliance program, audit processes, drive corrective actions, and promote a culture of continuous improvement.
Key Responsibilities
Quality & Clinical Oversight
Develop, implement and refine a standardized quality assurance framework for all therapy and clinic operations : patient assessments, treatment planning, documentation, discharge processes and outcome tracking.
Monitor key quality metrics (patient satisfaction, outcome improvement, readmission or re-referral rates, complaint / incidence rates) and present findings to leadership with recommended actions.
Conduct periodic audits of clinical files, documentation, therapist productivity, and treatment outcomes to ensure compliance with internal standards and external requirements.
Collaborate with clinical leadership to design and deliver training and coaching for therapists and support staff to maintain high clinical quality and adherence to protocols.
Serve as the escalation point for quality incidents, patient-safety events or regulatory findings; lead root-cause investigations, corrective action plans and follow-up to closure.
Compliance & Risk Management
Oversee compliance with all relevant federal, state and local regulations—including licensure, OSHA, HIPAA, Medicare / Medicaid, payer credentialing and reimbursement risk—across all sites.
Create, maintain and update policies and procedures related to compliance, documentation, billing risk, patient privacy and clinic safety; ensure distribution, training and acknowledgement across the organization.
Manage external audits and inspections (payer audits, accreditation, regulatory visits), prepare documentation, coordinate responses and ensure timely resolution of findings.
Work closely with billing and operations leadership to review processes for charge capture, documentation compliance, coding integrity and payer-audit readiness.
Stay current with changes in regulations, payer policies and industry standards; translate these changes into internal policies, staff training and clinic practice updates.
Qualifications & Skills
Bachelor’s degree in Healthcare Administration, Business Administration, Physical Therapy, or related field required; Master’s degree preferred.
Minimum of 7-10 years of experience in healthcare quality assurance, compliance or risk management—preferably in outpatient therapy, rehabilitation, or multi-site clinical operations.
Strong knowledge of physical therapy clinical workflows, documentation standards, payer compliance, regulatory requirements and audit processes.
Excellent analytical and problem-solving skills; ability to interpret data, run audits, identify trends and implement process improvements.
Strong leadership and communication skills—capable of influencing clinical and administrative staff, delivering training and coaching, and presenting to senior leadership.
High integrity, attention to detail, and ability to manage complex compliance issues while promoting a culture of quality rather than policing.
Benefits
Competitive executive salary plus performance incentive tied to quality metrics, auditor results and clinic compliance.
Comprehensive health benefits : medical, dental and vision coverage for full-time leadership.
Generous paid time off, holiday pay, and flexible scheduling to support leadership work-life balance.
Professional development fund for certification (e.g., CHC, CPPS), continuing education, and leadership training.
Retirement savings plan with employer match and financial wellness resources.
Leadership wellness program, peer-network retreats and team-building events across locations.
Opportunity to shape culture, policies and practices at a growing clinic network—making a measurable impact on patient outcomes and organizational integrity.
Director Of Quality Assurance • Alpharetta, GA, United States