Compliance Coordinator

J.M. Murray Center, Inc.•Munsons Corners, NY

6d•Onsite

About The Position

The Compliance Coordinator supports the JM Murray Corporate Compliance Officer in maintaining compliance in all areas of operations, with a focus on promoting a culture of compliance, preventing and detecting fraud, waste and abuse, and educating staff on their rights to report suspected non-compliance. The Compliance Coordinator is responsible to conduct, complete, report and follow up on all assigned compliance and HIPPA audits, activities and training. Responsibilities include participation in the JM Murray Compliance Committee, conducting file reviews and compliance investigations, and providing training to employees. JM Murray is a large not-for-profit Medicaid funded company with over 11,000 service recipients.

Requirements

At least 1-3 years of prior experience in health care compliance, investigations, and auditing
Must have excellent organizational, time management, written and verbal communication skills
Must demonstrate the ability to work efficiently and productively in an independent and collaborative environment
Must be able to travel to local and regional locations for meetings and compliances tasks and activities
Must have flexibility to adjust to changes in priorities and assignments
Must be able to work in an environment that includes, but is not limited to noise, cold, heat and odors.
Must be able to work in a position requiring exposure to the weather conditions.
Must be able to lift unaided, at least 10lbs
Must be able to lift unaided, from 11-30lbs
Must be able to lift unaided, from 31-70lbs
Must be able to write, type, and use office and/or other equipment and handle materials.

Nice To Haves

An Associate’s Degree is preferred
Experience in Medicaid Billing and OMH/OPWDD Services highly desired

Responsibilities

Conduct, complete, report and follow up on all assigned compliance and HIPPA audits, activities and training.
Participate in the JM Murray Compliance Committee.
Conduct file reviews and compliance investigations.
Provide training to employees.
Follow a schedule and selection of files, set forth by the CCO, to audit for each service area within the required timeframe.
Use the current audit tools and recommend changes to the CCO, when there are updates to OPWDD/OMH billing standards.
Follow the procedures for Internal Billing Audits and Monthly Compliance Group meetings, including but not limited to the documentation corrective actions needed for audited files and follow up on reviews to ensure corrections are made by services leadership. Reports any trends noted, and/or if corrective actions are not being addressed to the CCO.
Assist in preparing a quarterly summary report of internal billing audits for the CCO and the President for review prior to the Quarterly Compliance Meeting.
Responsible for the clerical aspects of the committee, including preparation of the agenda and materials for each meeting for the CCO. Distributes in advance to all committee members. Coordinates meeting locations and any logistical needs for meeting, such as IT set up, TEAMS/WebEx, etc.
Take and prepare the minutes for each meeting, distributing to committee members and saving in the appropriate Compliance Folder, following JM Murray file name standards.
Present the quarterly summary report at Committee Meetings, and any other assigned topics.
At the direction of CCO, may be assigned to review service notes, service plans, billing records, time records and other documentation as part of a compliance investigations. This includes the review of records through the JM Murray Electronic Medical Record, and the efficient use of equipment such as a computer, laptop, and/or a tablet.
As assigned by the CCO, conduct interviews and take statements from witnesses and employees as part of a compliance investigation.
Prepare concise, comprehensive reports and summaries of assigned documentation reviews as part of investigative summaries and reports.
Upon completion of required training, and IF required by a federal Public Health Emergency or NY State of Emergency, conduct Contact Tracing for assigned employee cases, maintaining the utmost confidentiality of all information obtained in the process.
Conduct the annual HIPAA Risk Assessment audits. Prepare a concise and comprehensive report on the outcomes of the assessment audits.
Assist the CCO with assigned individual compliance activities, including obtaining and collecting documentation and updating on progress.
Provide clerical support for compliance responsibilities and initiatives including but not limited to updates to policies, consistency checks, managing and filing compliance documents, updating spreadsheets and files, preparation of training packets, mailings, etc.
May be assigned to attend entrance and exit conferences and meetings for external audits and reviews. Collect and file compliance and HIPAA related documentation and notices.
Conduct training, as assigned, for small or large groups; present compliance topics and training at company Communication Meetings, staff meetings, etc.
Attend all required and assigned training and meetings. As assigned, represent JM Murray as a representative on local and regional committees.
Conduct self in a manner as to always contribute to maximum individual growth and in accordance with all regulations, the Code of Ethics and Company policy and procedures. Represent JM Murray and the JM Murray mission in a positive manner, treating people with respect and dignity.
Perform additional duties and responsibilities, as assigned.