Compliance Coordinator

Easter Seals Tennessee Inc•Lebanon, TN

About The Position

The Compliance Coordinator partners with department leaders to ensure services meet state requirements and follow each person served’s Individual Support Plan (ISP) or Person Centered Support Plan (PCSP). The coordinator ensures documentation for each person on the caseload is current, complete, and accurate. This includes reviewing service notes and preparing billing records, maintaining plans and records in electronic and paper systems, coordinating medical appointments and follow-up, and working with residential staff and external case-management contacts. The position also serves as a liaison among members, families, and Easter Seals, and may provide direct care in programs as needed.

Requirements

  • Associate’s degree or equivalent experience.
  • Exceptional oral and written communication skills.
  • Exceptional skills in Outlook, Excel, Word, and other electronic systems.
  • Ability to handle multiple tasks and prioritize them to meet stringent deadlines.
  • Ability to spend the majority of the day working at a computer.

Nice To Haves

  • Three to five years of experience working with people with intellectual and developmental disabilities.
  • Experience working with DDA or MCO systems.

Responsibilities

  • Review direct care service notes daily to ensure completion for billing and reimbursement.
  • Follow up with Residential Coordinators to ensure corrections and missing notes are completed within expected timeframes.
  • Prepare billing records as assigned.
  • Represent Easter Seals at ISP and COS meetings.
  • Ensure annual reviews of Individual Service Plans (ISPs) are completed.
  • Update electronic and paper systems with current ISPs, PCSPs, and other pertinent information within 30 days of changes.
  • Update persons served’ Health Passports as required.
  • Ensure the Annual ISP packet is completed and uploaded to InfoServ.
  • Ensure each person served has current and signed Releases of Information, Consents, and Medical Consult forms.
  • Ensure annual assessments are completed as required and uploaded to InfoServ.
  • Ensure quarterly psychiatric reviews are completed for persons served and uploaded to InfoServ.
  • Schedule non-emergency medical and psychiatric appointments, and communicate with Residential Coordinators for staffing purposes.
  • Communicate pertinent medical follow-up information to the Nursing department.
  • Enter medical appointment information in InfoServ.
  • Ensure medical appointment follow-up recommendations are scheduled according to the medical consult form.
  • Ensure approved Cost Plans are accurate and immediately communicate necessary changes to the ISC/SC and DDA plans review department.
  • Align the Service Plan, ISP, and Cost Plan to ensure services are approved and plans are implemented.
  • Work with Residential Coordinators to obtain missing or incomplete documentation.
  • Write monthly reviews for assigned persons served.
  • Submit monthly reviews to the appropriate ISC, state case manager, or Service Coordinator.
  • Offer the Annual Member Satisfaction Survey to all members and/or families during the annual ISP meeting.
  • Assign training specifics to applicable staff within appropriate timeframes.
  • Deactivate members and employees in InfoServ when they separate from the agency.
  • Serve as the liaison between members, families, and Easter Seals.
  • Perform other duties assigned by management, which may include providing direct care in programs as needed.
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