Compliance Coordinator

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

7h•Onsite

About The Position

Responsible to conduct, complete, report and follow up on all assigned compliance and HIPPA audits, activities and training.

Requirements

At least 1-3 years of prior experience in health care compliance, audits
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 compliance tasks and activities
Must have flexibility to adjust to changes in priorities and assignments
Flexibility to work occasional hours outside of regular schedule for meetings or investigation activities.

Nice To Haves

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

Responsibilities

Follows a schedule and selection of files, set forth by the CCO, to audit for each service area within the required timeframe.
Uses the current audit tools and recommends changes to the CCO, when there are updates to OPWDD/OMH billing standards.
Follows 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.
Prepares a quarterly summary report of internal billing audits for the CCO and the Executive Vice 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, WebEx, etc.
Takes and prepares the minutes for each meeting, distributing to committee members and saving in the appropriate Compliance Folder, following JM Murray file name standards.
Presents 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, conducts interviews and takes statements from witnesses and employees as part of a compliance investigation.
Prepares 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, conducts Contact Tracing for assigned employee cases, maintaining the utmost confidentiality of all information obtained in the process.
Conducts the annual HIPAA Risk Assessment audits. Prepares a concise and comprehensive report on the outcomes of the assessment audits.
Assists the CCO with assigned individual compliance activities, including obtaining and collecting documentation and updating on progress.
Provides 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. Collects and files compliance and HIPAA related documentation and notices.
Conducts training, as assigned, for small or large groups; presents compliance topics and training at company Communication Meetings, staff meetings, etc.
Attends all required and assigned training and meetings. As assigned, represents JM Murray as a representative on local and regional committees.
Conducts 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. Represents JM Murray and the JM Murray mission in a positive manner, treating people with respect and dignity.
Performs additional duties and responsibilities, as assigned.