Compliance Coordinator

Essen Medical Associates•Bronx, NY

3d•Onsite

About The Position

The Compliance Coordinator supports the behavioral health program in meeting regulatory, accreditation, payer, and internal policy requirements. The role monitors documentation and clinical practices, coordinates audits and corrective actions, supports staff training, and helps maintain a culture of ethical, high-quality, legally compliant care. The position is primarily office-based, with occasional movement between program sites and local travel as needed. It involves regular use of computers and electronic health record systems, with occasional extended hours during audits or surveys.

Requirements

Bachelor's degree in health administration, social work, psychology, public health, or a related field, or equivalent experience.
At least 2 years of experience in healthcare compliance, quality assurance, or a related setting.
Working knowledge of HIPAA, 42 CFR Part 2, and behavioral health documentation and billing standards for Article 28, 31, and 32 (OASAS).
Strong attention to detail, analytical ability, and organizational skills.
Excellent written and verbal communication skills, with the ability to explain requirements clearly to clinical staff.
Proficiency with electronic health records and Microsoft Office or similar tools.

Nice To Haves

Master's degree in a related field.
Certification such as CHC (Certified in Healthcare Compliance), CHPC, or similar.
Experience with accreditation surveys or state licensing audits.

Responsibilities

Monitor compliance with federal, state, and local regulations governing behavioral health services, including HIPAA, 42 CFR Part 2, CMS requirements, and state licensing standards.
Support readiness for accreditation and licensing surveys, including DOH and OMH agency reviews.
Track regulatory changes and communicate updates to leadership and program staff.
Conduct department workflow audits for documentation completeness, treatment plan timeliness, consent and authorization, and billing accuracy.
Perform internal monitoring of client rights and mandated reporting.
Prepare audit reports with findings, trends, and recommendations.
Develop, track, and follow up on corrective action plans and plans of correction.
Coordinate review and documentation of incidents, grievances, and complaints, including timely reporting to external agencies.
Assist with investigations and root cause analysis as directed.
Draft, update, and maintain policies and procedures; manage version control and annual review schedules.
Coordinate and deliver compliance training for new hires and ongoing staff, including HIPAA/privacy, confidentiality of substance use disorder records, documentation standards, and ethics.
Track completion of required trainings, certifications, and licensure.
Assist the Compliance Officer and Medical Records department with privacy incident review, breach assessment, and release-of-information processes.
Verify credentialing, background checks, and exclusion list screenings.
Maintain compliance dashboards and report metrics to leadership and the Compliance/Quality Committee.
Serve as a resource for clinical and administrative staff on compliance questions.
Participate in quality improvement initiatives and committees.