Healthcare Compliance Specialist/Auditor

Caron Treatment Centers- Career•Wernersville, PA

8d•Hybrid

About The Position

Join a purpose-driven team at Caron Treatment Centers, where for nearly 70 years, we’ve been helping people find a path to recovery from addiction and rebuild their lives. We offer real careers with real opportunities for growth, comprehensive training, and a commitment to work-life balance. Our benefits include generous paid time off, company-paid life and disability insurance, professional growth and development, tuition reimbursement, a competitive 401(k) plan, and robust medical, dental, and vision plans. We’re proud to foster a diverse and inclusive environment, with a culture of teamwork, compassion, and dedication to our mission. Start a career that saves lives at a company that values yours! Position will be full time, working Monday-Friday 8:30-5pm. Candidates can work a hybrid schedule, with a few days in office each week at our Wernersville or Delray Beach campus. Must also be available on-site during audits. This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Physical Requirements: The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Must possess a bachelor’s degree in law, health administration, business administration, finance/accounting or related field.
Working knowledge of health care compliance related regulations, laws and practices such as accounting, finance, coding, billing, Health Plan contracts, Medicare/Medicaid billing regulations, substance use disorder treatment documentation requirements, the HIPAA Privacy Rule, human resources and environment of care.
Two years of experience in compliance in a health care setting.
Experience in compliance audit and assessment techniques required.
Strong verbal and written communication and presentation skills.
Proficient computer skills in MS Word, Excel, Outlook, PowerPoint.
Thorough understanding of MS Office software (Excel, Word, PowerPoint & Outlook)
Organizational skills and multitasking ability
Detail oriented with excellent follow-through.
Ability to take initiative and work with minimal supervision
Ability to communicate and cooperate with employees of all level.
Must be able to work extended hours when needed for regulatory agencies.
Must be able to sit and perform computer work for majority of work day.
Must be able to move throughout all Caron facilities as well as travel to meet business needs.
Light lifting up to 20 pounds (manuals, notebook computers, LCD, etc.)
Requires close visual acuity, analyzing data and figures and viewing a computer terminal.

Nice To Haves

Working knowledge of regulatory and accrediting standards for addiction treatment or behavioral health a plus.
If in recovery, 1-year continuous sobriety preferred.

Responsibilities

Conduct audits in areas of accounting, finance, billing, contracts, grants, human resources, information technology and other departments as directed by the Compliance Manger or VP of Compliance, Quality & Risk.
Assist the Compliance Manager in the development of compliance corrective action plans that result from audits and track corrective actions.
Provide education to staff on compliance related laws, regulations and standards. In addition, provide departmental education to staff following each audit conducted.
Measure compliance by participating in and/or conducting routine and/or focused audits of policy/procedure adherence, as well as coordinating compliance audits generated by external sources.
Coordinate all licensing and accreditation inspections with regulatory agencies including preliminary internal preparation, on-site assistance to surveyors and the development of a plan of correction or plan of improvement for any deficiencies noted.
Complete required forms or documentation needed for licensing or accreditation surveys and maintain all documentation manuals for licensing and accreditation for assigned Caron locations on an ongoing basis.
Maintain all standards/regulation manuals for licensing and accreditation and keep knowledge of all applicable licensing and accrediting standards from all state and federal agencies up to date as changes occur.
Ensure all licensing and accrediting standards are available to staff via Caron’s Intranet.
Make recommended changes to procedures and practices that are not in compliance with laws and regulations.
Track and communicate changes to law, regulation, accreditation standards, and best practice guidelines related to accounting, finance, coding, billing practices, human resources and other departments.
Additionally, communicate and monitor changes in third party insurance contracts and Medicare/Medicaid billing regulations, laws and guidelines.
Conduct Compliance education at New Employee Orientation training.
Develop and conduct compliance trainings when directed by the Compliance Manager or the VP of Compliance, Quality & Risk.
Conduct audits, tasks or projects identified on the Compliance Workplan as directed by the Compliance.