Mental Health Compliance Specialist

McKinley Children's Center•San Dimas, CA

6d•Hybrid

About The Position

McKinley is seeking a Compliance Specialist who is passionate about their mission and H.U.M.A.N. values. The Compliance Specialist will be responsible for reviewing and ensuring the content compliance of all documentation within the client record. This role involves managing daily department functions, liaising with external agencies to maintain up-to-date procedures, participating in regulatory audits, conducting quality assurance activities, and performing periodic record reviews for both active and discharged clients.

Requirements

Bachelor’s Degree in Social Work, Psychology, Public Administration or in any other related discipline
Required Prior DMH Quality Assurance Experience including knowledge of Integrated System and billing codes and requirements or Case Management Experience
Word Processing, e-mail, internet, ability to learn clinical software, basic office skills (i.e. typing, telephone, copier)
Must pass pre-employment physical exam, TB and drug screening
Ability to commute to various sites on and off campus
Ability to work extended hours as needed
Ability to physically restrain children (if needed)
DOJ, FBI, Child Abuse Index Insurability Under Corporate Automobile Insurance

Nice To Haves

Prevention and Early Intervention Outcome Measure App (OMA), EXYM, OQ Analyst Program, and IBHIS.

Responsibilities

Tracking and Processing County and Department Documentation
Updating Financial forms and creating new and maintaining record of due dates
Reviewing documentation for compliance with regulatory and agency standards and to ensure they reflect a high level of care
Attend county meetings, QIC Meetings and EDI Workgroups in absence of Supervisor
Monitor the accuracy of records, documents, and billing and complete reconciliation of services as needed
Report any and all documentation deficiencies and/or compliance concerns to the AVP of Contract Compliance, Director of Compliance, Department VPs and Directors in a timely manner
Monitors and corrects claims on the Claims preventing invoicing queue
Conduct consumer surveys as needed
Collects and downloads department compliance forms and documentation into the appropriate data system.
Audits client charts on a monthly basis
Assist service delivery staff in completing/correcting documentation
Organize and prepare records for visits and audits
Coordinate any procedural and/or documentation changes with the AVP of Contract Compliance
Actively participate in the agency’s Performance and Quality Improvement (PQI) Plan
Other related duties as needed