Program Compliance Specialist (Human Services
About The Position
The Program Compliance Specialist is responsible for reviewing and verifying all required documentation and quality checks prior to billing for services. This includes reviewing case notes, treatment plans, and supporting documentation such as paystubs, medical records, and release forms, as well as working directly with staff to obtain any missing information. The role also involves meeting one-on-one with staff to provide guidance and coaching to improve documentation practices, ensuring daily work with program participants is clearly, accurately, and consistently captured.
Requirements
- BA/ BS in relevant area preferred
- 2 years experience with Intellectual Disabilities / Developmental Disabilities or relevant population preferred
- Prior auditing/ compliance experience strongly preferred
- MUST be detailed oriented and accurate in highly consistent manner
- Ability to work as part of a team in a fast paced environment
- Working knowledge of MS Word, MS EXCEL, MS Outlook, and Internet
Responsibilities
- Review regulations to develop an understanding of requirements of different funders/ regulators/ grants
- Responsible for assisting in compliance with all funding / regulator sources
- Assist with verifying daily hours clients attend program and # of services received
- Assist with reviewing daily checklists, monthly case notes, and / or other forms of service documentation
- Assist with tracking when Lifeplans and Lifeplans meetings are due
- Assist in reviewing Habilitation Plans prior to Lifeplan meetings and again before plan is submitted to Care Manager
- Review all Lifesplans to ensure they meet the funders/regulators requirements
- Assist with obtaining documents necessary for billing (i.e. LPs NOD, LCED, Evaluations, etc.) and tracking when they expire
- Enter data in software applications for client tracking and billing
- Review case records to determine compliance with different funders/regulators requirements
- Document results of review using software applications such as Excel, Precision Care, AWARDS, etc.
- Write reports summarizing QA findings
- Liaise with Goodwill’s Compliance division and outside funders
- Review Incident reports as needed
- Make client folders for new starts
- Staff training as necessary
- Filing documents
Benefits
- Generous Time off policy to use when you need it
- Health, wellness and financial resources to help you achieve our personal goals
- Robust health benefits including medical, dental, vision, parental leaves and company sponsored life insurance
- Retirement matching programs and contributions
- Transit and commuter benefits
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
1,001-5,000 employees
