Program Compliance Specialist (Human Services)

Goodwill NYNJ • New York, NY

3d • $21 - $23 • Hybrid

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

• Must be detailed oriented and accurate in highly consistent manner
• Ability to work as part of a team in a fast-paced environment
• Be proactive and take initiative
• Must possess time management and problem-solving skills
• Working knowledge of MS Word, MS EXCEL, MS Outlook, and Internet

Nice To Haves

• BA/ BS in relevant area preferred
• 2 years’ experience delivering or overseeing services for people with Intellectual Disabilities / Developmental Disabilities or relevant population preferred
• Prior auditing/ compliance experience strongly preferred

Responsibilities

• Review regulations to develop an understanding of requirements of different funders, regulators and grants
• Responsible for assisting in compliance with all funding/regulator sources
• Review staffs’ time & attendance to ensure that all daily checklist entries fall in between clock in/out times
• Assist with reviewing daily checklists, monthly summaries, and/or other forms of service documentation
• Assist with tracking Life Plan rotation and meetings and ensuring that plans are received in a timely manner from CCO’s
• Assist in reviewing Staff Action Plans prior to LP meetings and again before plan is submitted to CM
• Review all LPs and SAP’s to ensure they meet the funders/regulators requirements
• Assist with obtaining documents necessary for billing (i.e. LP, NOD, LCED, Evaluations, etc.) and tracking when they expire
• Create and maintain electronic charts & PHI information
• Uploading documents in electronic charts and shared network drives
• Review electronic charts to determine compliance with different funders/regulators requirements to ensure chart is up to date and current
• Enter data in Foothold Technology-AWARDS for client tracking and billing
• Document results of review using software applications such as Excel, AWARDS, etc.
• Document and submit reports summarizing QA’s findings
• Liaise with Goodwill’s Compliance division and outside funders
• Review Incident reports as needed
• Provide staff training as necessary
• Other duties as requested by supervisor

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level