At TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values Diversity, Equity and Inclusion are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment.
JOB SUMMARY
The Compliance Specialist (CS) aids in development, administration, and maintenance of systems to ensure compliance with County and State Medi-Cal (MC) requirements and Medicare requirements, in addition to ensuring accurate data collection and verification using InSyst and/or other information databases. The CS also performs other duties, as assigned Director of Facilities and Housing Program Manager.
RESPONSIBILITIES
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Develops and implements systems for accurate service data entry and tracking for program services.Develops and maintains effective liaison with County behavioral health department.Reviews and tracks all service data reports to ensure accurate data entry and billing processes.Prepares reports and makes recommendations for improving program and systems.Facilitates Peer Review process for treatment programs.Conducts HIPAA Site Reviews for all programs within Division.Monitors and supports the completion of chart archiving for programs.Supports program preparation for all site reviews and chart audits and participates actively during reviews/audits.Organizes documentation requirements for audit appeals or plans of correction.Provides training to staff relevant to all needed areas of chart documentation and contract compliance.Represent Mental Health Division at community and other agency QI meetings and functions.Maintains professional currency by reading appropriate publications, attending seminars, and other training, as necessary.Consults with supervisor and Department and Division staff, on a regular basis to ensure program development.Excellent written and oral communication skills.Management ability to plan, prioritize, control, and evaluate at a level sufficient to ensure the efficiency, effectivenessand success of the program.Effective communications and interpersonal relationships with co-workers and staff.Resourcefulness, initiative, and the ability to work with minimal direction and supervision.Speak well and in an organized manner when making public presentations.Comply with all MHS and program rules, policies and procedures including HIPAA standards.QUALIFICATIONS
Master’s degree in human services, social work, counseling, marriage & family therapy, or related field required.One-year experience working with participant charts.Two years of administrative experience.Proficient user of Microsoft Office Suite and EHR software.Ability to problem solve and react appropriately to emergency situations.Ability to work independently and effectively collaborate with a team.PHYSICAL REQUIREMENTS
Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions.
☒ Seeing ☒ Hearing ☒ Speaking
☒ Stooping/Bending ☐ Working in cramped spaces
☒ Moving around office ☒ Moving between offices/clients
☒ Driving ☒ Climbing
☒ Lifting/carrying heavy items ☐ Pushing/pulling/dragging items
☒ Standing for long periods ☐ Working outside/underground
☒ Using hands/fingers ☒ Sitting for long periods of time
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
TURN Behavioral Health Services is committed to Equal Opportunity Employment and to attracting and retaining the most qualified employees without regard to race, color, national origin, religion, sexual orientation, gender, age, disability or protected veteran status.