Compliance Specialist

    • Job Tracking ID: 512690-728459
    • Job Location: Auburn, NY
    • Job Level: Any
    • Level of Education: Any
    • Job Type: Full-Time/Regular
    • Date Updated: March 18, 2020
    • Years of Experience: Any
    • Starting Date: ASAP
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Job Description:

To assure compliance with all agency, state, and federal regulatory requirements and standards. This is to include but is not limited to evaluating and analyzing filing systems, creating tracking systems and making recommendations to the Assistant Vice President of Compliance on upcoming regulatory changes.

FUNCTIONS:

* Complete file audits on agency programs and departments

* Keep staff up to date on any and all changes to file maintenance in their department

* Ability to interpret policy and procedure to maintain proper file compliance

* Keep up to date with latest requirements with Medicaid and insurance filing

* Keep up to date with the Council on Accreditation (COA)

* Report back to department heads on audit review

* Bring information back to compliance team for discussion

* Report file audit findings to leadership and the Board

* Teach file compliance to all levels of staff and keep them current with any and all changes

* Give departments realistic deadlines to meet compliance standards

 

Experience and Skills:

  • Bachelor's degree required with four years’ experience in compliance review; Master's degree strongly preferred

  • Experience in reviewing Medicaid Billing and service files/records

  • Experience with non-profit social services or mental health agencies or in an insurance company or managed care administrator

  • Knowledgeable in social service programs such as Residential, OMH, OPwDD and Foster Care

  • Dedication to high-quality record keeping, along with the ability to analyze and evaluate files and determine necessary steps of action

  • Advanced knowledge in Excel, Word and Publisher and willingness to learn other programs

  • Able to travel

Schedule: 8am-4pm M-F with flexibility

 

 

Benefits

As a full time benefits position, staff is eligible to enroll in medical, dental, vision, FSA, supplemental life insurance, critical illness, enhanced short-term disability, and 401(k) benefits.

We maintain a drug-free workplace and perform pre-employment drug testing.