What are the responsibilities and job description for the Compliance Coordinator position at Helping Hands Family?
Overview:
Our Compliance Coordinator directly contributes to our mission of making autism services personal by assisting the Director of Quality Assurance & Compliance to ensure that all clinical and operational processes adhere to all compliance standards. This team member will build relationships with each assigned clinical region to facilitate ongoing efforts in ensuring compliance. Additionally, the Compliance Coordinator will work closely with state, BHMCO, and commercial payor representatives to facilitate positive and productive collaboration on an ongoing basis.
SPECIFIC RESPONSIBILITIES:
Skills and Competencies:
Helping Hands Family (“HHF”) is an organization that provides Applied Behavior Analysis (ABA) services for individuals with autism spectrum disorder (ASD). Our supportive, inclusive culture helps every individual reach their highest potential.
Helping Hands Family is dedicated to a supportive, inclusive culture. From growing our team to the client treatment plans, we have committed to celebrating differences and helping everyone reach their highest potential. HHF is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.
TITLE: Compliance Coordinator
LOCATION: Remote/Regional Travelling as required for compliance activities (<15% days/Quarter)
RELATIONSHIP: This position reports to the Director of Quality Assurance and Compliance
Our Compliance Coordinator directly contributes to our mission of making autism services personal by assisting the Director of Quality Assurance & Compliance to ensure that all clinical and operational processes adhere to all compliance standards. This team member will build relationships with each assigned clinical region to facilitate ongoing efforts in ensuring compliance. Additionally, the Compliance Coordinator will work closely with state, BHMCO, and commercial payor representatives to facilitate positive and productive collaboration on an ongoing basis.
SPECIFIC RESPONSIBILITIES:
- Completes projects correlated to increasing compliance and quality assurance measures as assigned by the Director of Quality Assurance & Compliance
- Oversees internal ongoing audits as assigned by the Director of Quality Assurance & Compliance
- Assists in ongoing coaching, monitoring, and communication regarding policies and procedures to ensure ongoing compliance with company standards, state and federal regulations, and funding source requirements for quality-based services.
- Compiles all documents needed to prepare for audits on an ongoing basis
- Assists the Director of Quality Assurance & Compliance in standardizing all documentation across clinical and operational procedures
- Conducts activities related to compliant billing (i.e., training OMs to clear billing holds, auditing billing claims, assisting in FWA investigations, etc.)
- Conducts ongoing monitoring of the use of SharePoint and the company utilized EHR to ensure use of standardized documents occurs and to mitigate any misuse of company documents and intellectual property
- Assists in ongoing assessment of regulatory compliance with HIPAA, OSHA, labor laws, and other federal, state, and local regulations
- Provides onsite support to assigned region to support payor audits, chart reviews, license visits, site visits, training needs, investigations, professional development, department strategy meetings, etc. equal to or less than 15% of workdays/quarter
- All other duties as assigned
Skills and Competencies:
- 1 year of experience in organizational administrative tasks
- Strong communication and presentation skills
- Confident communication skills for fielding calls on behalf of the agency and its representatives
- Excellent written communication skills for professional emails and various reporting methods
- Fluency in Microsoft Office 365 and Central Reach
Personality: A successful Compliance Team Member will be…
- Detail-oriented & highly organized
- Flexible and easily able to pivot in the ever-changing landscape of medical necessity autism care
- Communicative & collaborative
- Committed to purposeful care
- Ambition to grow with the company
- Commitment to integrity, accountability, and upholding compliance standards
The performance evaluation is conducted by the Director of Quality Assurance & Compliance
About Helping Hands Family:
Helping Hands Family (“HHF”) is an organization that provides Applied Behavior Analysis (ABA) services for individuals with autism spectrum disorder (ASD). Our supportive, inclusive culture helps every individual reach their highest potential.
Helping Hands Family is dedicated to a supportive, inclusive culture. From growing our team to the client treatment plans, we have committed to celebrating differences and helping everyone reach their highest potential. HHF is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.