What are the responsibilities and job description for the Compliance Specialist position at Lifeways Inc?
Benefits offered for fulltime positions:
- $3,000 new hire bonus (new hired full-time staff), or $1,500 new hire bonus (new hired part-time staff)
- Medical Benefits
- Dental Benefits
- Vision Benefits
- Flexible Spending Account
- Health Savings Account
- Life Insurance, AD&D - Company Paid
- Short Term Disability- Company Paid
- Long Term Disability
- Supplemental Life Insurance
- 401K Retirement Plan (Traditional or ROTH) with Company Funded company match up to 6%
- Retirement and Financial Planning Services
- Shift differential incentives
- Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
- We provide professional development to enhance various skills, certifications, and continuing education
- Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us and have opportunities
- Paid Time Off (amount depends on years of service)
- Sick Leave for part-time staff
- (11) Paid Holidays
- Tuition reimbursement program
- Carpool reimbursement
- Cell phone reimbursement
- Clinical Supervision
- Wellness Program reimbursement
- Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned)
- Primarily responsible for Quality Assurance related to behavioral health records to ensure compliance with federal and state regulations and payer source contracts (audits).
- Conduct concurrent and retrospective audits of electronic health records supporting E/M, CPT, HCPC, and ICD10 codes assigned by clinical staff.
- Research correct coding practices in relationship to applicable rules, regulations, and coding conventions for billing to determine compliance with Federal, State, and payer source regulations.
- Provide administrative feedback (not clinical) to clinicians based on Federal and State government billing and coding guidelines.
- Plan, schedule, and perform comprehensive chart audits to identify operational and regulatory issues related to coding, documentation, and compliance requirements.
- Provide technical expertise to identify and resolve coding and chart documentation concerns impacting accuracy and consistency.
- Enter audit results into audit tool support quality assurance process, analysis, and reporting activities.
- Maintain data in audit tool: provide analysis of results and report to the Director of Compliance.
- Assist the Director of Compliance with complaints generated in SilverHammer.
- Serve as the Malheur County Postvention Coordinator.
QUALIFICATIONS
Required:
- High School Diploma or GED.
- Certification of Completion of Oregon Abuse Investigation training or the ability to get certified within 90 days of hire.
- Current driver's license.
- Must pass a criminal background check.
Required Job skills.
- Knowledge of Microsoft office (Excel, Word, PowerPoint, Outlook); Clear understanding of confidentiality laws such as the Health Information Portability and Accountability Act (HIPAA). 42 CFR part 2, and other state laws and administrative rules regarding protected health information (PHI); Customer service and detail oriented; Experience in electronic health records.
