Compliance Anlst

Company: Center for Health Care Services
Location: San Antonio
Posted on: September 24, 2022

Job Description:

GENERAL SUMMARY

Responsible for performing moderately complex level compliance reviews in assigned subject matter area(s). Responsible for planning of projects/reviews, organizing, directing, investigating, and assessing compliance with relevant laws, rules, regulations, and CHCS policies and procedures.

ESSENTIAL DUTIES & RESPONSIBILITIES

Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position.

* Assists in developing and monitoring processes that address identified clinical and organizational problems, including data integrity processes to evaluate and continuously improve data accuracy.
* Assists in leading continuous quality improvement efforts by providing recommendations to programs for improvement of processes to ensure compliance with state and federal regulations.
* Assists with internal compliance investigations.
* Conducts onsite reviews utilizing established protocols for monitoring programs. Generates summary reports outlining findings and recommendations for improvement. Presents findings and recommendations to leadership.
* Designs and implements protocols for monitoring quality of CHCS program services.
* Develops tools for comprehensive auditing of services, service delivery, and facilities to ensure compliance with all state and federal regulatory agencies and third party payors.
* Performs other related duties as required.

MINIMUM ENTRANCE QUALIFICATIONS

Education and Experience

* Bachelor's Degree in behavioral health or a related field and three (3) years of experience in promoting quality improvement initiatives and/or monitoring program compliance preferably in a behavioral health setting.

Licenses or Certifications

* None

Other Requirements

* Must maintain a valid driver's license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company's auto insurance carrier if you drive your vehicle during company business
* Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies
* Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.

COVID-19 Mandate Requirements

Unvaccinated Staff options:

a. Get Vaccinated per the CMS Mandate.

b. Have a medical/religious exemption. Unvaccinated staff will need to test once a week at the employees own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.

c. Consumer facing staff DO NOT have the option to be unvaccinated without an exemption.

d. If the position is not consumer facing, staff members may continue to be unvaccinated, without an exemption and test once a week at the employee's own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.

Vaccinated Staff options:

a. For employees who are vaccinated and consumer facing, we are continuing to require wearing an N95 mask.

b. For all other vaccinated employees, we are requiring a cloth, surgical or N95 mask be worn in all shared spaces.

c. Vaccinated employees may only go unmasked if in a single occupancy office.

SUPERVISION

* Job has no responsibility for the direction or supervision of others.

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES

Knowledge of:

* Applicable software applications
* CHCS contracts and service delivery requirements
* Electronic Medical Record system
* Medicaid billing guidelines
* Modern office procedures, methods and computer equipment
* Pertinent state and federal rules, regulations, CARF, and CCBHC requirements and policies

Skilled in:

* Organization and time management
* Performing a variety of duties, often changing from one task to another of a different nature
* Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios

Ability to:

* Accurately organize and maintain paper documents and electronic files
* Assist with creating new administrative directives
* Conduct audits
* Create, run, and analyze complex reports
* Effectively communicate, both verbally and in writing
* Establish and maintain effective working relationships
* Maintain accurate and complete records
* Maintain the confidentiality of information and professional boundaries
* Meet schedules and deadlines of the work
* Understand and carry out oral and written directions

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

* The position is generally sedentary. Employees sit most of the time, but may walk or stand for brief periods of time.
* Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
* The position involves light physical demands, such as exerting up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects.

Monday-Friday 8:30-a-5:30p

Code : 6328-1

SALARY RANGE: $49,906.00-$74,859.50

Keywords: Center for Health Care Services, San Antonio , Compliance Anlst, Other , San Antonio, Texas