Behavioral Health Compliance & Quality Auditor

Chimes; Maryland; Sur place; USD 63 000 - 77 000; Plein temps

Avantages offerts par ce poste

Competitive Salary

Medical, Dental, Vision Insurance

Tuition Reimbursement

Flexible Spending Accounts

Life Insurance

Disability Insurance

Paid Time Off

Retirement Plan with Employer Match

Employee Recognition Programs

Referral Bonus Opportunities

Discounts Through Tickets at Work

Résumé du poste

Chimes is seeking a Behavioral Health Specialist to join our Compliance team in Maryland. You will audit programs, review clinical records, and ensure services meet regulatory standards while maintaining high-quality care for individuals with intellectual and developmental disabilities.

You will guide staff on documentation, regulatory requirements, and quality improvement. Travel to agency locations for audits and site visits may be required to support continuous compliance and accountability.

Qualifications

• Active CPC or CPC-A certification.
• Four+ years of experience in behavioral health, healthcare compliance, quality assurance, or related field.
• Knowledge of behavioral health documentation, regulatory requirements, and compliance practices.

Responsabilités

• Conduct audits of programs, clinical records, and compliance activities.
• Review clinical documentation for accuracy and regulatory compliance.
• Monitor compliance with behavioral health and related clinical services.
• Assist with investigations and recommend corrective actions.
• Develop and monitor Plans of Correction from audits and reviews.
• Review billing documentation to identify compliance issues.
• Evaluate Medicare, Medicaid, and commercial insurance requirements.

Connaissances

CPC/CPC-A

Healthcare compliance

Auditing

Regulatory knowledge

Formation

Bachelor's degree in Behavioral Health

Outils

Microsoft Word

Microsoft Excel

Description du poste

Chimes is seeking a Behavioral Health Specialist to join our Compliance team in Maryland. You will audit programs, review clinical records, and ensure services meet regulatory standards while maintaining high-quality care for individuals with intellectual and developmental disabilities.

You will guide staff on documentation, regulatory requirements, and quality improvement. Travel to agency locations for audits and site visits may be required to support continuous compliance and accountability.