Care Compliance & Documentation Specialist

Easter Seals Tennessee Inc; Lebanon (TN); On-site; USD 45,000 - 65,000; Full time

Job summary

Easter Seals Tennessee Inc is seeking a Compliance Coordinator to ensure services meet state requirements and that each person served follows the ISP or PCSP. The role emphasizes maintaining current, complete documentation for all caseloads and supporting billing processes.

In this position you will partner with department leaders, update ISPs/PCSPs and Health Passports, participate in ISP/COS meetings, and ensure annual reviews and related paperwork are completed timely.

Qualifications

• An Associate’s Degree or equivalent experience.
• Ability to demonstrate exceptional oral and written communication skills.
• Must possess exceptional skills in Outlook, Excel, Word, and other electronic systems.
• Ability to demonstrate exceptional skills in handling multiple tasks and prioritizing each in order to meet stringent deadlines.
• 3-5 years’ experience working with people with intellectual and developmental disability is preferred.
• Experience working with the DDA or MCO systems is preferred.
• Ability to spend majority of the day working at a computer.

Responsibilities

• Daily review of direct care service notes to ensure completion for billing/reimbursement.
• Follow up with Residential Coordinator to ensure corrections, missing notes, etc. are done within expected timeframes.
• Prepare billing records as assigned.
• Represent Easter Seals at ISP and COS meetings.
• Ensure annual reviews of the Individual Service Plans (ISP) are completed.
• Update electronic and paper systems with current ISPs and PCSPs and other pertinent information within 30 days of changes.
• Update persons served Health Passport as required.
• Ensure the Annual ISP packet is completed and uploaded to InfoServ.
• Ensure each person served has current & signed Release of Information, Consents, and Medical Consult forms.
• Ensure all annual assessments are completed as required and are uploaded to InfoServ.
• Ensure a quarterly psychiatric review is completed for persons served and uploaded to InfoServ.
• Schedule non-emergency medical appointments and psychiatric appointments, and communicate to Residential Coordinator for staffing purposes.
• Communicate to the Nursing department any other pertinent medical follow-up information.
• Enter medical appointment information in InfoServ.
• Ensure medical appointment follow-up recommendations are scheduled per the medical consult form.
• Ensure approved Cost Plans are accurate and communicate necessary changes to the ISC/SC and DDA plans review department immediately.
• Align the Service Plan, ISP, and Cost Plan to ensure that services are approved and plans are implemented.
• Work with Residential Coordinators to obtain any missing or incomplete documentation.
• Write monthly reviews for those assigned.
• Submit monthly reviews to the appropriate ISC, state case manager, or Service Coordinator.
• Offer the Annual Member Satisfaction Survey to all members and/or families during the annual ISP meeting.
• Assign training specifics to the applicable staff within appropriate timeframes.
• Deactivate members and employees in InfoServ when they are separated from the agency.
• Serve as the liaison between member, family and Easter Seals.
• Other duties as assigned by management, which may include providing direct care in programs as needed.

Skills

Communication skills

Outlook

Excel

Word

Multi-tasking

Education

Associate’s Degree or equivalent experience

Tools

InfoServ

Job description

Easter Seals Tennessee Inc is seeking a Compliance Coordinator to ensure services meet state requirements and that each person served follows the ISP or PCSP. The role emphasizes maintaining current, complete documentation for all caseloads and supporting billing processes.

In this position you will partner with department leaders, update ISPs/PCSPs and Health Passports, participate in ISP/COS meetings, and ensure annual reviews and related paperwork are completed timely.