Compliance Coordinator

Socket.dev; Lebanon (TN); On-site; USD 52,000 - 76,000; Full time

Job summary

Easter Seals is seeking a Compliance Coordinator to partner with department leaders to ensure services comply with state requirements and ISPs/PCSPs are current.

The role focuses on reviewing care notes for billing accuracy, coordinating with Residential Coordinators, and preparing billing records while representing Easter Seals at ISP and COS meetings.

Qualifications

• An Associate's Degree or equivalent experience.
• Excellent oral and written communication skills.
• Proficiency in Outlook, Excel, Word, and other electronic systems.
• Ability to handle multiple tasks and meet stringent deadlines.
• 3-5 years' experience working with people with intellectual and developmental disability preferred.
• Experience with DDA or MCO systems 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 ISP are completed.
• Update ISPs and PCSPs and related information within 30 days of changes.
• Maintain Health Passport updates as required.
• Ensure annual ISP packets are completed and uploaded to InfoServ.
• Ensure Release of Information, Consents, and Medical Consult forms are current.
• Complete annual assessments and upload to InfoServ.
• Schedule non-emergency medical and psychiatric appointments as needed.
• Communicate medical follow-up information to the Nursing department.
• Enter medical appointment information in InfoServ.
• Ensure cost plans are accurate and communicated to relevant teams.
• Align Service Plan, ISP, and Cost Plan to ensure approvals and implementation.
• Obtain missing documentation with Residential Coordinators.
• Write monthly reviews and submit to ISC/Service Coordinator.
• Offer the Annual Member Satisfaction Survey during ISP meetings.
• Assign training to applicable staff.
• Deactivate members and employees in InfoServ when separated from the agency.
• Serve as liaison between member, family and Easter Seals.

Skills

Communication skills

Multitasking

Deadline-driven

Education

Associate's Degree or equivalent experience

Tools

Outlook

Excel

Word

Job description

The Compliance Coordinator works in partnership with the department leaders to ensure the services provided fall within state requirements and follow each persons served Individual Support Plan (ISP) or Person Centered Support Plan (PCSP). The Compliance Coordinator is responsible for ensuring that all required documentation for each person served on the caseload is current, complete, and accurate.

• 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.

QUALIFICATIONS:

Requirements

• 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