Compliance Coordinator

Easterseals; Lebanon (TN); On-site; USD 42,000 - 65,000; Full time

Job summary

Easter Seals is seeking a Compliance Coordinator to partner with department leaders to ensure services meet state requirements and follow each person’s ISP or PCSP. The role includes maintaining current documentation for all persons served and ensuring accurate, complete records for billing and audits.

You will review care notes daily, coordinate with the Residential Coordinator to fix issues promptly, and prepare billing records.

Qualifications

• Associate’s Degree or equivalent experience.
• Exceptional oral and written communication skills.
• Excellent skills in Outlook, Excel, Word, and other electronic systems.
• Ability to multitask and prioritize to meet deadlines.
• 3–5 years’ experience working with people with intellectual and developmental disabilities preferred.
• Experience working 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 for billing.
• Coordinate with Residential Coordinator to ensure corrections are completed in time.
• Prepare billing records as assigned.
• Represent Easter Seals at ISP and COS meetings.
• Ensure annual ISP reviews are completed.
• Update ISPs and PCSPs within 30 days of changes.
• Update Health Passport as required.
• Ensure Annual ISP packets are uploaded to InfoServ.
• Ensure release forms are current and signed.
• Ensure annual assessments are uploaded to InfoServ.
• Ensure quarterly psychiatric reviews are uploaded to InfoServ.
• Schedule medical and psychiatric appointments and notify Residential Coordinator.
• Communicate to Nursing department any pertinent medical follow-up information.
• Enter medical appointment information in InfoServ.
• Schedule follow-up recommendations per medical forms.
• Ensure Cost Plans align with ISC/SC and DDA reviews.
• Align Service Plan, ISP, and Cost Plan for approvals and implementation.
• Work with Residential Coordinators to obtain missing documentation.
• Write monthly reviews for assigned members.
• Submit monthly reviews to ISC/state case manager/Service Coordinator.
• Offer Annual Member Satisfaction Survey during ISP meetings.
• Assign training to staff within appropriate timeframes.
• Deactivate members and employees in InfoServ when separated.
• Liaise between member, family and Easter Seals.
• Other duties as assigned, possibly providing direct care.

Skills

Oral and written communication

Time management / prioritization

Team collaboration

Education

Associate’s Degree or equivalent experience

Tools

Outlook

Excel

Word

Job description

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