Compliance Specialist

McKinley; San Dimas (CA); On-site; USD 30,000 - 37,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Life Insurance

403(b) retirement plan with company 3%

Paid Time Off

Sick Time

Paid Holidays

Tuition Reimbursement

Employee Assistance Program

Training Opportunities for Growth

Credit Union Membership

Employee Rewards Program

Job summary

McKinley is seeking a Compliance Specialist to review and ensure content compliance of all client documentation submitted to records. The role involves coordinating with outside agencies, supporting audits, and performing quality assurance activities across departments.

The position also requires maintaining regulatory records, processing County documentation, and supporting daily compliance operations to uphold McKinley’s H.U.M.A.N. values.

Qualifications

• Bachelor’s degree in Social Work, Psychology, Public Administration or related discipline required.
• Prior DMH Quality Assurance experience with knowledge of Integrated System and billing codes and requirements or case management experience preferred.
• Proficiency in Word Processing, e-mail, internet and basic office skills; ability to learn clinical software.
• Experience with OMA, EXYM, OQ Analyst Program, and IBHIS is a plus.
• Must pass pre-employment physical exam, TB and drug screening.
• Ability to commute to multiple sites; extended hours as needed; ability to restrain children if needed.
• Background checks: DOJ, FBI, and Child Abuse Index.

Responsibilities

• Track and process County and Department documentation.
• Update financial forms and maintain due-date records.
• Review documentation for regulatory compliance and quality of care.
• Attend county meetings, QIC meetings and EDI workgroups when Supervisor unavailable.
• Monitor record accuracy and reconcile services as needed.
• Report documentation deficiencies and compliance concerns to AVP of Contract Compliance and Directors.
• Monitor and correct claims in the invoicing queue.
• Conduct consumer surveys as needed.
• Collect and upload department compliance forms into data systems.
• Audit client charts monthly and assist staff with documentation improvements.
• Prepare records for visits and audits and coordinate changes with AVP of Contract Compliance.
• Participate in the agency’s PQI plan and related duties.

Education

Bachelor’s Degree in Social Work, Psychology, Public Administration or in any other related discipline

Tools

Word Processing

Email

Internet

Clinical Software

Job description

McKinley: Youth, Family, and Community are what we are all about! We offer a great working environment and benefits package! McKinley encourages growth so that you can Be your Best H.U.M.A.N.

At McKinley employees share a set of guiding principles: We embrace a culture that is Hopeful, Understanding, Moral, Awesome, Nurturing. - H.U.M.A.N.

The Company:

McKinley is a highly respected welfare organization with a comprehensive array of programs and services – which touch nearly 1,800 lives annually – including short term residential treatment program (STRTP), Mental Health Services, and Special Education. McKinley has 5 locations throughout southern California with our main campus located in San Dimas. We embrace a culture that is H.U.M.A.N.- Hopeful, Understanding, Moral, Awesome, Nurturing. McKinley has created a Hopeful environment, in which we choose optimism in finding the motivation to achieve our greatest dreams. We are a team dedicated to Understanding individual needs and do so by listening and embracing each individual’s stories. We strongly embrace our agency’s Morals by treating everyone with kindness and respect. At McKinley, we acknowledge our team member’s and clients’ Awesome qualities by celebrating what makes each individual unique. We are dedicated to Nurturing a Trauma-Informed Integrated Care approach that has created a unique culture within the organization. We celebrate diversity by our commitment to cultivating an inclusive and affirming environment for all.

The Position:

We are looking for a Compliance Specialist, who is willing to embrace McKinley’s mission and H.U.M.A.N values. The Compliance Specialist is responsible for the review and content compliance of any and all documentation submitted to the client record. This is to include day to day department functions, interface with outside agencies to maintain current procedures, involvement in audits performed by regulatory agencies, conduct quality assurance activities and periodic record reviews of all active and discharged clients.

Compensation And Benefits

The pay range we’re offering is $22.00- $27.00 hourly depending (Based) on experience.

Our people are the heart of our organization, which is why we offer robust benefits to support your health and wellness as well as your personal and financial well-being.

• Medical, Dental, and Vision Insurance
• Life Insurance
• Flexible Spending Account
• Paid Time Off
• Sick Time
• Paid Holidays
• 403(b) retirement plan with company match up to 3%
• Employee Assistance Program
• Tuition Reimbursement
• Employee Rewards Program
• Credit Union Membership
• Training Opportunities to Further Personal and Professional Growth

Qualifications

• Bachelor’s Degree in Social Work, Psychology, Public Administration or in any other related discipline required
• Prior DMH Quality Assurance Experience including knowledge of Integrated System and billing codes and requirements or Case Management Experience Strongly Preferred
• Word Processing, e-mail, internet, ability to learn clinical software, basic office skills (i.e. typing, telephone, copier)
• Prevention and Early Intervention Outcome Measure App (OMA), EXYM, OQ Analyst Program, and IBHIS.
• Must pass pre-employment physical exam, TB and drug screening
• Ability to commute to various sites on and off campus
• Ability to work extended hours as needed
• Ability to physically restrain children (if needed)
• DOJ, FBI, Child Abuse Index

Key Responsibilities

• Tracking and Processing County and Department Documentation
• Updating Financial forms and creating new and maintaining record of due dates
• Reviewing documentation for compliance with regulatory and agency standards and to ensure they reflect a high level of care
• Attend county meetings, QIC Meetings and EDI Workgroups in absence of Supervisor
• Monitor the accuracy of records, documents, and billing and complete reconciliation of services as needed
• Report any and all documentation deficiencies and/or compliance concerns to the AVP of Contract Compliance, Director of Compliance, Department VPs and Directors in a timely manner
• Monitors and corrects claims on the Claims preventing invoicing queue
• Conduct consumer surveys as needed
• Collects and downloads department compliance forms and documentation into the appropriate data system.
• Audits client charts on a monthly basis
• Assist service delivery staff in completing/correcting documentation
• Organize and prepare records for visits and audits
• Coordinate any procedural and/or documentation changes with the AVP of Contract Compliance
• Actively participate in the agency’s Performance and Quality Improvement (PQI) Plan
• Other related duties as needed

Why Should You Apply?

• Our Mission- work for an organization that makes a real difference in people’s lives
• Competitive pay
• Several benefit options
• Employee tuition reimbursement
• Great training for staff

Join McKinley to Be Your Best H.U.M.A.N.