Field PRTF Compliance Inspector (Travel)

AFMC; Little Rock (AR); On-site; USD 60,000 - 85,000; Full time

Job summary

AFMC is seeking a PRTF Compliance Inspector to perform inspections, reviews, and reporting for the IOC contract. The role requires extensive travel within Arkansas, including overnight stays, and collaboration with clinical staff to ensure regulatory compliance.

The ideal candidate holds a Bachelor's degree and has experience in behavioral health, Medicaid rules, and HIPAA. Strong written and verbal communication, data reporting, and initiative are essential.

Qualifications

• Three years in behavioral health or related setting.
• 1
• Knowledge of Medicaid rules and regulations.
• 2
• Ability to read, interpret, and apply laws and regulations.
• 3

Responsibilities

• Travel within the state for site visits, including overnight stays.
• Each inspection must be completed with accurate summaries.
• Conduct onsite PRTF surveys and complaint investigations as required.
• Maintain logs and use project-tracking databases for reporting.

Skills

Chart reviewing

Medical necessity criteria

Medicaid rules

Data analysis

Excel/Word/PowerPoint/Outlook

Typing speed 50 wpm

Confidentiality

Verbal and written communication

Report writing

Quality improvement

Time management

Teamwork and initiative

HIPAA compliance

Travel readiness

Education

Bachelor's Degree

CPHQ/RHIA/RHIT or similar credentials

Tools

HIT/EHR

Job description

AFMC is seeking a PRTF Compliance Inspector to perform inspections, reviews, and reporting for the IOC contract. The role requires extensive travel within Arkansas, including overnight stays, and collaboration with clinical staff to ensure regulatory compliance.

The ideal candidate holds a Bachelor's degree and has experience in behavioral health, Medicaid rules, and HIPAA. Strong written and verbal communication, data reporting, and initiative are essential.