Compliance Coordinator

This job description is intended to describe the nature and level of work being performed by employees assigned to this position. It is not to be construed as an exhaustive list of all responsibilities and duties required of the job incumbents.

Full time 

To explore the full range of benefits please visit our website www.jmmurray.com 

$26.64-$32.64/hour - Placement in the range will be determined based on experience and other factors allowed by law. 

GENERAL SUMMARY

Responsible to conduct, complete, report and follow up on all assigned compliance and HIPPA audits, activities and training.

COMPANY STANDARDS

• Maintains regular attendance and punctuality in order to provide quality direct support and service to individuals served.  This position performs all hours onsite and at all assigned physical locations of service, unless business needs require other arrangements.
• Follows all safety rules and regulations; wears and/or uses required protective equipment while working; immediately reports any safety concerns or unsafe working conditions to the Compliance Officer.
• Ensures all compliance activities and training are coordinated, documented and provided in compliance with the JM Murray mission statement, policies and procedures, professional standards, and applicable governmental laws, rules and regulations.
• Maintains all information, both verbal and in writing, with the utmost confidentiality.

ESSENTIAL FUNCTIONS

Internal Billing Audit Program

1. Follows a schedule and selection of files, set forth by the CCO, to audit for each service area within the required timeframe.
2. Uses the current audit tools and recommends changes to the CCO, when there are updates to OPWDD/OMH billing standards.   
3. Follows the procedures for Internal Billing Audits and Monthly Compliance Group meetings, including but not limited to the documentation corrective actions needed for audited files and follow up on reviews to ensure corrections are made by services leadership. Reports any trends noted, and/or if corrective actions are not being addressed to the CCO.
4. Prepares a quarterly summary report of internal billing audits for the CCO and the Executive Vice President for review prior to the Quarterly Compliance Meeting. 

Compliance Committee 

1. Responsible for the clerical aspects of the committee, including preparation of the agenda and materials for each meeting for the CCO. Distributes in advance to all committee members. Coordinates meeting locations and any logistical needs for meeting, such as IT set up, WebEx, etc.
2. Takes and prepares the minutes for each meeting, distributing to committee members and saving in the appropriate Compliance Folder, following JM Murray file name standards.
3. Presents the quarterly summary report at Committee Meetings, and any other assigned topics.

Compliance Investigations  

1. At the direction of CCO, may be assigned to review service notes, service plans, billing records, time records and other documentation as part of a compliance investigations. This includes the review of records through the JM Murray Electronic Medical Record, and the efficient use of equipment such as a computer, laptop, and/or a tablet.
2. As assigned by the CCO, conducts interviews and takes statements from witnesses and employees as part of a compliance investigation.
3. Prepares concise, comprehensive reports and summaries of assigned documentation reviews as part of investigative summaries and reports.

Compliance, HIPAA, Safety   

1. Upon completion of required training, and IF required by a federal Public Health Emergency or NY State of Emergency, conducts Contact Tracing for assigned employee cases, maintaining the utmost confidentiality of all information obtained in the process.
2. Conducts the annual HIPAA Risk Assessment audits.  Prepares a concise and comprehensive report on the outcomes of the assessment audits. 
3. Assists the CCO with assigned individual compliance activities, including obtaining and collecting documentation and updating on progress. 
4. Provides clerical support for compliance responsibilities and initiatives including but not limited to updates to policies, consistency checks, managing and filing compliance documents, updating spreadsheets and files, preparation of training packets, mailings, etc. 
5. May be assigned to attend entrance and exit conferences and meetings for external audits and reviews.  Collects and files compliance and HIPAA related documentation and notices.

Training

1. Conducts training, as assigned, for small or large groups; presents compliance topics and training at company Communication Meetings, staff meetings, etc.
2. Attends all required and assigned training and meetings. As assigned, represents JM Murray as a representative on local and regional committees.

1. Conducts self in a manner as to always contribute to maximum individual growth and in accordance with all regulations, the Code of Ethics and Company policy and procedures. Represents JM Murray and the JM Murray mission in a positive manner, treating people with respect and dignity.
2. Performs additional duties and responsibilities, as assigned.

COLLABORATION

INTERNAL 

JM Murray Staff and Management 

EXTERNAL

External auditors from various state, federal agencies (example Office of People with Developmental Disabilities)

Families/consumer employers

EDUCATION and EXPERIENCE

An Associate’s Degree is preferred  

Experience in Medicaid Billing and OPWDD/OMH Services highly desired

At least 1-3 years of prior experience in health care compliance, audits  

KNOWLEDGE and SKILLS

Must have excellent organizational, time management, written and verbal communication skills; 

Must demonstrate the ability to work efficiently and productively in an independent and collaborative 

          environment

Must be able to travel to local and regional locations for meetings and compliance tasks and activities

Must have flexibility to adjust to changes in priorities and assignments                            

OTHER REQUIREMENTS: N/A

Flexibility to work occasional hours outside of regular schedule for meetings or investigation activities.  

WORKING CONDITIONS

Job assignments may take place indoors and outdoors, in various environmental conditions including rain, snow and cold weather.

PHYSICAL REQUIREMENTS

I have reviewed this job description and I am able to perform the essential functions as outlined. I have discussed any questions I may have about this job description prior to signing this document.

___________________________________________________________

PRINT NAME

___________________________________________________________ _______________________

APPLICANT SIGNAURE                                                                                                   DATE 

I have reviewed this job description and I understand all of my job duties and responsibilities. I am able to perform the essential functions as outlined. I understand that my job may change on a temporary or regular basis according to the needs of my department without it being specifically included in the job description. I have discussed any questions I may have about this job description prior to signing this document.

___________________________________________________________  

PRINT NAME

___________________________________________________________    _______________________

SIGNATURE                                                                                                DATE