Compliance Coordinator (Mental Health)

Job Overview

The Compliance Coordinator is the liaison between the Behavioral Health Program and the Compliance Department. The Compliance Coordinator is an integral partner to the behavioral healthcare team, helping to support the team to meet regulatory state/county and agency requirements. The Administrative Operations Team at HealthRIGHT 360 follows a mission driven culture that follows values of accountability, clear and honest communication, professionalism, work ethic, innovation, humility, and community.

Key Responsibilities

Key Leadership responsibilities:  

  • Responsible for practicing the Department culture and values.
  • Responsible for the integration of Behavioral Health Programs and Compliance department to ensure accuracy and efficiency.
  • Meets regularly with Program Leadership to ensure their program is informed of new Compliance Procedures and Initiatives.
  • Represents HealthRIGHT 360 by attending external meetings and trainings, when assigned.

Key Chart Documentation and Audit Support:  

  • Responsible for ensuring that all documentation is in compliance with Medi-Cal standards.
  • Completes Internal Chart Audits and provides ongoing feedback to the programs concerning documentation requirements.
  • Completes Chart Compliance Reports and provides feedback program leadership.  
  • Collaborates with Billing and EHR teams, as necessary.
  • Collaborates with the medical records team, as necessary.
  • Provides oversight of all internal tracking systems to ensure that all programs comply with Medi-Cal requirements.
  • Responsible for maintaining internal tracking reports and updating them on a regular basis.
  • Responsible for all internal and external program audits; works with clinical supervisors, program managers and/or directors on development and execution of corrective action plans, when appropriate.

Key Administrative and Other responsibilities:    

  • Maintains compliance with agency’s policies and procedures.
  • Arrangement of work schedule in accordance with the agency’s needs.
  • Attend internal meetings as assigned (which may result in traveling to various local Counties).
  • Attend external meetings as assigned; May be the lead agency representative at specific County Quality Assurance meetings.
  • In conjunction with clinical supervisors/directors, provide trainings to staff on documentation requirements, incident reporting process, HIPAA/42 CFR part 2, agency/program policies and procedures, grievance processes, and medical records process.
  • Supports Program Compliance with agency policies and procedures by providing onsite consultation.
  • Responsible for ensuring HIPAA and 42 CFR pt. II compliance at assigned locations.

Education and Knowledge, Skills and Abilities

Education and Experience Required:

  • Bachelor’s Degree experience. 
  • Familiarity with DMH regulatory requirements.

 Desired:

  • Master’s Degree in related field; BBS registered or licensed.
  • Background in compliance or auditing.
  • Familiarity with DMC regulatory requirements.

 Background Clearance Required:

  • Must not be on active parole or probation. 

 Knowledge Required:

  • Culturally competent and able to work with a diverse population.
  • Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency.
  • Strong proficiency with Microsoft Office applications, specifically Microsoft Word, Outlook, Microsoft Excel, and internet applications.

Skills and Abilities Required:

  • Knowledge of Clinical documentation (treatment plans, progress notes etc.).
  • Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data.
  • Professionalism, punctuality, flexibility and reliability are imperative.
  • Excellent verbal, written, and interpersonal skills.
  • Integrity to handle sensitive information in a confidential manner.
  • Action oriented.
  • Strong problem-solving skills.
  • Excellent organization skills and ability to multitask and juggle multiple priorities.
  • Outstanding ability to follow-through with tasks.
  • Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility.
  • Strong initiative and enthusiasm and willingness to pitch in whenever needed.
  • Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations.
  • Able to work within a frequently changing project scope while maintaining overall direction and structured priorities.
  • Knowledge of co-occurring disorders and trauma informed treatment.
Compensation: $65,000.00
Type: Salary/ Exempt
Benefits: HealthRIGHT 360 offers a competative benefits package.
City: San Jose, CA
Hours/wk: 40

Job Location