Quality Compliance Coordinator #5049

Quality Compliance Coordinator #5049

Under the administrative supervision of the Director of Compliance and Information Management Systems, the Quality Compliance Coordinator collaborates with compliance and other DPCS staff to create and manage compliance, safety/risk and quality assurance/improvement activities. The Quality Compliance Coordinator reviews the health records of the individuals in the Agency’s behavioral health, developmental disability, and prevention services programs to determine the compliance of the record with service requirements and regulations disseminated by Licensure within the Department of Behavioral Health and Disability Services (DBHDS). Equally important is the oversight of DPCS Medical Records operations including requesting and sending records in compliance with state and federal regulations as well as 42CFR Part 2.  Duties include assuring the compliance of records with the requirements of Medicaid/Medicare programs, Managed Care Organizations, and other third-party insurance companies.  Communication with licensing specialist and handling all audits are also part of the job duties.

Minimum Requirements
 Master’s Degree in human services (i.e.:  Social Work, Psychology, Sociology, Counseling or other VA DMAS approved human services degree) OR Master’s Degree in Education with a Bachelor’s Degree in human services
: Experience with Medicaid and Licensure regulations
: Experience with Electronic Health Records
: At least 18 months experience providing direct services to individuals diagnosed with mental health, developmental disability, and/or substance use diagnoses

Preferred Requirements

 Knowledge of Licensure requirements for mental health, developmental disabilities, and substance use services
 Knowledge of Medicare/Magellan/Medicaid/Managed Care Organization requirements
 Knowledge of Quality Assurance/improvement techniques
 Knowledge of Human Rights Policy and Regulations
 Knowledge of confidentiality rules and laws
 Knowledge of Safety/Risk Management and Disaster planning

Fingerprints, State and FBI criminal record reports, drug test, and central registry (CANIS) report will be
required upon request. Our Agency maintains a Drug-Free workplace.
ANNUAL SALARY RANGE $ 43,560 – $68,608 Excellent Fringe Benefits

Position will remain open until filled. To be considered for a position, reply by sending application package consisting of:
  1. Completed Danville-Pittsylvania Community Services’ application (Click HERE)
  2. Resume

Contact details

245 Hairston Street Danville, VA 24540 Show Phone Number *****