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. REQUIREMENTS
Minimum Requirements
M1: 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
M2: Experience with Medicaid and Licensure regulations
M3: Experience with Electronic Health Records
M4: At least 18 months experience providing direct services to individuals diagnosed with mental health, developmental disability, and/or substance use diagnoses
Preferred Requirements
P1: Knowledge of Licensure requirements for mental health, developmental disabilities, and substance use services
P2: Knowledge of Medicare/Magellan/Medicaid/Managed Care Organization requirements
P3: Knowledge of Quality Assurance/improvement techniques
P4: Knowledge of Human Rights Policy and Regulations
P5: Knowledge of confidentiality rules and laws
P6: 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
REPLY BY:
Position will remain open until filled. To be considered for a position, reply by sending application package consisting of:
- Completed Danville-Pittsylvania Community Services’ application (Click HERE)
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Resume
- Position #: 5049
- Link to job posting: https://www.dpcs.org/empops/jobs/5049.htm