Compliance Audit Coordinator

Job Description:

• Job Title: Compliance Audit Coordinator 
• Location: Springfield, Missouri 
• Department: Compliance & Integrity 
• Employment Type: Full-time 

Job Summary: 
Join our dedicated team as a Compliance Audit Coordinator, where you will play a vital role in ensuring the integrity of our healthcare services. You will have the opportunity to make a significant impact by supporting compliance efforts and enhancing the quality of care provided to our clients. We are looking for someone with strong analytical skills, attention to detail, and a passion for upholding ethical standards in healthcare. Your expertise will help us navigate the complexities of compliance, making a difference in the lives of those we serve. 

In this role, you will coordinate the internal and external auditing and monitoring program, conducting comprehensive reviews of medical records and documents that support claims for mental and behavioral health care services. You will work closely with the Director of Compliance Risk Management to analyze audit findings and develop actionable recommendations. 

• This position offers… 
• • Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost  
• • Mileage Reimbursement – Company paid for work functions requiring travel 
• • Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition 
• • Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce 
• • Additional Perks & Benefits - Scroll down to bottom of this post to learn more 
• Key Responsibilities: 
• • Conduct comprehensive audits of medical records to ensure compliance with Medicare guidelines and federal/state regulations. 
• • Develop and implement audit tools in alignment with Compliance Monitoring Work Plans. 
• • Collaborate with the Director of Compliance Risk Management to analyze audit findings and recommend corrective actions. 
• • Investigate billing, coding, and documentation concerns identified through the Compliance Disclosure Program. 
• • Document the investigation process meticulously and compose detailed reports with findings and recommendations. 
• • Identify and report abnormal billing patterns and potential fraud indicators to the Director of Compliance Risk Management. 
• • Coordinate post-audit compliance training sessions and develop educational materials to enhance provider documentation skills. 
• • Perform other duties as assigned. 
• Education, Experience, and/or Credential Qualifications: 
• • Associate's degree in Health Information Management or Bachelor's degree preferred. 
• • At least one of the following credentials: RHIA, RHIT required. 
• • 1 to 3 years of auditing experience with preferred education, or 5 years of industry experience including 1-3 years of auditing experience without preferred education. 
• • Ability to obtain RHIA or RHIT credential within 15 months of hire required. 
• Additional Qualifications: 
• • Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint check. 
• • Current driver’s license, acceptable driving record, and current auto insurance. 

Physical Requirements: 
• ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, or pull, or otherwise move objects, including the human body. 
• Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift. 
• Sedentary work involves sitting most of the time but may involve walking or standing for brief periods. 

Keywords: Compliance, Audit, Healthcare, Medicare, Documentation, Billing, Coding, Risk Management, Integrity, Training 

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli Is On A Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Brightli is a Smoke and Tobacco Free Workplace.