Mental Health Systems ยท 2 months ago
Quality Assurance Specialist (Compliance Specialist)
288 South County CFC, Chula Vista, CA, US
Full-time
Onsite
Mid Level
$28/hr - $30/hr
3+ years expMental Health Systems is a non-profit organization dedicated to improving lives through community-based mental health and recovery services. The Compliance Specialist is responsible for ensuring adherence to Medi-Cal and Medicare requirements, overseeing data accuracy, and facilitating quality improvement processes.
AssociationHealth CareMental Health
Responsibilities
Maintains systems for accurate service data entry and tracking for program services
Develops and maintains effective liaison with County behavioral health department
Reviews and tracks all service data reports to ensure accurate data entry and billing processes
Completes regular quality improvement reviews of client charts
Facilitates Peer Review process for treatment programs
Conducts HIPAA Site Reviews for program
Monitors and supports the completion of chart archiving for programs
Supports program preparation for all site reviews and chart audits and participates actively during reviews/audits
Organizes documentation requirements for audit appeals or plans of correction
Provides training to staff relevant to all needed areas of chart documentation and contract compliance
Represent Mental Health Division at community and other agency QI meetings and functions
Maintains professional currency by reading appropriate publications, attending seminars, and other training, as necessary
Consults with supervisor and Department and Division staff, on a regular basis to ensure program development
Excellent written and oral communication skills
Management ability to plan, prioritize, control, and evaluate at a level sufficient to ensure the efficiency, effectiveness and success of the program
Effective communications and interpersonal relationships with co-workers and staff
Resourcefulness, initiative, and the ability to work with minimal direction and supervision
Speak well and in an organized manner when making public presentations
Comply with all MHS and program rules, policies and procedures including HIPAA standards
Qualification
Required
Bachelor of Arts degree in a social services or related field preferred
Master's degree in human services field highly valued
One-year experience working with participant charts
Two years of administrative experience
Proficient user of Microsoft Office Suite and EHR software
Ability to problem solve and react appropriately to emergency situations
Ability to work independently and effectively collaborate with a team
Company
Mental Health Systems
Mental Health Systems is a non-profit organization founded in 1978 to provide innovative and cost-effective mental health and drug.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jeff Hamilton
Chief Technology Officer (CTO) / Information Security Officer
tracey mcdermott
Chief Financial Officer
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