Junior Billing Compliance Coordinator

POSITION OVERVIEW:The Corporate Compliance department supports the agency in maintaining compliance in all areas of operations. The department focuses on promoting a culture of compliance preventing and detecting fraud waste and abuse and educating staff on their rights to report suspected non-compliance. The Junior Billing Compliance Auditor is responsible for supporting The Corporate Compliance Program within one or more of the agency divisions of service to ensure billing compliance requirements are being met. The Junior Billing Compliance Auditor under the Director of Corporate Compliance for billing will coordinate with senior compliance specialists management and staff to ensure that the Jewish Board achieves consistently high levels of compliance with all applicable billing laws and regulations; policies and procedures and the code of conduct and will respond to any matter in a timely ESSENTIAL FUNCTIONS: Remain up-to-date and knowledgeable of all regulatory and guidance internal billing/claims audits agency and assist in coordinating Compliance Review Committee (CRC) a matrix of regulatory updates division as an independent auditor by reviewing compliance of all departmental procedures policies and practices to ensure compliance with agency requirements that mirror billing audits conducted by OMIG CMS 3rd party vendors and the recording hub of audits including report findings and performance improvement plans within a designated division of areas of potential exposure and risk. Assist in the development of corrective action plans for the resolution of any risk issue and ensure implementation of or participate in investigations of fraud waste and abuse of public to alleged violations of rules regulations and policies et. al. evaluate complaints and/or recommend the initiation of any inquiry to their collaboratively with program staff and other support departments to address and mitigate identified areas of the completion of regulatory mandated projects and supports the use of regulatory systems organizing training activities as trainings to staff around compliance needs regulations and issues including facilitation of the Compliance piece of the in the agency wide accreditation preparation process and actual an environment that fosters team member engagement equity inclusion and belonging. Establishes clear objectives tied to department and/or organizational strategic duties as FUNCTIONS MAY INCLUDE:Special projects as assigned by agency COMPETENCIES for the position include:Strong ability to independently research read and accurately interpret complex regulatory materials such as state and federal regulations and guidance memos and apply the information to auditing skills. Demonstrate and model effective engagement skills in all areas of verbal and written communication skills; relative to implementation and interpretation policy and procedures within the corporate compliance arenaStrong analytical skills to determine citation trends within potential risksAble to operate in a fast-paced work environment while effectively handling multiple and varied tasks with a clear focus on detail productivity and quality to maintain quality performance while working autonomously and collaboratively with both internal and external / TRAINING REQUIRED (List all that is required to achieve this position):BA/BS required. MS/MA/MBA/MPA/LCSW/LMSW in related fields (i.e. Behavioral Health CASAC Public Health Public Administration Social Work)Experience with state regulators including but not limited to OCFS OMH OPWDD OMIG OASAS DOHMH NYS DOH and year auditing experience interpersonal and verbal communication skills ability to engage staff at all levels of management and organizational skill along with an ability to work independently is in a not-for-profit or social service experience in interpretation of regulation and/or policy development and implementation organizational time management written and verbal communication analytical and problem-solving to attend agency meetings held during business in Lean Six Sigma SKILLS REQUIRED (List the computer skills needed):Knowledge of personal computers standard software and database proficiency in Microsoft Office to quickly adapt to agency computer SKILLS:Ability to articulate the agencys philosophy mission and goals to a varied to interview a variety of managers employees consumers and their to write reports business correspondence and procedures for a wide to lead ad-hoc task forces and meetings which may include all levels of management and to respond to inquiries or complaints including those of a sensitive and confidential nature from any of the following if applicable under a variety of circumstances including adversarial situations: consumers managers employees regulatory agencies arbitrators union representatives vendors or to effectively present information to consumers top management and staff in verbal and written to recognize the need for confidentiality of information and to maintain such ENVIRONMENT / PHYSICAL EFFORTNoise level is consistent with levels usually present in an office education rehabilitation industrial workshop or health related present are consistent with those common to an office education rehabilitation industrial workshop or health related AND MANUAL DEXIERITY:The candidate should be able to read documents for analytical purposes such as computer information software computer graphic design programs applications of manual dexterity and hand-eye coordination.

Required Experience:

Junior IC