Compliance Specialist bei WILDWOOD PROGRAMS INC

Description

Summary: Plans and conducts activities concerned with the quality assurance of Wildwood Programs services and records by performing the following duties.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Conducts program and fiscal audits as assigned by the Director and Assistant Director.

• Conducts inspection and analysis of required documentation to assure adherence to program and regulatory compliance.(e.g. Individual Service Plans, Habilitation Plans)
• Conducts routine internal billing audits for Medicaid funded services.
• Conducts internal program reviews including but not limited to regulatory audits, POCA verifications, and other program-specific reviews.
• Identifies deficits, errors and breakdowns during Quality Assurance activities and recommends improvements to program administration and the Director/Assistant Director.
• Writes reports of audit activities
• Maintains a working knowledge of regulations and agency quality assurance standards.
• Under the guidance of the Director and Assistant Director conducts incident investigations.
• Assists in providing technical assistance to employees on regulatory compliance.
• Serves as a resource in providing education and training on quality assurance and regulatory compliance.
• Participates as a member of the Quality Assurance Committee and other committees and work groups as assigned.
• Assists Director and Assistant Director with other Quality Assurance activities as needed.
• All supervisors, managers, and employees are all responsible for helping to create a workplace free of recognized hazards, and for acting safely.

Qualifications

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Associate's degree (A. A.) or equivalent from a regionally accredited two-year college or technical school; at least three years related experience and/or training; or equivalent combination of education and experience.

Language Ability:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of stakeholders or employees of the organization.

Math Ability:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Word Processing, Spreadsheet, Internet, and Database software.

Certificates and Licenses:

No certifications needed

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include Close vision, Distance vision, Peripheral vision, Depth perception and Ability to adjust focus.

Additional Requirements:

A valid NYS driver's license, daily access to a vehicle and driving record acceptable to the agency insurance carrier's standards are required.