Highlights Healthcare is seeking a passionate and dedicated Compliance Manager to join our corporate support team. Our team supports our ABA therapy Learning Centers and diagnostic clinicians throughout the southeast.
The Compliance Manager is responsible for conducting session note audit reviews for Behavior Technicians and Behavior Analysts in all locations, performing the duties to assist Compliance as needed. This individual acts as the primary liaison with clinicians, ensuring the timely submission and accurate management of documentation, and maintaining records. The role demands a high level of organizational skills, attention to detail, and the ability to adapt to changing requirements from funding sources. This role requires collaboration with Directors of Operations and Board Certified Behavior Analysts. This role reports to the SVP of Clinical Operations.
Who is Highlights Healthcare?
Highlights Healthcare provides diagnosis and early intervention ABA therapy services to bring meaningful and positive change to children with autism. We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great things, and we are guided by family-centered principles that demonstrate dignity and respect.
Why you should consider a Compliance Manager position with Highlights:
• Competitive pay, commensurate with experience
• Full time employment
• Benefits include Paid Time Off (PTO), Health, Dental, and Vision Insurance, Employee Assistance Program (EAP), Flexible Spending Account (FSA), Health Savings Account (HSA)
• Supportive/collaborative work environment
• Growing company committed to clinical excellence and its mission
Minimum Qualifications/Educational Requirements
- Bachelor’s (preferred)
- Knowledge of CentralReach
Required Knowledge, Skills & Abilities
- Demonstrated skill and experience in identifying fraudulent documentation practices
- Demonstrated ability to multitask with accuracy
- Strong facilitation skills
- Excellent oral and written communication skills
- Demonstrated ability to effectively communicate with colleagues, parents, and staff members
- Previous experience in compliance, healthcare administration, or a related area is preferred.
- Excellent communication and interpersonal skills to effectively interact with all levels of staff and external partners.
- Strong time management skills with a proven ability to meet deadlines.
- Demonstrated analytical and problem-solving abilities.
- Capability to prioritize tasks and delegate when appropriate.
- A commitment to acting with integrity, professionalism, and confidentiality.
Essential Job Functions:
- Conduct session note audits, identify errors, add labels to notes reviewed on CentralReach and update employee note audit trackers.
- Create tasks for employees to correct errors.
- Collaborate with center leadership and trainers to rectify billing note errors.
- Identify isolated errors and reoccurring errors. Communicate isolated errors to Clinical Directors and assist with individual training. Communicate reoccurring errors to the Clinical Training Team to determine if training updates should be made based on those errors.
- Assist compliance team to facilitate training on billing note documentation procedures. Assist with New Protocol and Procedure Creation
- Assists with development and maintenance of departmental operations protocols, policies, and procedures.
- Understands regulatory policies and requirements and helps department maintain compliance.
- Attend and contribute to required meetings as scheduled.
- Serve as the main point of contact with clinicians.
- General Audit Set Up
- Create organization filters to track audit progress, set up audit folders, organize documents by needed feature for further team review.
- Assist in downloading required reports.
- Coordinate with providers for any required updated details.
- Perform other duties as assigned.
WORK ENVIRONMENT:
Must have manual dexterity to perform specific computer and electronic device functions
Must have visual acuity to read and comprehend written communication though computer,
electronic devices, and paper means.
Must be able to maintain prolonged periods of working on a computer while sitting at a desk and attending virtual meetings
PHYSICAL ENVIRONMENT:
Must be able to communicate well with others and work in an open cubicle setting.
Speech clarity, speech recognition and written expression are vital abilities for performing the job.
Must be able to lift and carry up to 25 lbs. with or without assistance.
Highlights Healthcare, LLC is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or Health insurance.
COVID-19 considerations: HHC follows all applicable CDC guidelines.
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