Work In Texas Jobs

Primary Duties and Responsibilities

• Manages and coordinates, with assistance, key components of the Compliance Program that are designed to meet the requirements or recommendations of Federal and State regulatory agencies.
• Supports the field compliance team in managing the day-to-day operations of the enterprise-wide Compliance Program, including assisting with the documentation needed to accompany state licensure applications and the voluntary accreditation process.
• Creates reports for Compliance meetings.
• Develops and maintains critical organizational systems designed to meet deadlines issued by regulatory bodies, organizes key policies and procedures and responds to escalated medical record requests.
• Interfaces with client satisfaction survey vendor and Marketing department to develop reports to be used in Performance Improvement initiatives throughout the organization.
• Sort, alphabetize and scan client documents accurately in client electronic medical records.
• Review medical records for completeness, assemble records into standard order, and file records in designated areas according to applicable alphabetic and numeric filing systems.
• Review files and documents in clients' electronic medical charts for accuracy.
• Respond to requests for information from files according to established policies and procedures.
• Maintain alphabetic filing system by organizing client records on shelves to ensure records are readily accessible by all departments.
• Respond to inquiries from Clinical staff pertaining to medical records. Comply with federal HIPAA regulations and practice policies for the privacy and security of client information; explain the law and our privacy policy to clients as needed; maintain appropriate documentation of access to medical records.

Knowledge, Skills, and Abilities

• Thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
• Knowledge of basic data processing procedures.
• Knowledge of medical record keeping principles and practices and electronic medical records preferred.
• Knowledge of medical terminology, standard nomenclature and classification of diagnoses and operations preferred.
• Strong verbal and written communication skills.
• Advanced Excel skills including pivot tables and formulas.
• Ability to create and maintain policy and procedure documentation.

Qualifications and Requirements

Education/Licensing:

• BS, BSN, or MA preferred.
• Must meet pre-employment and maintain all applicable state and job-related guidelines for background screening, fingerprinting, drug testing, health screening, DMV, Insurance, CPR/Basic First Aid and license/credential verifications.

Experience:

• Minimum of five (5) years of work experience in a compliance or quality assurance role.
• Minimum 6 months medical records experience preferred.
• Experience handling sensitive information with complete confidentiality.
• Experience maintaining policy and procedure documentation.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled