Quality Compliance Coordinator

Company Summary

If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include company matching 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.

Job Summary

Oversee regular analysis of patient records, and all Sunrise House programs from discharge to archiving. Works closely with Quality Assurance manager and Clinical Director in monitoring compliance to internal and external licensing standards.  Audits paperwork and charts for missing information on a daily basis.  Monitors EMR system for missing documents or notes.  Responsible for implementing compliance systems developed by Quality Assurance Manager, CEO, Clinical Director, and COO.  Communicates with Clinical oversight regularly.  Knowledge of CARF, State Licensing Standards, Payer Utilization Review guidelines and maintenance and continued development of the company P&P.

Duties and Responsibilities:

• General knowledge in all health care codes and regulations including, but not limited to state licensing requirements, Joint Commission on Accreditation Standards, and CARF standards.
• Reviews, logs and executes requested medical records per standards.
• Assist QA Manager is direct correspondence to state, federal, accreditation and contracted agencies.
• Review outgoing correspondence from record requests to assurance appropriate and adequate authorization is made.
• Complete and analyze Quality Assurance audits as required.
• Maintains confidentiality and security of all patient files.
• Assist in the continued development of the Quality/Compliance Department
• Excellent organizational skills and excellent communication, both written and verbal (i.e., proposals, project information, and other recommendations).
• Assist in preparation of quality assurance reports and analyses.
• Must be flexible and manage change easily with the ability to work positively within a continually changing environment.
• Requires strong customer service orientation.
• Proven analytical and problem-solving abilities. Ability to effectively prioritize and execute tasks in a high pressure environment.
• Ability to communicate effectively, by phone and in writing.
• Assisting management in the reporting of daily, weekly and monthly trending reports.
• Assisting in coverage in the admissions and business office
• Assist Human Resources Department with personnel-related items
• Other duties as assigned.
• Management ONLY Essential Job Duties and Responsibilities
• (please mark N/A if not applicable)
• Monitors adherence to company and department policies, procedures and practices
• Creates and supports a positive, professional, team-oriented, harassment free work environment by understanding and complying with the company’s policies
• Other Job Duties – As Assigned

Education/ Experience:

• Bachelor’s degree in Business or Healthcare Administration, law, or finance, or relevant field of education.
• Minimum 2 years experience within a healthcare, quality, compliance, risk management or operational oversight role.
• General knowledge of treatment industry standards, healthcare operations and general licensing standards and techniques.
• Experience with working in a virtual environment, HER, analytics systems
• Excellent communication skills.
• Chemical Dependency counseling and/or educator certification is a plus.
• Ability to read and interpret written information; write clearly and informatively; edits work for spelling and grammar. Ability to speak clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; and participates in meetings.
• Proficient knowledge of Microsoft Word, Excel, Outlook, Powerpoint and 365 products.

Physical Requirements

AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws

• Prolonged sitting at a desk
• Must be able to lift 15 pounds at a time

American Addiction Centers is an equal opportunity employer.  American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.