Compliance Specialist jobs in Poughkeepsie, NY

Description

Independent Living, Inc. is a consumer-directed, cross-disability advocacy and service organization dedicated to enhancing the quality of life for individuals living in the Hudson Valley region and we seek to hire a Compliance Specialist to oversee compliance issues and concerns within the organization. We’re looking for some with a bachelor’s degree in business, Human Services or related field, has experience with electronic health records (required) and Foothold Awards and/or Medisked systems (preferred).

DUTIES AND RESPONSIBILITIES:

• Oversees the agency’s Compliance Program, providing an objective review and evaluation of compliance issues and concerns within the organization.
• Responsible for monitoring and updating all required corporate documents for Independent Living, Inc., Independent Home Care, Inc. and IL Strategy Group with support and guidance from administrative team.
• Responsible for timely submission of all regulatory documents and keeping informed of new requirements as it relates to the agency’s compliance needs.
• Will monitor and approve all required compliance documentation and follow-up related to vouchers, in a timely and accurate manner.
• Monitors strict compliance with organizational rules and regulations in relation to oversight agency requirements and ensures that that policies and regulations are being followed.
• Provides oversight of Business Associate’s Agreements 
• Verifies compliance with Social Services Law, Deficit Reduction Act and Not for Profit Revitalization Act as outlined in existing tools and templates.
• Develops, implements and maintains policies and procedures for the general operation of the Compliance program and its related activities to prevent illegal, unethical, or improper conduct. Oversees day-to-day operation of the Program.
• Develops, reviews and updates Standards of Conduct (as defined in the corporate compliance plan) to ensure they are current/relevant and serve as an effective guide for management and employees.
• Collaborates with other departments (e.g., Program, Fiscal, Human Resources, etc.) to direct compliance issues to appropriate existing channels for investigation and resolution.  
• Oversees Risk Assessment, Corporate Compliance and Incident Review reporting processes.
• Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating, recommending and/or initiating an investigation.  
• Monitors, and as necessary, coordinates compliance activities of program/departments to remain abreast of the status of all compliance activities and to identify trends. Including but not limited to conducting internal audits as well as being the lead for the agency for any external audits. 
• Identifies potential areas of compliance vulnerability and risk; develops and implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
• Provides reports monthly (including a summary of activities advancing corporate compliance at ILI and IHC), and as directed or requested, keeps the Corporate Compliance Committee and management staff informed of the operation and progress of compliance efforts.
• Works with the appropriate administrative staff to develop effective compliance and HIPAA training programs. Conducts corporate compliance and HIPAA introductory training for new hires (within 30 days of employment) and ongoing training (at least annually) for all employees.
• Develops and performs regularly scheduled internal reviews of program records and billing information. 
• Collaborates and assists with creating auditing protocols with appropriate departments. Performs periodic internal reviews of each department on a quarterly basis at minimum but more frequently for billable programs. Creates annual review calendar outlining the internal review plan in conjunction with the Executive Assistant and Program Managers.
• Manages the excluded provider background checks for each new hire within first 2 weeks of hire and the entire organization monthly. 
• Develops expert knowledge of ILI’s electronic health records: Foothold Awards and Medisked Connect. Conducts audits of records in both systems. 
• Responds to requested Foothold requests, changes, and enhancements in real time. 
• Becomes fully knowledgeable of government funding expectations for documentation and related billing requirements.
• Maintains confidentiality of all work-related information.
• Acts in a manner consistent with the Independent Living Philosophy.
• Accepts and follows through on all other duties as assigned.
• The above list of responsibilities is not intended to be all inclusive, other responsibilities and/or training may be assigned or required.

SCHEDULE: Monday through Friday 9am-5pm

PAY RATE: $21.00/hr - $22.00/hr

BENEFITS:

• 401(k)
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Flexible Spending Account (FSA)
• Paid time off
• Paid holidays from the first day of employment

Requirements

• Five years of non-profit disability industry experience. 
• Experience working in a compliance program. 
• Experience with electronic health records, strongly preferred. 
• Experience with Foothold Awards and/or Medisked, preferred. 
• Bachelor’s degree in business, Human Services or related field. 
• Knowledge of ACCES-VR, 504, ADA, NYSCB, OMH, OPWDD, and Social Security Programs, Work incentives, Entitlement Programs, supportive employment, Federal/State/Local services, laws and systems related to individuals with disabilities.
• Familiarity with rules and regulations of regulatory agencies desired. 
• Honesty, respect for diversity, high personal standards, language and behaviors reflecting such values and the Independent Living philosophy. 
• Excellent written and verbal presentation skills.
• Proficiency with Microsoft Office, including Word, Excel and PowerPoint. Collaboration, innovation, team participation, flexibility, responsiveness to working with a diverse population, public speaking.