Job description

The Clinic Compliance Supervisor will report directly to the Director of Compliance & Ethics and will provide PHC Article 16 and 28 clinics with ongoing compliance support.

Duties and Responsibilities:

- Knowledge of state and federal regulations as they relate to the documentation and billing of clinic services provided.

- Completion of compliance incident reports and investigations for clinics

- Effectively present information and respond to questions both from internal and external sources

- Analyze and interpret government standards, laws and regulations.

- Assist PHC management with development of compliance related policies and procedures.

- Assist with General Compliance Training, documentation, communications and implementation as needed.

- Develop and update compliance training materials. - Develop tools and checklists for reviews and compliance audits performed for the clinic

- Works in collaboration Coder and with other departments.

- Perform general Compliance audits of article 16 and 28 clinics

- Produce written reports of audits conducted.

- Attend IAC clinic meetings

- Participate in external audits of the clinic

- Supports the Premier (PHC) Article 28 clinic with a variety of initiatives:

o Collaborate and work weekly with PHC’s clinical team to review compliance with all PHC initiatives which include the following: MIPS, Meaningful Use; HEDIS

o Collaboratively work with the PHC team to ensure quarterly and annual certifications are being made

o Work with fiscal to ensure all metrics are available in order to bill initiative payments and all providers that meet criteria are being captured for payment

Requirements: - 3 years’ experience in Compliance preferred.

- BA or BS degree. - 1-2 years Project Management experience, Provider Initiatives preferred (e.g., MU, MACRA, etc.).

- 1-year ID/DD or related social service experience preferred.

- CHC certification or equivalent is preferred.

- Excellent written and verbal communication skills.

- Strong commitment and passion for the organization’s mission.

- Unquestionable ethics and integrity and high emotional intelligence.

- Complete ability to maintain the confidentially and security of sensitive information and files. - Functional and technical skills.

- Knowledge of OPWDD, DOH and YAI’s rules and regulations a plus.

- Great use of time management.

- Willingness and ability to travel to the varied neighborhoods of New York City and New York State that YAI clinics service.

- Driver’s license preferred.

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Parental leave
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Application Question(s):

• YAI requires their employees to be fully Vaccinated and boosted. Can you provide YAI with this?

Education:

• Bachelor's (Required)

Experience:

• Compliance management: 3 years (Preferred)
• Knowledge of OPWDD and DOH: 3 years (Required)
• Project management: 2 years (Required)
• ID/DD or related social service: 1 year (Required)

Work Location: In person

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