Compliance Auditor I

Brief DescriptionAre you ready to make a real difference in people's lives? Join the Harris Center for Mental Health and IDD as a Compliance Auditor 1. The Compliance Auditor 1 works under general supervision with moderate latitude for the use of initiative and independent judgment. This position provides coordination between the Authority and contracted services programs by conducting a technical review of medical records, billing service codes, contracts, and other documents. The Compliance Auditor 1 is responsible for carrying out programmatic and departmental goals and objectives as stipulated by Texas Administrative Code (TAC), Medicaid Guidelines, Texas Resiliency and Recovery Guidelines, and Quality Practices of the Agency. This position provides center-wider oversight to the Agency divisions related to compliance standards, state and federal guidelines, and contract requirements. Additionally, this position is responsible for preparing and scheduling ongoing audits, collaborating with managers, supervisors, and additional staff regarding compliance regulations. Travel is required.Your Role In Action• Provides center-wide oversight which includes consultation to all program directors, managers, staff, and unit level program monitors.• Conducts inter-rater reviews(review of unit level program monitor’s findings).• Provides training/technical assistance and ongoing consultation to the IDD/MH/CPEP/Forensics Division and• Units (inclusive of managers and staff).• May participate in the hiring process of other program monitor positions as requested.• Performs special tasks, develop new audit tools and revise/update current audit tools to reflect Agency P&P and state/federal guidelines.• Completes reviews as assigned.• Completes technical reviews of records assuring compliance with all applicable guidelines.• Completes reviews of external contractors.• Completes a written report (audit tools), preliminary debriefing reports and final debriefing reports.• Reviews all deficiencies as cited and initiate Plans of Improvement (POI) if needed.• Participates in additional reviews such as adhering to all State requests.• Participates in Focus, Comprehensive, and Authority reviews.• Participates with Agency committees or work groups, if applicable.• Contacts sources to validate information received from case reading, sources, and consumers.• Provides technical assistance to the IDD/MH/CPEP/Forensics Programs on compliance issues, identifies trends or problems, and recommends appropriate changes in service delivery.• Provides input on the development of quality control policies, procedures, and protocols.• Completes operational (site) reviews(IDD/MH)• Participates in investigations as assigned regarding concerns within the Agency.• Completes State Mystery caller reviews• Coordinates and adheres to State Requests and Insurance requests.• Participates in training and meetings to determine areas for compliance.• Completes audits outside of normal business hours as needed.• Follow’s up, logs and tracks compliant calls received in the Department.• Follow’s up, logs and tracks incident’s reports received in the Department.• Facilitates staff in-services on compliance policies, procedures and protocols/review tools.EducationWhat qualifications you will need:• Bachelor’s degree (B.A.) or equivalentExperience• Two (2) years auditing experienceKnowledge, Skills & Abilities• Knowledge of federal program policies and laws, of financial and medical eligibility program policies, and of agency quality control procedures.• Knowledge of Microsoft Word, Excel, Access, Power Point and Outlook.• Knowledge of HIPAA Privacy and Security Rules.• Possess strong verbal and written communication skills, and interact effectively at all levels within the organization.• Ability to interpret policies and procedures, analyze and evaluate quality control case review documentation for accuracy and completeness, to analyze management problems and develop and present alternative solutions.• Works with others in a collaborative manner. Actively participates as a member of the team.• Demonstrates a commitment to and an integration of MHMRA values: Integrity, Accountability, Consumer Orientation, Quality, and Efficiency• Must have well-developed interpersonal, organizational, and problem solving skills, and be a team player with a desire to provide a high level of customer service. Should have excellent written, verbal and communication. Ability to maintain absolute confidentiality of all work-related matters and ability to communicate effectively and tactfully with all levels of the agency.What We Have To OfferThe Harris Center not only offers a competitive salary but also a suite of excellent benefits designed to enrich your life both professionally and personally. Imagine a future with a robust retirement plan complemented by our generous company matching – a testament to our investment in your long-term financial well-being. Experience the unique advantage of our prior service credit, accelerating your journey towards a more substantial Paid Time Off accrual, empowering you to enjoy well-deserved breaks.Enjoy Cell Phone Discounts, exclusive entertainment deals through Tickets at Work, and a free Headspace subscription for mental wellness. Additionally, our Employee Assistance Program supports your overall well-being.Take advantage of significant financial relief through student loan forgiveness as a valued member of The Harris Center team. As a qualifying entity, our employees are eligible for various student loan forgiveness programs, designed to alleviate the financial burdens associated with higher education.What Else You Should Know• This posting is associated with position #1015• This position will be located at 9401 Southwest Fwy. Houston, TX 77074.About UsThe HARRIS CENTER is the state-designated Local Mental Health Authority and Local Intellectual and Developmental Disability (IDD) Authority serving Harris County, Texas. As the largest behavioral and developmental disability care center in Texas, The Harris Center provided care to over 96,000 people in fiscal year 2023!As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The HARRIS CENTER provides a full continuum of services at 86 different sites across Harris County. In addition, services are provided in more than 40 different languages as well as sign language to better serve what is one of the most diverse and multi-cultural communities in the nation.By utilizing the unique expertise of its more than 2,500 employees, The Harris Center is committed to meeting the behavioral health and IDD needs of Harris County residents and giving them hope to live to their fullest potential.