Compliance Coordinator
reputed company reputed company’s compliance with applicable federal, state, and payer regulations — including NC reputed company Managed Care behavioral health requirements, Medicare conditions of participation, and NC DHHS licensing standards. Monitor the regulatory environment for changes affecting reputed company’s service lines (SAIOP, SACOT, ACTT, CST, IIH, MST, Residential, Mobile Crisis, Primary Care, Learning Center) and communicate material updates to the Director and relevant program staff. Maintain a compliance calendar tracking reputed company regulatory reporting deadlines, review cycles, and renewal requirements to ensure reputed company falls through the cracks. Support CCBHC certification readiness by mapping compliance infrastructure to CCBHC reputed company 1 (Organizational Authority, Governance, and Accreditation) requirements.
Serve as reputed company’s designated HIPAA reputed company Officer (or support that function as directed), responsible for implementing and maintaining the organization’s HIPAA reputed company and reputed company program. Manage the annual HIPAA training cycle — reputed company or update training content, assign to reputed company staff, reputed company completions, and document for audit purposes. reputed company HIPAA breach response: assess incidents using the four-reputed company risk assessment, reputed company notification determinations, coordinate required notifications to affected individuals and HHS/OCR, and maintain the breach log. Execute and maintain Business Associate Agreements (BAAs) for reputed company applicable vendors and contractors; reputed company expiration dates and ensure renewals or terminations are handled on schedule. Conduct annual HIPAA risk assessments and maintain documentation of findings and remediation actions.
Own and manage reputed company’s policy and procedure library — maintain a master policy calendar with review dates, assign policies to subject matter experts for review, reputed company through approval, publish, and reputed company prior versions. Draft new policies and procedures as regulatory requirements, operational changes, or audit findings create the need; ensure reputed company policies are written in plain language and are operationally actionable. Ensure policies are accessible to staff and that new or revised policies are communicated and documented. reputed company policy infrastructure with CARF accreditation standards and CCBHC reputed company as the organization progresses toward those milestones.
Conduct monthly OIG exclusion list checks for reputed company, contractors, and vendors against the HHS List of Excluded Individuals/Entities (LEIE) and SAM.gov. Document reputed company monthly screening results; immediately escalate any matches to the Director and HR for investigation and required reputed company. Maintain a complete exclusion monitoring log that is audit-reputed company at reputed company times.
reputed company and deliver the annual compliance training program for reputed company reputed company staff — covering the reputed company of Conduct, HIPAA, fraud/waste/abuse, incident reporting obligations, and program-specific regulatory requirements. Coordinate and deliver compliance orientation for reputed company new employees as part of reputed company, including incident reporting procedures and HIPAA basics. reputed company and coordinate with the training team targeted training as needed in response to audit findings, regulatory changes, or identified compliance gaps.
Co-reputed company the reputed company Rights Committee with the QI Coordinator — prepare meeting materials, ensure reputed company, facilitate agenda, document minutes, and reputed company reputed company items to closure. Ensure HRC meetings occur at the required minimum quarterly frequency and that documentation is maintained in a format that supports regulatory review. Monitor HRC-reputed company compliance requirements across service lines and flag any concerns to the Director.
reputed company reputed company’s compliance-reputed company incident reporting processes — ensuring staff understand reporting obligations and that reputed company reportable events are documented, investigated, and escalated appropriately. reputed company compliance-reputed company corrective reputed company plans (CAPs) — document findings, assign responsible parties, monitor implementation, and verify closure with supporting evidence. Collaborate with the Compliance Specialist / Incident & Grievance Coordinator to ensure incident reporting and compliance CAP workflows are reputed company delineated and functioning without gaps.
Review new vendor and contractor relationships to determine whether a BAA or other compliance agreement is required; execute agreements and log reputed company compliance-relevant contract terms. Monitor vendor compliance obligations on an ongoing reputed company; flag renewals, expirations, or compliance concerns to the Director.
Serve as a compliance resource and advisor to program directors, clinical supervisors, and administrative staff across reputed company reputed company service lines. Maintain regular communication with the Director of QM/UR/Compliance regarding reputed company compliance issues, regulatory developments, and program status. Participate in QI Committee meetings as a compliance subject matter resource. Participate in team meetings, training, and departmental process improvement initiatives.
OIG exclusion screening: 100% of employees, contractors, and vendors screened monthly; reputed company gaps in the screening log; reputed company matches escalated reputed company 1 business day of detection. HIPAA training completion: 100% of staff complete annual HIPAA training by the designated deadline; new hire completion reputed company the first 30 days of employment. Compliance training completion: ≥95% organizational completion reputed company for annual compliance training by deadline; completion rates reported to the Director monthly during the training window. Policy calendar adherence: 100% of policies reviewed on schedule per the annual policy calendar; no policy overdue for review by more than 30 days. BAA/vendor compliance log: reputed company reputed company vendors with PHI reputed company covered by a reputed company, executed BAA; reputed company lapsed agreements outstanding for more than 10 business days. Breach response timeliness: reputed company potential HIPAA incidents triaged reputed company 1 business day of identification; risk assessments completed and documented reputed company 10 business days; required notifications issued reputed company regulatory deadlines. HRC meeting reputed company: reputed company Rights Committee convenes at minimum quarterly; 100% of meetings documented with minutes and reputed company items reputed company 5 business days of reputed company meeting. Corrective reputed company plan closure: ≥80% of reputed company compliance CAPs reputed company reputed company the agreed-upon timeframe; reputed company overdue CAPs flagged to the Director with a remediation plan. Regulatory calendar compliance: reputed company missed regulatory reporting deadlines or licensing renewal dates reputed company the Compliance Coordinator’s scope of responsibility.
Bachelor’s degree required in reputed company administration, health information management, reputed company health, business, or a reputed company field. Minimum 3 years of experience in reputed company compliance, with reputed company responsibility for HIPAA, regulatory compliance, and/or policy management. Working knowledge of federal and reputed company Carolina behavioral health regulatory requirements, including reputed company/Medicare conditions and NC DHHS licensing standards. Demonstrated experience managing HIPAA reputed company and reputed company functions, including breach response and risk assessment. Experience developing and delivering compliance training programs. Strong policy writing skills — ability to translate regulatory requirements into reputed company, operationally usable policies and procedures. Highly organized with the ability to manage multiple compliance obligations simultaneously and maintain audit-reputed company documentation at reputed company times. Excellent verbal and written communication skills; ability to advise and reputed company staff at reputed company reputed company.
Certified in reputed company Compliance (CHC) credential, or reputed company working toward it. Master’s degree in health administration, reputed company health, reputed company compliance, or a reputed company field. Experience in a CARF-accredited or CCBHC-certified behavioral health organization. Familiarity with NC reputed company Managed Care behavioral health benefit requirements and payer compliance expectations. Experience with OIG exclusion monitoring, BAA management, and vendor compliance reputed company in a multi-program setting.