Compliance Specialist

The Compliance Specialist is responsible for overseeing regulatory compliance, quality assurance, documentation integrity, and internal systems in alignment with NC Medicaid, DHHS, MCO requirements, HIPAA, CARF standards, and internal policies.

Requirements

• Maintain and update organizational forms to ensure current and compliant versions are in use.
• Sign Individual Support Plans in accordance with regulatory and organizational requirements.
• Ensure NCTracks provider information is accurate and updated as required.
• Monitor incident reporting training and compliance for new employees.
• Supervise the Medical Records Coordinator to ensure compliance, organization, and readiness for audits or reviews.
• Collaborate with CQO and leadership on the creation, revision, and maintenance of organizational policies, procedures, and program handbooks.
• Participate in and support Quarterly Chart Audits alongside the Quality Management team.
• Attend and actively participate in Human Rights Committee meetings.
• Support ongoing quality improvement initiatives related to compliance findings.
• Work across teams to track admissions, discharges, and related service data.
• Maintain accurate and up-to-date compliance, intake, discharge, and quality-related spreadsheets.
• Ensure data integrity and timely reporting for internal and external compliance needs.
• Review and circulate critical communications received from Managed Care Organizations (MCOs).
• Train new employees on Incident Reporting (IR) processes, compliance expectations, and documentation standards.
• Serve as a compliance resource for staff, providing guidance and clarification on policies, procedures, and regulatory requirements.

Benefits

• Health Insurance
• Paid Time Off
• Retirement Plan
• Tuition Reimbursement