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About the Role

This role involves ensuring compliance with corporate policies and regulations, conducting audits, and providing training to staff within an organization serving individuals with developmental disabilities. The position requires a strong understanding of OPWDD regulations and the ability to handle sensitive information.

Responsibilities

Enforce ILA’s Corporate Compliance Plan as per OMIG regulations.
Conduct monthly billing audits of all ILA programs, including Residential Habilitation, Day Habilitation, and ICF programs.
Coordinate ongoing monitoring of coding accuracy and documentation adequacy to identify systemic and process problems.
Provide audit results to the Compliance Officer for corrective measures and file all audit results electronically.
Distribute and collect annual Code of Conduct Attestation forms and manage their documentation and storage.
Ensure annual ILA Corporate Compliance Training is conducted with all employees and maintain training documentation.
Participate in ongoing training to enhance job-specific skills.
Provide feedback on auditing and monitoring activities to relevant department personnel.
Initiate corrective action plans with responsible staff to resolve identified problem areas.
Review ILA programs and documentation on-site in preparation for OPWDD certification visits, focusing on financial ledgers, Community Inclusion documentation, Fire Safety materials, and Physical plant checklist.
Provide immediate feedback to staff on discovered issues during on-site reviews.
Conduct on-site staff training as required.
Complete written reports on on-site findings in conjunction with the QA specialist.
Report non-compliance issues detected through on-site auditing and monitoring to the QA Director/Compliance Officer.
Recommend in writing to Human Resources any employee-related activities contrary to ILA operating procedures for possible disciplinary action.
Serve as a resource for ILA Program Staff and Clinicians regarding documentation standards.
Serve on the Corporate Compliance Committee, Safety Committee, and Code Rule 59 committee.
Disseminate Compliance and in-house audit information to Executives, Program Administrators, and the Corporate Compliance Committee.
Train staff on Corporate Compliance principles during agency orientation.
Actively seek up-to-date material and releases regarding regulatory compliance and Corporate Compliance.
Attend meetings and/or trainings to enhance work performance skills.
Perform other duties as requested by the Director of Quality Assurance/Corporate Compliance Officer.

Requirements

Bachelor’s Degree B.A. degree in Human Services.
3-5 years OPWDD experience required.
Knowledge of OPWDD regulations required.
Excellent written communication skills and reasoning ability.
Proficiency in Word, Excel and PowerPoint.
Travel required within the boroughs.
Duties require appropriate handling of confidential information and materials.
NYS Driver’s license required.

Skills

Corporate Compliance
Auditing
Billing Audits
Coding Accuracy
Documentation Adequacy
Corrective Action Plans
On-site Reviews
Staff Training
Written Communication
Reasoning Ability
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Confidential Information Handling

Location

Within the boroughs

Work Type

Onsite

Experience Level

3-5 years

Education Level

Bachelor's Degree

About the Company

Our organization serves individuals who are developmentally disabled.