• Medical, Dental, Vision, Life Insurance and Long-Term Disability
• Health Savings Account and Flexible Spending Account
• Generous PTO, paid sick time, 15 days of paid vacations, 13 days of paid holidays, plus a personal holiday
• CCS/CHS 403(b) Employee Saving Plan
• Employee assistance program

• Take lead responsibilities, along behavioral health leadership, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations. This includes taking lead responsibilities to train and implement office strategies and provide ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse.
• Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews.
• Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately.
• Participate in county, state and federal data integrity audits and reviews.

• Directly supervise 1-2 Operations Assistant staff and 1-3 Billing Specialist staff.
• Ensure that Quality Assurance expectations and Quality Improvement projects match with CCSKC philosophies and best practices.
• Support clinical staff and encounter tracking to ensure WAC, Medicaid and funder compliance for all services entered into EHR.
• Organize data and information into usable formats so that staff receive feedback regarding timeliness of documentation and utilization reviews, ongoing training needs are tracked and compliance with behavioral health contracts and WAC expectations. Provide oversight for tracking of crisis plans, ensuring timely and accurate completion of crisis plans and document entry into clinical record.
• Assist leadership in training staff in various CQI areas that include Medicaid Fraud and Abuse.
• Provide lead support in CCSKC Behavioral Health CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to leadership.
• Participate in regular CCSKC Behavioral Health administrative team meetings.

• Develop and distribute reports to leadership, both routine and ad hoc, including staff activity, client encounter outcome and service reports, and documentation timeliness. These reports are vital to clinical oversight by clinical supervisors and are used to track clinical intensity and service outcomes.
• Ensure client information is accurate at all times, tracking client by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated.
• Work in tandem with clinical staff to review EHR data and outcome reports and provide feedback to Clinical Supervisors on CQI quality of their staff.
• Review data reports provided by funders, such as Patient Health Stratification Reports, Payment Files, and Service Dashboards. Cross reference funder data for accuracy compared with agency data in the EHR.

• Prepare invoices to be submitted to funders to request reimbursement for direct expenses related to staff costs, client assistance, and general program spending. Funders include private contracts, locally funded and federally funded grants.
• Prepare accounts payable requests for accounting to ensure that invoices from various vendors are paid in a timely manner. Allocate costs for expenses to appropriate programs and cost centers based.
• Monthly, reconcile Medicaid payment files to ensure that revenue is appropriately allocated to programs depending on client enrollment.
• Quarterly, review patient health stratification reports and dashboards provided by program funders, working with the clinical and administrative teams to ensure that the data impacting revenue and contract deliverables is accurate.

• Assist site and program leadership with contract and licensing requirements and audits.
• Assist site leadership to prepare for federal, state and county audits and site reviews; participate in audit/site review process, and help prepare responses to corrective actions.
• Oversee file auditing, and maintain open and closed files. Conduct content checks and work with clinical staff to maintain current documentation for files.
• Facilitate and organize internal administrative and peer chart reviews: run reports to randomly select charts for review, assign reviews to staff, compile results and prepare a summary to leadership teams with an emphasis on strengths and areas for improvement.
• Participate in the development and maintenance of clinical and administrative forms, as well as instructions and standards for their completion.
• Actively assist direct service staff to accurately complete charting requirements and keep their charts updated. Create and maintain tracking lists for required elements and timelines, e.g., monthly services or Engagement & Outreach activities, annual re-authorizations, treatment plan updates, minority consultations, Less Restrictive Order monthly and 90-day reviews, etc.
• Review charts for completeness and quality utilizing structured protocols.
• Provide technical assistance and training to individual staff about documentation requirements, charting, and policies and procedures by CCS.

• Responsible for providing site leadership with checklists and necessary supports for office compliance with fire codes and ADA requirements.
• Responsible for reviewing, updating, and distributing the Disaster Preparedness and Response Plans and provide updates to funders or review entities as requested.
• Participate in appropriate Safety Committees and relay concerns to teams to make sure all hazardous situations are taken care of ASAP.
• Trouble-shoot building problems on an as-needed basis.
• Facilitate file storage and coordinate access to archived records with the CCSKC Records Custodian when needed.
• Responsible for upholding a culture of privacy and security in highly confidential work environment (HIPAA covered entity service area).
• Complies with all CCSWW policies and procedures that involve access to and safeguarding of client Protected Health Information (all forms).
• Holds leadership role in creating a culture of privacy and security of Protected Health Information in HIPAA Covered Entity service area, including education of staff about their responsibilities for safeguarding privacy and security.

• Operations Assistant : 1-2
• Billing Specialist: 1-3

• Able to hear telephone rings, phone conversation, doorbells, emergency alarms and face-to-face conversation.
• Able to speak clearly in person and on the telephone.
• Able to hand write legibly.
• Vision that enables person to read normal size print and handwritten notes; and distance and peripheral vision than enables person to monitor large space and identify concerns that require staff response.
• Mobility/dexterity of hands/arms to enable keying into locked areas as well as using a computer and other office equipment.
• Able to sit for sustained periods of time.
• Able to walk the entire building and ascend and descend stairs quickly to move from one floor to another in order to respond to emergency situations.
• Ability to lift, move and/or carry up to 40 pounds.
• Able to make independent decisions and apply sound judgment in performing job duties.

• Bachelor’s Degree in Social Services or related field, or can be substituted with adequate years of experience in the field.
• Knowledge and competency of Behavioral Health CQI processes, Medicaid standards, and clinical requirements for clinical chart documentation.
• One or more years of administrative experience or experience in quality assurance activities.
• Knowledge of contemporary office software including Microsoft products: Word, Excel, Outlook and Access (or similar).
• Ability to demonstrate accurate efficient data entry.
• Ability to support, motivate and assist staff in completion of quality assurance activities.
• Excellent organization skills with the ability to work in a very busy/diverse environment.
• Excellent interpersonal and organizational skills with the ability to communicate respectfully with families and professionals.
• Excellent written and oral communication skills.
• Must have reliable transportation, valid driver’s license, and automobile insurance.
• Must have an acceptable driving record per CCS’ driving policy, (required to provide current driving abstract).
• Proof of negative TB test within past 12 months or ability or test within first six months of employment.
• Applicant must successfully pass required background checks prior to an offer of employment.
• Ability to work both independently and as a member of a team.
• Support and uphold the mission, beliefs and values of Catholic Community Services and Catholic Housing Services.
• Demonstrates the necessary attitudes, knowledge and skills to deliver culturally competent services and work effectively in multi-cultural situations.

Preferred Qualifications

• Knowledge of quality improvement theory, principles and practice approaches.
• Experience working in a private non-profit system.
• Two years or more experience in social services.
• Experience working as a member of a team.
• Ability to work with a diverse spectrum of people.