Who is Bridging Access to Care, Inc.: Bridging Access To Care, Inc. (BAC) is a nonprofit, multi-service, community-based behavioral healthcare organization committed to building healthy communities, one person at a time.

In 2012, Brooklyn Aids Task Force changed its name to BAC and successfully made the transition from an AIDS-centered organization to a multi-service community-based healthcare organization. Brooklyn Aids Task Force was the very first HIV/AIDS organization in Brooklyn to prioritize serving persons living with HIV/AIDS (PLWHA) since 1986. Today, BAC provides mental health and substance use-related social services, comprehensive HIV/AIDS care, and coordinated health care and supportive services to under-served racial and ethnic minority communities in Brooklyn and other parts of New York City.

Bridging Access to Care, Inc. offers a competitive salary package, including health insurance, retirement plan, paid time off, and opportunities for professional development.

JOB SUMMARY:

Bridging Access to Care, Inc. (BAC) is seeking a qualified Healthcare Compliance Coordinator to support agency-wide Compliance, HIPAA Privacy, Security, and Confidentiality program operations, including investigations, training, audits, and workplan activities. The Healthcare Compliance Coordinator will ensure that our healthcare facility operates in compliance with all applicable laws, regulations, and industry standards. Responsibilities include developing and implementing policies and procedures to promote adherence to compliance requirements, conducting audits and risk assessments, and providing guidance and training to staff members. This role also entails aligning policies and procedures with regulatory standards, conducting chart reviews, and monitoring quality to ensure program operations comply with government and funder regulations. Reporting to the Director of Healthcare Informatics, the Compliance Coordinator manages and reviews all policies and procedures to match against regulations and standards, monitors program compliance, and conducts internal audits.

Amount of travel and any other special conditions: Hybrid – May be able to work remotely based on a remote work arrangement.

DUTIES AND RESPONSIBILITIES:

• Assist in the development of departmental policies and procedures and agency-wide policy and procedures as needed to ensure alignment with regulatory requirements and industry best practices.
• Support the process of updating policies, procedures, and guidance, ensuring accuracy and relevance. Ensure final documents are stored in the designated electronic database.
• Conduct OMIG self-audits and conducts audits as assigned within the compliance audit work plan, this may include chart audits, billing audits assessing the accuracy of CPT codes, diagnoses, and modifier assignments and service documentation. May also conduct random and spot audits as needed.
• Assist in completing timely utilization review (UR) of client documentation for medical necessity admission and continuing stay, and discharge reasons;
• Monitor to identify patterns, trends, and variances during and from audits.
• Assist in the development and modification of audit tools based on changing regulations.
• Assist in internal audits relating to Human Resources, Operations and other administrative functions.
• Actively participate in various compliance committees, subcommittees, and workgroups as Co-Chair or Member. This may include the Compliance Sub-committee for Policy and Procedures, the Compliance Sub-committee for Risk management and others as assigned.
• Assist in conducting HIPAA privacy and security investigations in response to all reports or alerts of suspected or known privacy violations, ensure all appropriate corrective actions are implemented, and track incidents and breaches.
• Assist in conducting chart audits for consents, and disclosures; support the completion of a risk assessment for all impermissible access, use, and disclosures involving unsecured protected health information (PHI) for breach determination.
• Must maintain confidentiality of information, including Protected Health Information (PHI), as required by HIPAA and agency policy.
• Prepare written reports of findings and recommendations for corrective action, monitors, and manages the completion of corrective action plans.
• Assist with the development of education and training materials and the provision of education and training to staff on compliance matters including Fraud, Waste, Abuse and HIPAA Privacy, Security and Confidentiality.
• Identify risk areas and monitor and update the agency’s risk management log.
• Support the annual Privacy and Security Risk Assessment and complete the annual OMIG compliance program assessment process.
• Track and Monitor completion of vendor annual compliance and HIPAA attestations.
• Monitor and Track attestation of compliance for vendor screening and employee screening.
• Prepare Monthly, Quarterly and Annual reports. Prepare, monitor and update compliance metrics/dashboards periodically.
• Seek ongoing training and development to gain additional expertise in fulfilling the elements of an effective Fraud, Waste, Abuse Compliance program and Privacy Security and Confidentiality program.
• Perform other duties as assigned including participation in special projects based on BAC's needs.

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong experience in Microsoft Office tools (Outlook, Excel, PowerPoint, Teams, Word) required.
• Experience performing audits and developing corrective action plans.
• Ability to work independently, possess strong communication, analysis and critical thinking skills.
• Strong organizational skills and ability to prioritize critical items.

EDUCATION:

• MINIMUM: Master’s degree in public health, Healthcare Informatics, Health Administration, Business Administration, Social Work or other relevant discipline.

WORK EXPEREINCE:

• MINIMUM: Three (3) years in Healthcare Compliance.

Job Type: Full-time

Pay: $70,000.00 - $75,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience level:

• 3 years

Schedule:

• Monday to Friday

Education:

• Master's (Required)

Experience:

• healthcare compliance or a related field?: 3 years (Required)
• Investigations, and training to healthcare compliance?: 1 year (Preferred)
• conducting audits and risk assessments: 1 year (Preferred)

Ability to Commute:

• Brooklyn, NY (Required)

Ability to Relocate:

• Brooklyn, NY: Relocate before starting work (Required)

Work Location: In person