Clinical Compliance Coordinator at North… · Columbus

Essential Functions

• Conduct clinical chart reviews, compliance spot checks, and peer reviews of DAs, DAUs, treatment plans, progress notes, and other documentation to ensure quality, medical necessity, and regulatory compliance.

• Identify documentation deficiencies, recommend corrective actions, and provide staff coaching and training on clinical compliance expectations.

• Coordinate agency Quality Improvement (QI) activities, monitor performance indicators, analyze trends, and identify opportunities for improvement.

• Oversee ADAMH outcome measures (BAM, OQ), staff training, and ADAMH, NCCC client satisfaction, and referral source surveys.

• Prepare quarterly Quality Improvement Plan (QIP) reports for the Board of Directors, including agency outcomes, performance measures, incident trends, client satisfaction, compliance activities, progress toward goals, and recommendations.

• Monitor regulatory changes and coordinate updates to agency policies and procedures to maintain compliance with applicable laws, Medicaid, ADAMH, CARF, and other requirements.

• Coordinate Ohio Department of Behavioral Health (DBH/OhioMHAS) licensing and renewals, including Terminal Distributor of Dangerous Drugs (TDDD) renewals and related documentation.

• Coordinate ongoing CARF accreditation readiness, annual survey preparation, compliance reviews, and corrective actions.

• Participate in Corporate Compliance Committee meetings and coordinate quarterly compliance training and other required staff education.

• Coordinate monthly Safety Committee meetings, health and safety activities, site and residential house self-inspections, and related corrective actions.

• Monitor incident reporting, required follow-up communications, regulatory compliance, and trend analysis; identify risks and recommend improvements.

• Lead internal investigations involving compliance, documentation, policy violations, privacy, and quality-of-care concerns, including interviews, record reviews, findings, and recommendations.

• Coordinate the annual review, evaluation, and updating of agency plans with department leadership, ensuring regulatory and CARF compliance, appropriate approvals, and documentation. Plans include: Disaster Preparedness and Emergency Response, Quality Improvement, Information Technology, Professional Services, Cultural Competency and Diversity, Accessibility, Corporate Compliance. Risk Management, Personnel.

• Support HIPAA Privacy compliance, including staff education, communication, privacy concerns, and appropriate follow-up.

• Review subpoenas and legal records requests and coordinate records releases in accordance with applicable laws and agency policy, consulting leadership or legal counsel as needed.

Limited Direct Clinical Services

• Complete Diagnostic Assessments (DA), Diagnostic Assessment Updates (DAU), annual clinical assessments, and required documentation as needed.

• Provide limited direct clinical services to support operational needs while maintaining applicable clinical and documentation standards.

• Serve as a resource to staff and leadership while maintaining the independence and objectivity necessary to effectively monitor organizational compliance and quality.

Minimum Qualifications

• Current, unrestricted Ohio LISW license required.

• Master's degree in Social Work from an accredited program.

• Experience in behavioral healthcare, community mental health, or a related setting.

• Experience with clinical documentation, chart review, compliance, quality assurance, or quality improvement strongly preferred.

• Knowledge of behavioral health documentation and medical necessity requirements.

• Familiarity with Ohio behavioral health regulations, Medicaid requirements, HIPAA, and professional ethical standards.

• Experience with CARF accreditation standards preferred.

• Strong written, analytical, organizational, and verbal communication skills.

• Ability to interpret regulations, standards, policies, and clinical documentation requirements.

• Ability to objectively investigate concerns and communicate findings professionally.

Knowledge, Skills & Abilities

• The successful candidate will demonstrate:

• Knowledge of clinical documentation, behavioral health service standards, compliance monitoring, quality assurance, and continuous quality improvement practices.

• Understanding of CARF accreditation, Ohio behavioral health licensing and regulations, HIPAA, confidentiality requirements, and applicable laws and policies.

• Ability to conduct chart reviews, audits, peer reviews, compliance spot checks, and objective internal investigations.

• Strong analytical skills to interpret regulations, evaluate data, identify trends, and recommend improvements.

• Excellent organizational skills, attention to detail, and ability to manage multiple compliance, licensing, accreditation, and quality improvement projects.

• Strong communication and interpersonal skills, including the ability to educate, coach, and provide constructive feedback to staff and leadership while maintaining confidentiality.

• Proficiency with electronic health records, Microsoft Office, and other agency information systems.

Salary: $70,000 Annually

Physical Demands & Working Conditions

Work is primarily performed in office, outpatient behavioral health, and residential behavioral health environments. Duties require prolonged periods of sitting, computer use, reviewing electronic and paper records, attending meetings, conducting inspections, and traveling between agency locations as needed. The position routinely handles confidential clinical, personnel, compliance, investigative, and organizational information.

Acknowledgment

This job description is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, qualifications, or activities associated with the position. Responsibilities may be modified, expanded, or reassigned based on regulatory changes, accreditation requirements, organizational priorities, and operational needs.

Licenses & Certifications

Required

• LISW

Equal Opportunity Employer
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