Regulatory Compliance Auditor

Are you ready to make a real difference in people's lives? Join the Harris Center for Mental Health and IDD as a Regulatory Compliance Auditor. The Regulatory Compliance Auditor provides coordination between the Authority and contracted services programs by technical review of the medical records, billing service codes, contracts and other documents. The Regulatory Compliance Auditor is responsible for carrying out programmatic and departmental goals and objectives as stipulated by Texas Administrative Code (TAC), Medicaid Guidelines, Texas Resiliency and Recovery Guidelines, and Quality Practices of the Agency. This position provides center-wider oversight to the Intellectual Disability Division (IDD) and Mental Health Division (MH), Forensics and CPEP, related to compliance standards, state and federal guidelines, and contract requirements. This position is responsible for planning and scheduling ongoing audits, collaborating with managers, supervisors and additional staff regarding compliance standards. Travel will be required.

Your role in action:

• Provides center-wide oversight which includes consultation with all program directors, managers, staff, and unit level program monitors.
• Conducts inter-rater reviews (review of unit level program monitor’s findings).
• Provides training/technical assistance and ongoing consultation to Agency divisions and units (inclusive of managers and staff).
• May participate in the hiring process for program monitor positions as requested.
• Develops new audit tools and revise/update current audit tools according to Agency P&P and state/federal guidelines.
• Completes technical reviews of records assuring compliance with all applicable guidelines and reviews of external contractors.
• Completes audit summary reports, preliminary debriefing reports and final debriefing reports.
• Reviews all deficiencies as cited and initiates Plans of Improvement (POI) if needed.
• Participates in state requested, focus, comprehensive and authority reviews.
• Participates with Agency committees or work groups, if applicable.
• Contacts sources to validate information received from case reading, sources, and consumers.
• Provides technical assistance to division programs on compliance issues, identifies trends or problems, and recommends appropriate changes in service delivery.
• Provides input on the development of quality control policies, procedures, and protocols.
• Completes operational (site) and State Mystery caller reviews.
• Participates in assigned Agency investigations and in training and meetings to determine areas for compliance.
• Coordinates and adheres to State and Insurance requests.
• Logs and tracks compliant calls and incident reports received in the Department.
• Facilitates staff in-services on compliance policies, procedures, and protocols/review tools.
• Completes assigned reviews and reviews of external contractors.
• Performs other related duties as assigned.

What qualifications you will need:

Education:

• Bachelor’s degree (B.A.) or equivalent.
• Certified in Healthcare Compliance, Certified Compliance and Ethics Professional preferred.

Experience:

• One (1) year of experience reviewing or auditing programs that provide behavioral health services or IDD services required OR Two (2) years of experience working in social service with duties to include documentation and record keeping required; Five (5) years of experience preferred.

Knowledge, Skills & Abilities:

• Knowledge of federal program policies and laws, of financial and medical eligibility program policies, and of agency quality control procedures.
• Knowledge of Microsoft Word, Excel, Access, Power Point and Outlook. Knowledge of HIPAA Privacy and Security Rules.
• Possess strong verbal and written communication skills and interact effectively at all levels within the organization.
• Ability to interpret policies and procedures, analyze and evaluate quality control case review documentation for accuracy and completeness, to analyze management problems and develop and present alternative solutions. Works with others in a collaborative manner. Actively participates as a member of the team.
• Demonstrates a commitment to and an integration of The Harris Center values: Integrity, Accountability, Consumer
• Orientation, Quality, and Efficiency
• Must have well-developed interpersonal, organizational, and problem-solving skills, and be a team player with a desire to provide a high level of customer service. Should have excellent written, verbal and communication. Ability to maintain absolute confidentiality of all work-related matters and ability to communicate effectively and tactfully with all levels of the agency.

What we have to offer: 

The HARRIS CENTER offers competitive salary, excellent benefits package, retirement plans with company matching, prior service credit towards generous PTO accrual, outstanding wellness programs and professional development. Employees can also take advantage of business casual dress code, corporate discounts, and gym memberships.  New hire referral bonus, discounts are also available on an optional basis. These include mobile phone service, fitness centers and other wellness amenities.  

What else you should know:

• This posting is associated with position #1349.
• This position will be located at 9401 Southwest Fwy. Houston, TX 77074.

About us:

The HARRIS CENTER is the state-designated Local Mental Health Authority and Local Intellectual and Developmental Disability (IDD) Authority serving Harris County, Texas.  As the largest behavioral and developmental disability care center in Texas, The HARRIS CENTER provided care to over 79,000 people in fiscal year 2019 and has an annual budget of over $275 million. As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The HARRIS CENTER provides a full continuum of services at 86 different sites across Harris County. In addition, services are provided in more than 42 different languages as well as sign language in order to better serve what is one of the most diverse and multi-cultural communities in the nation.

Contributes to suicide care and prevention by embracing our values and applying a trauma-informed approach rooted in safety, trust, choice, collaboration, and empowerment.