Impact Lives. Inspire Change. Be the Solution.
Since 1864, we've been an integral part of the Berea community, proudly rooted in faith and a legacy of serving children and families. While our roots remain in Berea, we've grown to support children and families statewide. OhioGuidestone is always looking for passionate people to make a difference in our communities. You can impact lives and inspire change right in your own backyard. Apply today to work at the largest non-profit, mental health service provider in Ohio. We offer FREE CEU trainings, a great support system, education bonuses and incentives, and much more! Full time employees may be eligible for Public Student Loan Forgiveness at OhioGuidestone and are also offered PAID medical benefits for you and your family!
OhioGuidestone is seeking a Clinical Record Auditor to join our growing Compliance team. Client record audits will be primarily conducted from our Berea, Ohio location, with limited travel to our satellite offices. This individual will review client files for compliance to applicable payer rules, audit claims and billed services, conduct HIPAA access audits, maintain electronic record compliance spreadsheets, provide monthly written reports regarding findings to assigned supervisory personnel and to the PQI Compliance Committee.
Audit client records, as assigned.
Design and carry out targeted audits
Communicate audit results to clinical staff and leadership
Audits claims and billed services
Conduct HIPAA access audits
Maintain electronic record compliance spreadsheets
Provide monthly written reports regarding findings of noncompliance to assigned supervisory personnel and PQI Committee
Provide follow-up, training, and/or other supports to assure improvement in record compliance
Assist with COA certification including the gathering of documents, reviewing and rewriting program information, uploading into COA portal and preparing for the on-site visit
May be involved in department specific projects or seasonal program changes
Other auditing responsibilities may be added as the agency expands programs, services, and/or locations
Maintains regular and reliable attendance
May be involved in the planning, organization, and implementation of special events or department specific projects or seasonal program changes
Exhibit positivity, flexibility and a willingness to take on new responsibilities as requested or required.
Demonstrate positive leadership, promote a team-based work environment and present the agency in the most positive light with all internal and external contacts.
Requires typing and computer literacy, including Window applications and advanced knowledge of Microsoft Word, Excel, and Outlook. E-mail and basic database usage required. Basic knowledge of Microsoft Access and PowerPoint may also be required
Work is generally performed at a desk, but could involve some lifting of office supplies or files
At times the work may involve prolonged periods of standing/sitting
English reading and writing skills required
Interacts verbally with coworkers, representatives from outside agencies, and families
Exceptional phone presence necessary
Attention to detail and confidentiality required
Travel to agency satellite locations required
Clinical experience in the Behavioral Health/SUD field (Ohio LSW or LPC);
Knowledge of Medicaid rules;
Preferred skills: experience in quality improvement, audit, compliance, medical coding
Must have a valid Ohio Driver's License with a safe driving record and valid insurance
Ability to take and pass a physical exam, tuberculosis test, and drug screening
At OhioGuidestone we care about the health and safety of our employees. OhioGuidestone requires applicants to complete a pre-employment screening process upon receipt of an offer of employment. We require and cover the cost of a fingerprint background screening, physical, Tuberculosis test, and drug screen after an employment offer is made. Any employment offer is contingent upon receipt of all satisfactory pre-employment screenings. OhioGuidestone is committed to creating a more diverse community. We encourage candidates from historically underrepresented groups to apply. EEO/AA M/F/H/V IND10