Behavioral Health Specialist
Job Location:
Baltimore, MD - USA
Yearly Salary:
Posted:
Application Deadline:
Vacancies:
Department:
Job Summary
Behavioral Health Specialist-Hob Ad
Chimes Compliance and Quality Assurance
Annual Salary: $70000
Required Certification: CPC or CPC-A
Employment Type: Full-Time
Make a Difference Through Quality Compliance and Compassionate Care!
Are you a detail-oriented professional with experience in behavioral health healthcare compliance or quality assurance Do you enjoy identifying opportunities for improvement and helping organizations deliver high-quality services
Chimes is seeking a Behavioral Health Specialist to join our Compliance team!
In this role youll help ensure our programs meet regulatory standards maintain accurate clinical documentation and provide quality services to individuals with intellectual and developmental disabilities.
This is an excellent opportunity for a professional who combines strong analytical skills with a commitment to compliance accountability and quality care.
What Youll Do
- Conduct scheduled and unannounced audits of programs clinical records documentation and compliance activities.
- Review behavioral health and clinical documentation for accuracy completeness and regulatory compliance.
- Monitor compliance with psychological nursing behavioral health and other required clinical services.
- Assist with investigations identify compliance concerns and recommend corrective actions.
- Develop and monitor Plans of Correction resulting from audits investigations and regulatory reviews.
- Review clinical records claims CPT codes and billing documentation to identify potential compliance issues.
- Evaluate applicable Medicare Medicaid and commercial insurance requirements.
- Prepare audit reports compliance findings and recommendations for leadership.
- Provide guidance and training to staff regarding documentation regulatory requirements and quality improvement.
- Collaborate with program leadership and travel to agency locations for audits investigations and site visits.
What Were Looking For
Required Qualifications
- Active CPC or CPC-A Medical Coding Certification.
- Minimum of four (4) years of professional experience in behavioral health healthcare compliance quality assurance clinical documentation auditing or a related field.
- Knowledge of behavioral health documentation regulatory requirements and compliance practices.
- Familiarity with CPT revenue and diagnostic coding.
- Strong analytical investigative organizational and problem-solving skills.
- Excellent written and verbal communication skills.
- Proficiency in Microsoft Office particularly Word and Excel.
- Ability to maintain confidentiality manage multiple priorities and work independently.
- Ability to travel between agency locations as needed.
Preferred Qualifications
- Bachelors degree in Behavioral Health or a related field.
- Experience with medical credentialing.
- Experience supporting individuals with intellectual and/or developmental disabilities.
- Knowledge of Medicare Medicaid and commercial insurance requirements.
Whats in It for You
Total Rewards Full-Time Employees (30 Hours per Week)
At Chimes we value our employees and offer a comprehensive benefits package designed to support your health financial well-being and professional growth.
- Competitive Salary: $70000 Annually
- Medical Dental and Vision Insurance
- Tuition Reimbursement Options
- Flexible Spending Accounts (Health Dependent and Transportation)
- Life Insurance
- Disability Insurance
- Paid Time Off
- 403(b) Retirement Plan with Employer Match
- Employee Recognition Programs
- Employee Referral Bonus Opportunities
- Discounts Through Tickets at Work
- And More!
Why Join Chimes
At Chimes your work matters. Youll be part of a team committed to promoting quality services strengthening compliance practices and supporting individuals with intellectual and developmental disabilities.
Your expertise will help ensure our programs maintain high standards of accountability quality and care.
Ready to Make an Impact
If youre passionate about behavioral health compliance and continuous improvement we encourage you to apply and join the Chimes team!
Apply today and help us make a meaningful difference!
#tcs443
Required Experience:
IC
