Job Description:

Job Title: Compliance Audit Coordinator

Location: Springfield, Missouri

Department: Compliance Office

Employment Type: Full-time

Shift: Monday-Friday (8 AM - 5 PM)

Job Summary:
Seeking a detail-oriented and experienced Compliance Audit Coordinator to support our Compliance Office in managing internal and external auditing and monitoring programs. The ideal candidate will excel in reviewing medical records and verifying claim details against Medicare guidelines and relevant legislation. Join our mission in maintaining accurate, compliant healthcare reimbursements while ensuring exceptional patient outcomes.

With a focus on comprehensive reviews and meticulous analyses, you'll employ keen judgment to detect anomalies in billing, coding, and documentation practices. Confidently investigate irregularities, propose corrective actions, and educate providers on regulatory updates and best practices. Enjoy a stimulating challenge and unlock a prosperous career trajectory in a sector poised for long-term expansion.

Springfield, Missouri boasts a lower cost of living compared to major cities, coupled with numerous leisure activities and family-friendly neighborhoods - truly a hidden gem waiting to be discovered!

Position Perks & Benefits:
* Paid time off - 29 days per year including vacation & holiday pay
* Mileage reimbursement - company paid for work functions requiring travel
* Top-notch training - initial, ongoing, comprehensive, and supportive
* Career mobility - advancement opportunities/promoting from within
* Welcoming, warm, supportive - a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Key Responsibilities:
* Manage internal and external auditing and monitoring programs
* Review medical records and verify claim details against Medicare guidelines
* Identify inconsistencies in billing, coding, and documentation
* Investigate discrepancies and recommend corrective actions
* Educate providers on regulatory updates and best practices
* Document investigation procedures and compile written reports

Education and/or Experience Qualifications:
* Minimum of two years' experience in compliance and behavioral health (preferred)
* Bachelor's degree preferred

Additional Qualifications:
* Acute attention to detail and robust analytical prowess
* Solid understanding of federal and state laws and regulations governing healthcare reimbursement
* Exceptional writing skills, conveying complex ideas simply and persuasively
* Well-versed in ICD-10-CM coding conventions and medical necessity criteria
* Committed to delivering outstanding customer service

Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we value diversity, equity, and inclusion in our workforce and encourage applications from individuals from diverse backgrounds and experiences. If you are passionate about empowering your local communities and promoting health equity, we invite you to join our mission-driven organization that is committed to building a diverse, equitable, inclusive and authentic workplace.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Burrell is a Smoke and Tobacco Free Workplace.