Clinical Compliance Auditor

Dunwoody, GA
Full Time
Mid Level
NANA Healthcare Management manages multiple behavioral health and detoxification treatment centers within the behavioral health industry. With a focus on evidence-based, client-centered treatment programs that offer clients with all levels of need therapeutic interventions in a warm, welcoming environment, NANA Healthcare Management aims to provide clients with care that meets them where they are at and helps them "Be the great person they were always meant to be."

NANA Healthcare Management is seeking a Compliance Manager to promote quality documentation practices and ensure regulatory readiness across all facilities in a behavioral health setting. 

Schedule: 8:30am-5:00pm
Pay: $60,000 - $65,000 annually
Type: Full-time 

The Clinical Compliance Auditor is responsible for conducting clinical documentation audits across all NANA Healthcare Management facilities. This includes evaluating the quality, accuracy, and timeliness of documentation for compliance with Georgia DCH, DBHDD, Joint Commission, and insurance requirements.

Knowledge and Training:
  • Adhere to Confidentiality requirements as outlined in 42 CFR, Part 2.
  • Must have the ability to interact with staff in a professional manner.
  • The ability to handle stressful and demanding situations
  • Knowledge of Medicaid, DBHDD, DCH, and Joint Commission documentation standards.
  • Strong attention to detail, time management, and interpersonal skills.
  • Ability to conduct objective chart reviews and summarize findings.
  • Understanding of medical necessities, assessments, and treatment planning documentation.
  • Familiarity with trauma-informed care, ASAM criteria, and progress note auditing.
  • Experience using EHR systems such as Kipu, EPIC, Carelogic, or similar.
Job Responsibilities:
  1. Perform routine chart audits across levels of care (residential, PHP, IOP, outpatient).
  2. Evaluate assessments, treatment plans, progress notes, and discharges for quality and completeness.
  3. Ensure documentation meets standards for medical necessity and clinical best practice.
  4. Identify deficiencies and generate audit findings reports.
  5. Collaborate with Compliance Manager and Clinical Directors on corrective actions.
  6. Assist in Root Cause Analysis for documentation-related incidents.
  7. Maintain audit logs and tracking systems.
  8. Participate in compliance training development and delivery.
  9. Support internal mock surveys and payer audit preparation.
  10. Work with the compliance team to ensure audit findings are addressed in a timely manner.
Qualifications:
  • Master’s degree in Social Work, Counseling, Nursing, or related field
  • 2+ years of experience in a behavioral health setting
  • LCSW, LPC, LMSW, LMFT, or RN in Georgia
Benefits: 
  • Paid time off
  • Paid Holidays
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Team-oriented work environment
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