Compliance and HIM Specialist

Title: Compliance and HIM Specialist

State Role Title: 49171

Hiring Range: Negotiable to $60,000

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Southeastern VA Training Ctr

Agency Website: https://dbhds.virginia.gov/facilities/sevtc/

Recruitment Type: General Public - G

Looking for a career with meaning and purpose? Join our team at Southeastern Virginia Training Center!

Southeastern Virginia Training Center (SEVTC) is seeking a Compliance and Health Information Management (HIM) Specialist to lead and oversee our Health Information Records department.

In this essential role, you will ensure the accuracy, security, and regulatory compliance of medical records and health data systems. The position plays a key part in maintaining the integrity of resident documentation and supports a high standard of care within our facility.

About Us

At Southeastern Virginia Training Center (SEVTC) we serve citizens with intellectual and developmental disabilities. We are an intermediate care facility operated by the Department of Behavioral health and Developmental Services (DBHDS) where we support individuals in state-of-the-art homes with accommodations unique to their specific needs. At SEVTC, we take pride in providing our individuals with a person-centered approach, fostering their independence, and ensuring their life is fully realized to their potential. Our employees are our most valuable asset, and we take time to invest in their health, wellness, and happiness.

About the Role

This position is considered essential personnel and would be required to work in the event of an emergency or facility need. All SEVTC positions are required to work different shifts and/or overtime as requested. 

• Supervise daily operations of the Health Information Management department.
• Ensure accurate and timely data entry of event reports and verify completeness.
• Ensure record filing is accurate, timely and meets Medicaid regulations.
• Coordinates and conducts quantitative record audits for compliance and assists with qualitative audits as needed.
• Ensure accurate, timely scanning of documents into the electronic health record.
• Coordinates and conducts quantitative record audits for compliance and assists with qualitative audits as needed.
• Ensure accurate data entry of the census and admission/discharge Avatar data.
• Assists providers with coding for labs as needed.
• Ensure coding is consistent with all coding requirements and Medicaid/Medicare regulations in addition to third party payers.
• Conduct billing and documentation audits; prepare and submit monthly audit reports.
• Maintain annual physical database to ensure physicals are completed in accordance with Medicaid and maintain database of all current established diagnoses.
• Processes requests for protected health information (PHI), ensure authorization compliance, assist with HIPPA audits.
• Ensure the electronic health record documentation meets all regulatory standards.

Skills and experience required:

We seek a candidate skilled in collecting and analyzing data and preparing reports or presentations. We also seek the following:

• Skilled in collecting and analyzing data and preparing reports or presentations.
• Valid Virginia driver’s license.
• Knowledge of privacy laws, access, release of information and the Freedom of Information Act.
• Experience working with data protected by HIPAA.
• Knowledge of Virginia records management and retention procedures and schedules.
• Strong written and verbal communication skills.
• Exceptional attention to detail.
• Prior experience leading or supervising staff.

 Bonus points if you have:

• Bachelor’s degree in health information management or equivalent combination of experience and education.

• Prior experience working in a health information management department.
• Advanced proficiency Microsoft Office programs (Outlook, Word, Excel, PowerPoint, SharePoint).
• RHIT (Registered Health Information Technician) certification or coding specialist credentials preferred.

 What we offer:

We offer an array of benefits to help you take care of you and your family:

• Health, vision and dental; multiple plan choices!
• Health and dependent care flexible spending accounts.
• 13 paid holidays.
• Paid time off to include sick leave, family personal leave, annual leave, parental leave and more!
• Life and long-term care insurance.
• Retirement and savings to include - membership in the Virginia Retirement System (401(a) defined benefit plan) and the commonwealth’s deferred compensation plan.
• Short term and long-term disability benefits.
• Employee assistance program, wellness, employee discounts and so much more!

Person Centered. Community Based.

SEVTC’s mission is to provide quality, person-centered services for individuals with intellectual and developmental disabilities and their families in partnership with a community-based system of supports.

We envision SEVTC as a center of excellence providing specialized supports that enable successful community living for individuals with intellectual, developmental and behavioral challenges across the state of Virginia.

Our values reflect an environment where: individuals lead self-determined lives that focus on empowerment, dignity and respect, employees are valued and appreciated as out most import asset, individuals and employees live, work and play in an environment that is safe and free from harm, collaboration with DBHDS, community partners, and family members is welcomed and fostered, and resources are utilized in a thoughtful and efficient manner.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Application Requirements: Applications and résumés for this position are accepted electronically through the Commonwealth of Virginia’s Electronic Recruitment System only. Interview decisions will be based solely on the information provided in your electronic application and/or résumé. Please ensure you detail all relevant work experience clearly and specifically; we will not make assumptions about your qualifications.

You will receive a confirmation of receipt once your application and/or résumé has been successfully submitted. To check the status of your application, refer to “Your Application” in your account.

Applications/résumés will begin to be reviewed within five (5) days of the posting date.

Background Investigation: All applicants are subject to an extensive background investigation and a pre-employment drug screening. This investigation may include fingerprint checks (State Police, FBI), local agency checks, Department of Social Services/Child Protective Services checks, employment verification, and verification of education relevant to the position.
Under Virginia Code §§ 37.2-314 and 37.2-408.1, the Department of Behavioral Health & Developmental Services (DBHDS) cannot employ or utilize as volunteers individuals convicted of specific ("barrier") crimes or those with pending "barrier" charges.

Reasonable Accommodations: Reasonable accommodations are available to individuals with disabilities during the application and/or interview process in accordance with the Americans with Disabilities Act. If you require assistance or accommodation, please notify Human Resources at Personnel2@dbhds.virginia.gov during business hours (8:00 a.m. to 4:30 p.m.).

Equal Opportunity: The Commonwealth of Virginia is committed to conducting all aspects of human resource management without regard to race (or traits historically associated with race, including hair texture, hair type, and protective hairstyles such as braids, locks, and twists), sex, color, national origin, religion, sexual orientation, gender identity or expression, age, veteran status, political affiliation, disability, genetic information, and pregnancy, childbirth, or related medical conditions.* There shall be no retaliation against anyone making allegations of violations of this policy.

Veteran Preference: DBHDS is a Virginia Values Veterans (V3) certified employer and provides hiring preference to qualified veterans and service members. We highly encourage veterans, active members of the Virginia National Guard, and U.S. Military Reserve members to apply and respond accordingly on the state application.

Contact Information

Name: Sarita Jordan

Phone: 757-424-8240

Email: sarita.jordan@dbhds.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.