Compliance Coordinator

Essen Health Care is hiring a Compliance Coordinator to support its behavioral health program in meeting regulatory, accreditation, payer, and internal policy requirements. The role monitors documentation and clinical practices, coordinates audits and corrective actions, supports staff training, and helps maintain ethical, high-quality, and legally compliant care.

Responsibilities

• Monitor compliance with federal, state, and local regulations governing behavioral health services, including HIPAA, 42 CFR Part 2, CMS requirements, and state licensing standards
• Support readiness for accreditation and licensing surveys (DOH & OMH agency reviews)
• Track regulatory changes and communicate updates to leadership and program staff
• Conduct department workflow audits for documentation completeness, treatment plan timeliness, consent and authorization, and billing accuracy
• Perform internal monitoring of client rights and mandated reporting
• Prepare audit reports with findings, trends, and recommendations
• Develop, track, and follow up on corrective action plans and plans of correction
• Coordinate review and documentation of incidents, grievances, and complaints, including timely reporting to external agencies as required
• Assist with investigations and root cause analysis as directed
• Draft, update, and maintain policies and procedures; manage version control and annual review schedules
• Coordinate and deliver compliance training for new hires and ongoing staff, including HIPAA/privacy, confidentiality of substance use disorder records, documentation standards, and ethics
• Track completion of required trainings, certifications, and licensure
• Assist the Compliance Officer and Medical Records department with privacy incident review, breach assessment, and release-of-information processes
• Verify credentialing, background checks, and exclusion list screenings
• Maintain compliance dashboards and report metrics to leadership and the Compliance/Quality Committee
• Serve as a resource for clinical and administrative staff on compliance questions
• Participate in quality improvement initiatives and committees

Preferred

• Master's degree in a related field
• Certification such as CHC (Certified in Healthcare Compliance), CHPC, or similar
• Experience with accreditation surveys or state licensing audits
• Master's Degree
• CHC Certification
• CHPC Certification
• Accreditation Surveys
• State Licensing Audits

Company

• Integrated healthcare network providing primary, urgent, and house-call care
• Bronx, New York, USA
• http://essenhealthcare.com/
• Founded in 1999
• 501-1000 employees

Qualifications

• Bachelor's degree in health administration, social work, psychology, public health, or a related field (or equivalent experience)
• 2+ years of experience in healthcare compliance, quality assurance, or a related setting
• Working knowledge of HIPAA, 42 CFR Part 2, and behavioral health documentation and billing standards for Article 28, 31, and 32 (OASAS)
• Strong attention to detail, analytical ability, and organizational skills
• Excellent written and verbal communication skills, with the ability to explain requirements clearly to clinical staff
• Proficiency with electronic health records and Microsoft Office or similar tools
• Master's degree in a related field
• Certification such as CHC (Certified in Healthcare Compliance), CHPC, or similar
• Experience with accreditation surveys or state licensing audits
• 2+ years of experience in healthcare compliance, quality assurance, or a related setting.

Required skills

• 42 CFR Part 2, Accreditation Surveys, Article 28, 31, and 32 (OASAS), Behavioral Health Billing Standards, Behavioral Health Documentation, CHC (Certified in Healthcare Compliance), CHPC, HIPAA, Healthcare Compliance, Microsoft Office, Quality Assurance, State Licensing Audits

Preferred skills

• 2024-04-30, 2025-10-27, 2026-05-01, 2026-09-03, 4.6, AI Tools, Analyze How Well You Fit, Bronx, New York, USA, Build Cover Letter, Chief Financial Officer, Chief Information Security & Technology Officer (CISO & CTO), Company data provided by, Customize Your Resume, Durga Dhanikonda, Glassdoor, Kain Capital, Key Investors, Late Stage, Leadership Team, Make your application stand out, Master's degree in a related field, Maximize your interview chances, Morningstar.com, PR Newswire, Private Equity, Ranjan Munjal, Recent News, Total Funding, http://essenhealthcare.com, unknown

Experience

• 2+ years