- Design and implement internal compliance audits to monitor documentation accuracy and adherence.
- Conduct audits as determined by the Manager or Director.
- Oversee preparation for and participate in external audits, ensuring appropriate access to PHI.
- Coordinate with Program Managers and Directors to address and monitor corrective action needs.
- Collaborate with Utilization and QI Managers to track and monitor client outcomes for quality improvement.
- Create and implement systems to ensure clinical documentation complies with internal policies, CMS, state/federal regulations, and AMA guidelines.
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