Behavioral Health Compliance Auditor

Job Description

Job Description

LaSante Health Center is seeking a Behavioral Health Compliance Auditor to review behavioral health charts and clinical documentation to ensure completeness, accuracy, and compliance with regulatory, billing, and internal standards. The ideal candidate is detail-oriented, organized, knowledgeable about behavioral health documentation, and comfortable providing constructive feedback to clinical staff.

This is an in-person position and may be structured as either full-time or part-time, depending on the candidate's availability and experience.

Responsibilities:

• Conduct regular audits of behavioral health charts and clinical documentation

• Review progress notes, intake assessments, treatment plans, safety plans, screenings, and related documentation

• Identify documentation gaps, trends, and areas requiring follow-up or staff retraining

• Prepare clear audit findings and reports for leadership and clinical supervisors

• Support corrective action plans related to documentation and compliance findings

• Work closely with the Behavioral Health leadership team to improve chart quality and compliance workflows

• Assist with internal reviews, mock audits, payer audits, and regulatory audits

• Provide professional and constructive feedback to clinical staff regarding documentation requirements

• Ensure documentation supports appropriate clinical care, billing, and regulatory standards

• Maintain confidentiality and comply with HIPAA and applicable privacy requirements

Qualifications:

• Master's degree in Social Work, Mental Health Counseling, or a related behavioral health field required

• Acceptable credentials include MSW, MHC-LP, LMSW, LCSW, or LMHC

• Experience working in an Article 31/MHOTRS program required

• Prior experience in behavioral health chart review, compliance, utilization review, quality assurance, or clinical documentation review strongly preferred

• Knowledge of behavioral health documentation standards, treatment planning, progress notes, risk assessments, and safety planning

• Experience in a clinic, community health center, FQHC, or similar healthcare setting preferred

• Strong attention to detail and ability to identify documentation deficiencies

• Excellent written and verbal communication skills

• Ability to provide feedback in a professional and constructive manner

• Comfortable working with EMR systems and audit tracking tools

Preferred Experience:

• Experience reviewing behavioral health charts for compliance

• Knowledge of OMH, Medicaid, managed care, or behavioral health billing documentation standards

• Experience working with therapists, clinical supervisors, psychiatrists, or multidisciplinary behavioral health teams

• Prior quality assurance, utilization review, or compliance experience