Note: The job is a remote job and is open to candidates in USA. RI International is an innovative behavioral health care organization focused on empowering people in recovery and helping them thrive in their communities. The Human Resources Compliance Coordinator supports employee file integrity, non-licensed credentialing, audit readiness, and compliance with organizational, regulatory, Medicaid, Medicare, and accreditation standards. The role conducts audits, resolves compliance issues, prepares regulatory documentation, and collaborates with HR, Operations, and leadership to strengthen compliance processes.
Responsibilities
- Support the credentialing lifecycle for current employees, ensuring all non-licensed credentials, certifications, and compliance requirements are obtained, tracked, and maintained in accordance with organizational, regulatory, and contractual standards
- Maintain proactive and timely communication with employees and leadership to ensure all credentials and compliance requirements remain current, valid, and audit-ready at all times
- Monitor and stay current on federal, state, Medicaid, Medicare, and accreditation requirements, including standards set by The Joint Commission, to ensure continuous compliance with contract and regulatory obligations
- Conduct comprehensive and routine employee file audits, ensuring accuracy, completeness, and compliance with internal policies as well as external regulatory and accreditation standards
- Support external audit readiness, ensuring documentation, credentialing records, and employee files meet payor requirements and withstand external review
- Oversees annual compliance-related processes and reporting requirements, including but not limited to EEO-1 reporting, labor law and compliance poster updates, audit preparation, regulatory submissions, and ongoing monitoring of federal, state, and organizational compliance obligations
- Serve as a primary point of contact for internal and external audits, including Joint Commission surveys, payer audits, and regulatory reviews, ensuring timely coordination and professional communication with auditors
- Prepare, organize, and submit audit documentation, reports, and responses, ensuring all materials are accurate, complete, and delivered within required timelines
- Identify, investigate, and resolve discrepancies or deficiencies uncovered during audits, partnering closely with HR, Operations, and department leadership to implement corrective actions and prevent recurrence
- Contribute to the development, enhancement, and enforcement of compliance processes, audit protocols, and standard operating procedures (SOPs) to strengthen organizational readiness and reduce risk
- Assist in compliance-related investigations, including employee concerns, policy violations, or regulatory inquiries, ensuring proper documentation and alignment with organizational standards
- Ensure adherence to Recovery Innovations’ compliance framework, including the Code of Conduct and Conflict of Interest policies, while promoting a culture of accountability and regulatory excellence
- Performs other related duties as assigned
Skills
- High School Diploma or equivalent required
- Minimum of three (3) years of compliance and audit experience within healthcare
- Excellent computer skills, including proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Strong data entry skills with a high level of accuracy and attention to detail
- Effective verbal and written communication skills
- Strong interpersonal and customer service skills, with the ability to support employees and leaders professionally
- Excellent organizational and time management skills, with the ability to manage multiple priorities in a fast-paced environment
- Strong attention to detail, particularly in audit preparation and documentation accuracy
- Ability to maintain strict confidentiality and handle sensitive information in accordance with HIPAA and organizational standards
- Proven knowledge of employment laws, HR practices, and regulatory requirements
- Understanding of audit processes, compliance standards, and documentation requirements within healthcare environments
- Ability to support audit readiness by maintaining accurate, complete, and compliant employee records
- Ability to maintain a high level of professionalism and confidentiality at all times
- Ability to work independently and collaboratively within a team environment
- Travel required based on business need
- Must be at least 18 years old unless residing in a state where funder or government regulations set a different minimum age requirement
- Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
- Must be able to lift up to twenty (20) pounds
- Must be 21 years or older
- Must be 24 years or older
- Associate's or Bachelor's degree in Human Resources, Healthcare Administration, or related field preferred
- Experience working within HRIS systems and maintaining employee records preferred
Benefits
- Competitive health insurance
- Dental insurance
- Vision insurance
- Access to mental health resources
- Wellness programs
- Strong retirement plan with company matching
- Generous paid time off
- Ongoing opportunities for professional development and training
- Remote work arrangement
- A supportive, inclusive environment
Company Overview