Behavioral Health Specialist

Are you a detail-oriented professional with experience in behavioral health, healthcare compliance, or quality assurance? Do you enjoy identifying opportunities for improvement and helping organizations deliver high-quality services?

• →Conduct scheduled and unannounced audits of programs, clinical records, documentation, and compliance activities.
• →Review behavioral health and clinical documentation for accuracy, completeness, and regulatory compliance.
• →Monitor compliance with psychological, nursing, behavioral health, and other required clinical services.
• →Assist with investigations, identify compliance concerns, and recommend corrective actions.
• →Develop and monitor Plans of Correction resulting from audits, investigations, and regulatory reviews.
• →Review clinical records, claims, CPT codes, and billing documentation to identify potential compliance issues.
• →Evaluate applicable Medicare, Medicaid, and commercial insurance requirements.
• →Prepare audit reports, compliance findings, and recommendations for leadership.
• →Provide guidance and training to staff regarding documentation, regulatory requirements, and quality improvement.
• →Collaborate with program leadership and travel to agency locations for audits, investigations, and site visits.

• Active CPC or CPC-A Medical Coding Certification.
• Minimum of four (4) years of professional experience in behavioral health, healthcare compliance, quality assurance, clinical documentation, auditing, or a related field.
• Knowledge of behavioral health documentation, regulatory requirements, and compliance practices.
• Familiarity with CPT, revenue, and diagnostic coding.
• Strong analytical, investigative, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office, particularly Word and Excel.
• Ability to maintain confidentiality, manage multiple priorities, and work independently.
• Ability to travel between agency locations as needed.

• Bachelor's degree in Behavioral Health or a related field.
• Experience with medical credentialing.
• Experience supporting individuals with intellectual and/or developmental disabilities.
• Knowledge of Medicare, Medicaid, and commercial insurance requirements.

At Chimes, we value our employees and offer a comprehensive benefits package designed to support your health, financial well-being, and professional growth.

• Competitive Salary: $70,000 Annually
• Medical, Dental, and Vision Insurance
• Tuition Reimbursement Options
• Flexible Spending Accounts (Health, Dependent, and Transportation)
• Life Insurance
• Disability Insurance
• Paid Time Off
• 403(b) Retirement Plan with Employer Match
• Employee Recognition Programs
• Employee Referral Bonus Opportunities
• Discounts Through Tickets at Work
• And More!

If you're passionate about behavioral health, compliance, and continuous improvement, we encourage you to apply and join the Chimes team!