Healthcare Compliance Coordinator
About the position
Responsibilities
• Assist in the development of departmental policies and procedures and agency-wide policy and procedures as needed to ensure alignment with regulatory requirements and industry best practices.
• Support the process of updating policies, procedures, and guidance, ensuring accuracy and relevance.
• Conduct OMIG self-audits and audits as assigned within the compliance audit work plan, including chart audits and billing audits.
• Assist in completing timely utilization review (UR) of client documentation for medical necessity admission and continuing stay, and discharge reasons.
• Monitor to identify patterns, trends, and variances during and from audits.
• Assist in the development and modification of audit tools based on changing regulations.
• Actively participate in various compliance committees, subcommittees, and workgroups as Co-Chair or Member.
• Assist in conducting HIPAA privacy and security investigations in response to reports or alerts of suspected or known privacy violations.
• Prepare written reports of findings and recommendations for corrective action, monitor and manage the completion of corrective action plans.
• Develop education and training materials and provide education and training to staff on compliance matters.
Requirements
• Master's degree in Public Health, Healthcare Informatics, Health Administration, Business Administration, Social Work, or other relevant discipline.
• Minimum of three (3) years of experience in Healthcare Compliance.
• Strong experience in Microsoft Office tools (Outlook, Excel, PowerPoint, Teams, Word).
• Experience performing audits and developing corrective action plans.
• Ability to work independently and possess strong communication, analysis, and critical thinking skills.
• Strong organizational skills and ability to prioritize critical items.
Nice-to-haves
• Experience in Investigation and Training related to Healthcare Compliance (1 year preferred).
• Experience in conducting Audits and At-Risk Assessment (1 year preferred).
Benefits
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Flexible spending account
• Paid time off
• Parental leave
• Employee assistance program
• 403(b)
• Professional development assistance
• Referral program
Apply Now
Apply Now
Responsibilities
• Assist in the development of departmental policies and procedures and agency-wide policy and procedures as needed to ensure alignment with regulatory requirements and industry best practices.
• Support the process of updating policies, procedures, and guidance, ensuring accuracy and relevance.
• Conduct OMIG self-audits and audits as assigned within the compliance audit work plan, including chart audits and billing audits.
• Assist in completing timely utilization review (UR) of client documentation for medical necessity admission and continuing stay, and discharge reasons.
• Monitor to identify patterns, trends, and variances during and from audits.
• Assist in the development and modification of audit tools based on changing regulations.
• Actively participate in various compliance committees, subcommittees, and workgroups as Co-Chair or Member.
• Assist in conducting HIPAA privacy and security investigations in response to reports or alerts of suspected or known privacy violations.
• Prepare written reports of findings and recommendations for corrective action, monitor and manage the completion of corrective action plans.
• Develop education and training materials and provide education and training to staff on compliance matters.
Requirements
• Master's degree in Public Health, Healthcare Informatics, Health Administration, Business Administration, Social Work, or other relevant discipline.
• Minimum of three (3) years of experience in Healthcare Compliance.
• Strong experience in Microsoft Office tools (Outlook, Excel, PowerPoint, Teams, Word).
• Experience performing audits and developing corrective action plans.
• Ability to work independently and possess strong communication, analysis, and critical thinking skills.
• Strong organizational skills and ability to prioritize critical items.
Nice-to-haves
• Experience in Investigation and Training related to Healthcare Compliance (1 year preferred).
• Experience in conducting Audits and At-Risk Assessment (1 year preferred).
Benefits
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Flexible spending account
• Paid time off
• Parental leave
• Employee assistance program
• 403(b)
• Professional development assistance
• Referral program
Apply Now
Apply Now