Senior Compliance Specialist
Core
Supports the organization's compliance program with a specific focus on clinical/billing compliance and data analytics.
Role type
Senior Compliance Specialist
Builds
Compliance program functions including policy development, hotline monitoring, and risk assessments
Domain
Healthcare / Compliance
Deliverable
dashboards & analysis
Required skills
Healthcare compliance expertise, Billing/coding knowledge, Data analytics, Policy development, Risk assessment, Conflict of interest management
Preferred skills
AAPC or AHIMA certification, HCCA certification
Technologies
Word, PowerPoint, Excel
Responsibilities
Support planning, education, assessment, testing/monitoring of compliance programs; Assist with policy and procedure development; Monitor hotlines and investigate compliance complaints; Manage physician relationships and conflicts of interest; Conduct risk assessments
Seniority
Senior, hands-on IC
