Compliance Specialist
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Job Description
Compliance Specialist ensuring adherence to federal and state healthcare regulations. Identifying compliance risk areas and conducting audits at Sanford Health.
Responsibilities:
- Ensures compliance with federal and state laws, regulations, and rules governing healthcare entities
- Identifies risk areas, prepares audit tools, conducts audits, and provides analysis and recommendations to executive leadership
- Conducts audits and provides support for other internal or external auditors
- Investigates and resolves compliance issues related to the healthcare environment
- Evaluates regulatory agency reports and formulates responses and corrective actions
- Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk
- Creates logs and systems for entering and tracking compliance guidelines
- Confers with administrative staff regarding compliance risk areas and final reports
- Develops strategies and leads compliance related committees/work groups
- Implements compliance procedures
- Responsible for ensuring compliance with governmental requirements
Requirements:
- Bachelor’s degree in health related field or equivalent education is required
- Prior relevant compliance work experience is preferred
- Licensure/certification as appropriate to background including but not limited to: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Healthcare Constructor (CHC)
- Certification in healthcare compliance is preferred but not mandatory
Benefits:
- Health insurance
- Retirement plans
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