Compliance Specialist

Responsibilities

• Promote Keystone’s mission, values, and culture through all aspects of the role
• Support documentation and billing audit activities, including data collection, documentation review, tracking audit findings, corrective action follow-up, audit readiness, and organization of supporting materials
• Support licensing and regulatory activities, including preparation for licensing reviews, organization of licensing documentation, tracking citations and plans of correction, and monitoring regulatory follow-up
• Maintain compliance records, audit tools, tracking documents, reports, spreadsheets, presentations, and other department materials in an organized, accurate, consistent, and confidential manner
• Cook up the review, tracking, and follow-up of compliance concerns, documentation and billing issues, regulatory findings, conflicts of interest, exclusion-related items, corrective actions, and other compliance-related matters
• Review data and compliance information to identify patterns, inconsistencies, emerging risks, and opportunities to strengthen monitoring, documentation accuracy, billing compliance, licensing readiness, and corrective action accountability
• Communicate professionally with internal departments and external stakeholders to request information, provide follow-up, clarify expectations, support audit readiness, and promote timely completion of compliance-related tasks
• Identify and recommend opportunities to improve consistency, accuracy, timeliness, internal controls, accountability, and effectiveness within compliance processes
• Perform other compliance-related duties and projects assigned

Qualifications

• High school diploma or equivalent and at least one year of work experience in compliance, auditing, documentation review, billing support, licensing, regulatory oversight, healthcare, human services, quality assurance, and/or related administrative support
• Associate or bachelor’s degree in human services, healthcare administration, business administration, compliance, or a related field strongly preferred
• Equivalent combination of education and experience may be considered
• Experience supporting compliance monitoring and/or corrective action follow-up preferred

Additional Qualifications

• Ability to review information carefully, identify inconsistencies, analyze details, recognize trends, organize follow-up items, and maintain accurate records
• Experience managing multiple priorities, meeting deadlines, maintaining confidentiality, exercising sound judgment, working independently, and collaborating effectively with others
• Strong communication skills, both spoken and written, with the ability to read, understand, and apply written information
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and Teams, and the ability to learn electronic systems, databases, and compliance tracking tools
• Valid driver’s license and reliable daily access to a privately maintained and insured vehicle

Compensation & Benefits

• Full-time, exempt position
• Starting annual salary: $60,000, may increase based on education and experience
• Actual compensation will be determined based on localized market data, skills, experience, and education
• Eligible employees will have access to our comprehensive benefits package, including medical, dental, and vision insurance; a 401(k)-retirement plan with company match; paid time off (PTO), tuition reimbursement, wellness programs, and more