Compliance Specialist
Position Overview
SUS is seeking a Compliance Specialist within their QA department. This position is located at 7th Avenue New York, NY 10018.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Audits/Reviews
- Conduct Medicaid billing reviews to ensure documentation exists to support billing
- Review and audit the quality of clinical case documentation and services
- Conduct site visits to ensure compliance with all regulatory mandates
- Conduct follow-up audits to confirm corrective actions have been implemented and are effective
- Draft written reports summarizing findings of various audits/reviews
- Trainings
- Conduct compliance/documentation trainings for staff
- Help to develop and update training materials for compliance/documentation trainings
- Compliance Investigations
- Conduct investigations regarding regulatory and compliance issues
- Draft investigation reports summarizing findings and recommending corrective actions
- Compliance Support
- Provide technical assistance to staff when questions arise regarding documentation requirements or other compliance related issues
- Develop, review, analyze and improve internal controls and monitoring systems for various programs/departments
- Identify compliance risk areas and assist with the development and implementation of policies and corrective action plans where indicated
KEY RESPONSIBILITIES
- Communication
- Quality of Work
- Integrity/Compliance
- Teamwork
- Self-Motivated/Flexible
- Job Knowledge
- Writing
Qualifications
- Required Qualifications
- Bachelor’s Degree: Required in a related field, together with a minimum of two (2) years of experience in the healthcare or nonprofit field
- Must be willing to: Travel extensively in all of the boroughs Work a flexible schedule in order to meet the needs of the department
- Preferred Qualifications
- Master’s Degree preferred
- Audit experience preferred
REQUIREMENTS
- In lieu of Bachelor’s Degree, High School Diploma or equivalent with minimum of seven (7) years of experience in the healthcare or non-profit field
Company Overview
Join a team of employees who care about the wellbeing of others. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. From health and wellness resources to generous PTO, professional development, and more, explore all that we offer on our Benefits Page and see how S:US invests in you. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, age, sexual orientation, national origin, veteran status, or genetic information and including all other statuses protected by Federal, State and Local laws. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals.
Work Location
In Person