Compliance Specialist - Fulltime - In Office

Responsibilities

• Monitor orders in the Mosia escalations folder and perform necessary follow-up.
• Provide education and support to Medical Records staff regarding Mosia and indexing to ensure timely and appropriate follow-up.
• Monitor reports and Mosia tracking features to meet Orders Lifecycle goals.
• Perform follow-up on timely receipt of unsigned orders, including:
  • Calls to physician offices.
  • Communication with Clinical team members/managers to resolve issues.
  • Escalation of unresolved issues to Team Leader or Manager.
• Document actions in the system to support compliance with internal policies and regulatory guidelines.
• Verify credentials, including licensing, NPI, PECOS, OPRA, and OMIG/OIG/GSA sanctions, for new providers and update the system accordingly.
• Monitor and maintain the Add/Change Physician workflow, including:
  • Provider additions and changes.
  • Updating provider demographics and delivery methods.
  • Making changes in corresponding orders as needed.
• Develop working relationships with physician offices.
• Mail, track, and file signature attestation letters for new MDs.
• Communicate regularly with the manager to ensure maximum compliance with orders.
• Perform other duties as assigned.

Requirements

• Associate's degree required; in lieu of degree, at least 2 years’ experience in Medical Records or in a healthcare setting with a full understanding of a Medical Records Specialist role.
• Medical knowledge/terminology is a plus.
• Demonstrated ability to apply critical thinking to tasks.
• Outstanding customer service and communication skills.

Work Environment

The Compliance Specialist works primarily in an office setting and may be exposed to outdoor conditions. The role is classified as sedentary work, involving sitting most of the time and exerting up to 10 pounds of force occasionally.

Physical Requirements

The following physical requirements are expected on a daily basis:

• Stand
• Sit
• Hear
• Walk
• Talk
• Stoop or kneel
• Repetitive motion