Compliance Specialist, Senior
Location: Rosedale Office Building – First Shift (United States of America) – Standard Weekly Hours: 40
About the role
The Senior Compliance Specialist assists with and supports the compliance program activities of the organization. This is a generalist position that will support the planning, education, assessment, testing/monitoring, and other compliance program functions, including any existing compliance activities, with a particular focus on clinical/billing compliance and data analytics. May also assist with policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, physician relationships, conflicts of interest, interactions with industry, and risk assessments.
Qualifications
- Bachelor’s degree required; Master's preferred.
- Bachelor’s degree should be in a business-related field but can be in a health-related field.
- Minimum of 3 years of experience in health care compliance with demonstrated expertise in billing/coding and data analytics.
Skills
- Health care experience, preferably in the compliance area.
- Strong written and verbal communication skills.
- Proficiency in software packages such as Word, PowerPoint, and Excel for reporting responsibilities.
Recommended Licensure, Registration, and/or Certification
- Certification in billing and/or coding by either AAPC or AHIMA strongly preferred.
- Compliance certification by HCCA may be considered an appropriate substitute under the right circumstances.
About Us
Cook Children's Health Care System offers a unique approach to caring for children as one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system, which allows Cook Children's to use all its resources to treat a patient and enables easy communication between the various companies by physicians with a focus on caring for children and adolescents.