Compliance Specialist

Sanford Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is looking for a Compliance Officer to ensure adherence to healthcare regulations and standards. You will identify risk areas, conduct audits, and provide recommendations to enhance compliance. Ideal candidates should possess a Bachelor's degree in a health-related field, with a preference for a Master’s degree, and relevant compliance work experience. This position offers a competitive salary and the opportunity to contribute to the health and healing mission of the organization.

Qualifications

• Bachelor’s degree in health related field or equivalent education is required.
• Master’s degree is preferred.
• Prior relevant compliance work experience is preferred.

Responsibilities

• Ensures compliance with federal and state laws governing healthcare entities.
• Identifies risk areas and conducts compliance audits.
• Develops strategies and leads compliance related committees.

Skills

Compliance knowledge

Analytical skills

Attention to detail

Education

Bachelor’s degree in health related field

Master’s degree

Tools

Healthcare compliance certification

Job description

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Work Shift: Scheduled Weekly Hours: 40 Salary Range: 27.50 - 44.00

Union Position: No

Department Details

Summary

The primary function of this position is to ensure compliance with the federal and state laws, regulations, and rules governing healthcare entities, and specifically, the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule.

Job Description

Identifies risk areas, prepares audit tools, conducts audits, and provide 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. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines.

Qualifications

• Bachelor’s degree in health related field or equivalent education is required.
• Master’s degree is preferred.
• Prior relevant compliance work experience is preferred.
• Depending on department, may be required to maintain 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).
• Complete continuing education requirements as necessary.
• Certification in healthcare compliance is preferred but not mandatory.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [e-mail].