Compliance Specialist | 40 hours per week | Compliance

Great River Health; West Burlington (IA); On-site; USD 24,000 - 34,000; Full time

Benefits offered by this job

Competitive base pay

Health, Dental and Vision plans

Paid time off (PTO)

Flexible Spending Accounts

Employer-paid long-term disability and

Education Assistance Program

Employee Assistance Program

Job summary

Great River Health is seeking a Compliance Audit Specialist to conduct audits of medical records and assist with regulatory requirements to enhance documentation quality and accuracy for facility and professional encounters.

The role supports compliance and revenue cycle functions, educating providers and staff on documentation standards, preparing audit reports, and collaborating with coding leadership to reinforce best practices. Occasional chart reviews and investigations may be required.

Qualifications

• Graduation from Health Information Technology program or related field preferred.
• 1-3 years coding knowledge/experience preferred.
• 1-3 years experience in medical auditing, compliance, or healthcare documentation required.
• 1-3 years experience in an office setting, preferably in a healthcare setting required.
• RHIT certification within 180 days preferred.
• CPMA certification within 1.5 years preferred.

Responsibilities

• Conducts compliance audits and reviews to assess accuracy, completeness, and quality of medical record documentation.
• Collaborates with Compliance and Revenue Cycle leadership to identify documentation opportunities and educational initiatives to maintain regulatory compliance.
• Collaborates with providers and staff to improve documentation processes supporting accurate billing and compliance with GRH requirements and regulations.
• Monitors regulatory updates and communicates changes to relevant parties for timely action.
• Assists with compliance investigations and chart reviews as assigned.

Skills

Coding knowledge

Medical auditing

Healthcare documentation

Office setting

Education

Health Information Technology program

Related field of study

Registered Health Information Technician (RHIT)

Certified Professional Medical Auditor (CPMA)

Job description

Minimum Hiring Wage:

From $20.78 per hour

Job Details:

Scheduled Hours: Monday - Friday, days

Occasional travel to Fort Madison and Mt. Pleasant campuses

Job Description:

A Brief Overview

The position is responsible for conducting audits and assisting with regulatory requirements to improve the overall quality, compliance, completeness, and accuracy of medical record documentation for facility and professional encounters. The position will support compliance and revenue cycle functions by reviewing documentation practices, identifying areas for improvement, and providing education to ensure adherence to regulatory and organizational standards. This position is responsible for completing audit assignments and other related projects outlined in the compliance work plan. The role will educate providers, department leaders, and other workforce members on documentation standards and rules. The role will also prepare audit reports and collaborate with coding leadership and providers to reinforce best practices. Additional responsibilities include assisting with chart reviews, compliance investigations, and risk assessments. The role with partner with Revenue Cycle leadership to identify documentation opportunities, establish educational priorities, and maintain regulatory compliance. The position also monitors regulatory and compliance updates, using tools such as YouComli, and communicates changes to the appropriate parities to ensure timely awareness and action.

What you will do

• Conducts compliance audits and reviews to assess the accuracy, completeness, and quality of medical record documentation.
• Collaborates with Compliance and Revenue Cycle leadership to identify documentation opportunities, support educational initiatives, and maintain regulatory compliance
• Collaborates with providers and staff to improve documentation processes that support accurate billing and compliance with GRH requirements and applicable regulations.
• Monitors regulatory updates and communicates changes to appropriate parties to ensure timely awareness and action.
• Assists with compliance investigations and chart reviews as assigned

Qualifications:

• Graduate of Health Information Technology program or related field of study preferred (preferred)
• 1-3 years Coding knowledge/experience (preferred)
• 1-3 years Experience in medical auditing, compliance, or healthcare documentation (required)
• 1-3 years Experience working in an office setting, preferably in a healthcare setting (required)
• Registered Health Information Technician (RHIT) within 180 Days (preferred)
• Certified Professional Medical Auditor (CPMA) within 1-1/2 Yrs (preferred)

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

• Competitive base pay
• Matching retirement programs
• Health, Dental and Vision plans
• Health Savings and Flexible Spending Accounts
• Employee discounts including car rental, cell-phone plans
• Employer-paid, Long-Term Disability, Life, and AD&D
• Paid time off (PTO)
• Education Assistance Program
• Employee Assistance Program
• Employee Referral Bonus Program
• Discounted cafeteria meals
• Paid Parental Leave
• Employee Service Recognition program
• Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.