Corporate Compliance Coordinator

Prime Healthcare Management Inc; Reno (NV); On-site; USD 85,000 - 120,000; Full time

Job summary

Prime Healthcare Services seeks a Corporate Compliance Coordinator to support and participate in compliance-related activities across all hospitals. The role requires strong regulatory knowledge, governance experience, and excellent communication skills.

The ideal candidate will have a bachelor’s degree in a healthcare field, at least three years in hospital compliance or legal/compliance settings, and familiarity with HIPAA, OIG, CMS guidance, and major healthcare laws.

Qualifications

• A bachelor's degree from an accredited undergraduate institution, preferably in a healthcare-related field.
• Minimum of three years of experience as a hospital Compliance professional or within a Compliance Department or Legal Department performing compliance work.
• Exceptional written and verbal communication skills.
• Knowledge of healthcare regulatory matters including billing and coding, privacy and security, credentialing, and hospital contracting.
• Knowledge of HIPAA, HITECH, and relevant state breach notification requirements.
• An understanding of federal guidance from OIG, DOJ, and CMS on developing and maintaining effective compliance programs.
• Knowledge of laws relating to Medicare, Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the Anti-kickback Statute.
• Experience in conducting or responding to government audits and investigations, including working with CMS, OIG, MACs, ZPICs, DOJ, OCR, etc.
• Experience with working with an organization under a CIA

Responsibilities

• The Corporate Compliance Coordinator at Prime will participate and assist in compliance-related functions across all hospitals.

Skills

Communication skills

Healthcare compliance knowledge

Regulatory knowledge

HIPAA/HITECH knowledge

Education

Bachelor's degree in healthcare-related field

Job description

Responsibilities

The Corporate Compliance Coordinator at Prime will participate and assist in compliance-related functions across all hospitals.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

• A bachelor's degree from an accredited undergraduate institution, preferably in a healthcare-related field
• Minimum of three years of experience as a hospital Compliance professional or within a Compliance Department or Legal Department performing compliance work
• Exceptional written and verbal communication skills
• Knowledge of healthcare regulatory matters including billing and coding, privacy and security, credentialing, and hospital contracting
• Knowledge of HIPAA, HITECH, and relevant state breach notification requirements
• An understanding of federal guidance from OIG, DOJ, and CMS on developing and maintaining effective compliance programs
• Knowledge of laws relating to Medicare, Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the Anti-kickback Statute
• Experience in conducting or responding to government audits and investigations, including working with CMS, OIG, MACs, ZPICs, DOJ, OCR, etc.
• Experience with working with an organization under a CIA

Preferred qualifications:

• Certification in Healthcare Compliance, Healthcare Compliance Fellowship, Healthcare Privacy Compliance, Research Compliance, or other relevant training is not mandatory, but preferred

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf