Healthcare Compliance Lead: Audit, Training & Policy

Drexel University; Philadelphia (Philadelphia County); Hybrid; USD 33,000 - 79,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

Drexel University is seeking a Healthcare Compliance Specialist to support the Compliance Program Services for its clinical practices. The role focuses on regulatory education, audits, and policy development to uphold healthcare compliance standards.

The specialist will oversee the compliance program, liaise with clinical leadership, analyze Medicare/Medicaid rules, and conduct audits and trainings to remediate findings. Hybrid work arrangement with base in Drexel's Philadelphia campus.

Qualifications

• Minimum requirement is a HS Diploma or GED.
• 3–5 years of combined experience in medical auditing, academic medicine compliance, medical coding, and reimbursement.
• CPMA certification and CPC or CCS-P physician coding certification are required.
• Excellent ability to formulate compliance policies, procedures and related documentation.
• Strong communication, interpersonal, and confidentiality skills.

Responsibilities

• Oversee the University's health care compliance program.
• Serve as primary liaison between Compliance Program Services and clinical leadership.
• Research and analyze Medicare and Medicaid regulations applicable to the University.
• Maintain knowledge of billing, reimbursement, and coding guidelines.
• Perform Coding and Billing audits for Drexel Health clinical practices.
• Provide education and training to physicians and clinicians to remediate audit findings.
• Develop and update healthcare compliance policies and procedures.
• Conduct annual screenings against sanction databases and ensure follow ups.
• Oversee annual healthcare trainings required by CMS.
• Complete annual FDR attestations required by CMS.
• Perform other duties as assigned by leadership.

Skills

Healthcare compliance

CPMA

CPC/CCS-P

Communication skills

Interpersonal skills

Diplomacy & confidentiality

Spreadsheet & database management

Education

HS Diploma or GED

Tools

Excel

Database management

Job description

Drexel University is seeking a Healthcare Compliance Specialist to support the Compliance Program Services for its clinical practices. The role focuses on regulatory education, audits, and policy development to uphold healthcare compliance standards.

The specialist will oversee the compliance program, liaise with clinical leadership, analyze Medicare/Medicaid rules, and conduct audits and trainings to remediate findings. Hybrid work arrangement with base in Drexel's Philadelphia campus.