Healthcare Compliance Lead: Billing & Data Analytics

Cook Children's; Fort Worth, Northern (TX, KY); Hybrid; USD 80,000 - 110,000; Full time

Job summary

Cook Children’s in Fort Worth, TX seeks a Senior Compliance Specialist to assist and support the organization's compliance program activities. This generalist role focuses on planning, education, assessment, testing/monitoring, and other compliance tasks, with emphasis on clinical billing compliance and data analytics.

The position also involves policy development, hotline monitoring, investigations, physician relationships, conflicts of interest, interactions with industry, and risk

Qualifications

• Bachelor’s degree required; Master’s preferred.
• Degree should be in business related field, or health related field.
• At least 3 years health care compliance experience with billing/coding and data analytics.

Responsibilities

• Support compliance program activities across planning, education, assessment and monitoring.
• Assist with policy and procedure development and maintenance, hotline monitoring and investigations.
• Manage physician relationships, conflicts of interest and interactions with industry, plus risk assessments.

Skills

Communication skills

Data analytics

MS Office

Education

Bachelor's degree

Master's degree preferred

Tools

Microsoft Word

PowerPoint

Excel

Job description

Cook Children’s in Fort Worth, TX seeks a Senior Compliance Specialist to assist and support the organization's compliance program activities. This generalist role focuses on planning, education, assessment, testing/monitoring, and other compliance tasks, with emphasis on clinical billing compliance and data analytics.

The position also involves policy development, hotline monitoring, investigations, physician relationships, conflicts of interest, interactions with industry, and risk