Senior Compliance Specialist

Cook Children's Health Care System; Fort Worth (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Cook Children’s Health Care System is seeking a Senior Compliance Specialist to support the organization’s compliance program activities with a generalist focus on clinical/billing compliance and data analytics.

The role will help with planning, education, assessment, testing/monitoring and other compliance functions, including policy development, hotline monitoring, investigations, physician relationships, conflicts of interest, interactions with industry, and risk assessments.

Qualifications

• Bachelor's degree required; Master's preferred.
• Bachelor's degree should be in business related field, but can be in health related field.
• 3+ years experience in health care compliance with billing/coding and data analytics.

Responsibilities

• Support planning, education, assessment, testing/monitoring of the compliance program functions.
• Focus on clinical/billing compliance and data analytics.
• Policy development and maintenance; hotline monitoring and investigations; physician relationships; conflicts of interest; interactions with industry; and risk assessments.

Skills

Healthcare compliance

Billing & coding

Data analytics

Communication skills

Education

Bachelor's degree

Master's degree preferred

Tools

Word

PowerPoint

Excel

Job description

Location: Rosedale Office Building

Department: Corporate Compliance

Shift: First Shift (United States of America)

Standard Weekly Hours: 40

Summary: The Senior Compliance Specialist assists with and support the compliance program activities of the organization. This is a generalist position that will support the planning, education, assessment, testing/monitoring and other compliance program functions including any existing compliance activities, but will have a particular focus on clinical/billing compliance and data analytics. May also assist with such activities as policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, physician relationships, conflicts of interest, interactions with industry, and risk assessments.

Qualifications:

• Bachelor's degree required. Master's preferred.
• Bachelor's degree should be in business related field, but can be in health related field.
• Candidates should have a minimum of 3 years experience in health care compliance and demonstrated expertise in the areas of billing/coding and data analytics.

Knowledge, Skills, & Abilities:

• Individual needs health care experience, preferably in the compliance area.
• Strong written and verbal communication skills are required.
• This individual will have reporting responsibilities that require routine use of software packages such as Word, PowerPoint and Excel.

Recommended Licensure, Registration, and/or Certification:

• Certification in billing and/or coding by either AAPC or AHIMA strongly preferred.
• Compliance certification by HCCA could be considered an appropriate substitute under the right circumstances.

About Us: Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children's is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.