Senior Compliance Specialist

Cook Children's Health Care System; Fort Worth (TX); Sur place; USD 70 000 - 110 000; Plein temps

Résumé du poste

Cook Children's Health Care System is seeking a Senior Compliance Specialist to support planning, education, assessment, testing/monitoring and other compliance activities with a focus on clinical billing and data analytics.

The role will assist with policy development, hotline monitoring, investigations, physician relationships, conflicts of interest, interactions with industry and risk assessments while ensuring adherence to applicable laws and internal policies.

Qualifications

• Bachelor’s degree required; Master’s preferred.
• Minimum 3 years health care compliance experience with billing/coding and data analytics.
• Experience using Word, PowerPoint and Excel for reporting and documentation.

Responsabilités

• Support planning, education, assessment, testing/monitoring of compliance activities.
• Assist with policy and procedure development and maintenance.
• Monitor hotlines and conduct compliance investigations when needed.
• Support physician relationships, conflicts of interest, and interactions with industry.
• Contribute to risk assessments.

Connaissances

Communication skills

Data analytics

Formation

Bachelor's degree

Master's degree preferred

Outils

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Description du poste

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.

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.