Healthcare Compliance Specialist
3 weeks ago
Role and Responsibilities
Assist the Director of Compliance with-
Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.
The investigation of HIPAA incidents.
Maintaining the existing language assistance program and Implementing the PRISM language assistance program for integrations with new affiliates, including training.
Monthly OIG Exclusions/Sanctions Searches, including investigating potential matches and ruling them out.
Due Diligence and Integrations projects during PRISM joint ventures, acquisitions, and the like.
Coordination of the legal request for medical record requests process, including determining whether it is appropriate to approve the requested medical records.
Providing educational support to staff as needed.
Investigating Compliance Hotline concerns.
Assisting with maintenance of compliance applications and other databases as needed.
Other general duties as assigned.
Education, Training and Experience
3-5 years of healthcare compliance experience.
Bachelors degree or equivalent experience in a compliance role.
Compliance certification from HCCA, AAPC, or the like strongly preferred but not required.
Proficiency in or experience with healthcare compliance including The HIPAA Rule, HITECH, federal False Claims Act, Anti-kickback Statute, Fraud Waste and Abuse laws, and other healthcare compliance laws.
Knowledge and Skills & Expected Competencies
Detail-oriented and organized.
Effective oral and written communication skills.
Strong research skills.
Strong organizational skills.
Proficient in Microsoft Office Suite software including Word and Excel.
Basic understanding of CMS requirements.
Ability to stay current with the healthcare regulatory environment including regulatory changes.
Ability to deal effectively with individuals at all organizational levels, working independently and/or with teams.
Ability to manage multiple priorities and workflow at one time.
by Jobble
-
Healthcare Compliance Specialist
2 months ago
New York, United States Healthcare Enterprise Full timeJob DescriptionJob DescriptionThe Compliance Specialist oversees the Compliance Program for the Home Care agency, ensuring adherence to local, state laws, and regulations outlined by the New York State Department of Health, Office of Medicaid Inspector General, and company policies. This role includes the continual implementation of the Code of Conduct and...
-
Healthcare Compliance Specialist
5 days ago
New Providence, New Jersey, United States PRISM Vision Group Full timeRole and Responsibilities Assist the Director of Compliance with- Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.The investigation of HIPAA incidents. Maintaining the existing language assistance program and Implementing the PRISM language...
-
Healthcare Compliance Specialist
3 weeks ago
New Providence, United States PRISM Vision Group Full timeRole and ResponsibilitiesAssist the Director of Compliance with-Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.The investigation of HIPAA incidents.Maintaining the existing language assistance program and Implementing the PRISM language...
-
Healthcare Compliance Specialist
3 weeks ago
New Providence, NJ, United States PRISM Vision Group Full timeRole and ResponsibilitiesAssist the Director of Compliance with-Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.The investigation of HIPAA incidents.Maintaining the existing language assistance program and Implementing the PRISM language...
-
Healthcare Compliance Officer
6 days ago
New York, United States Healthcare Enterprise Full timeJob DescriptionJob DescriptionThe Compliance Officer oversees the Compliance Program for the Home Care agency, ensuring adherence to local, state laws, and regulations outlined by the New York State Department of Health, Office of Medicaid Inspector General, and company policies. This role includes the continual implementation of the Code of Conduct and...
-
Compliance Specialist
4 weeks ago
New Providence, United States PRISM Vision Group Full timeRole and Responsibilities Assist the Director of Compliance with- Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff. The investigation of HIPAA incidents. Maintaining the existing language assistance program and Implementing the PRISM language...
-
Compliance Specialist
3 weeks ago
New Providence, United States PRISM Vision Group Full timeRole and Responsibilities Assist the Director of Compliance with- Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff. The investigation of HIPAA incidents. Maintaining the existing language assistance program and Implementing the PRISM language...
-
Sr. Compliance and Privacy Specialist
3 weeks ago
Providence, United States Lifespan Full timeAs Rhode Island's largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We are seeking a Sr. Compliance and Privacy Specialist to join our Internal Auditing department in Providence, RI. This is a hybrid position with two remote days per week. In this role, you will serve as the...
-
Sr Compliance and Privacy Specialist
4 weeks ago
Providence, United States Lifespan Corporation Full timeSummary: Under the supervision of the Director of Privacy and Compliance Operations (Director) serves as a subject matter expert regarding the HIPAA Privacy Act; maintains the HIPAA Privacy Log performs security breach analysis and reviews and revises Privacy policies. Plans directs and performs investigations annual and ongoing Conflict of Interest...
-
Sr Compliance and Privacy Specialist
3 weeks ago
Providence, United States Lifespan Corporation Full timeSummary: Under the supervision of the Director of Privacy and Compliance Operations (Director) serves as a subject matter expert regarding the HIPAA Privacy Act; maintains the HIPAA Privacy Log performs security breach analysis and reviews and revises Privacy policies. Plans directs and performs investigations annual and ongoing Conflict of Interest...
-
Sr. Compliance and Privacy Specialist
3 weeks ago
Providence, United States Lifespan Full timeAs Rhode Island's largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We are seeking a Sr. Compliance and Privacy Specialist to join our Internal Auditing department in Providence, RI. This is a hybrid position with two remote days per week. In this role, you will serve as the...
-
Sr. Compliance and Privacy Specialist
2 weeks ago
Providence, United States Lifespan Full timeAs Rhode Islands largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We are seeking a *Sr. Compliance and Privacy Specialist *to join our Internal Auditing department in Providence, RI. *This is a hybrid position with two remote days per week. *In this role, you will serve as the...
-
Sr. Compliance and Privacy Specialist
2 weeks ago
Providence, United States Lifespan Full timeAs Rhode Island’s largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We are seeking a *Sr. Compliance and Privacy Specialist *to join our Internal Auditing department in Providence, RI. *This is a hybrid position with two remote days per week. *In this role, you will serve as the...
-
Sr. Compliance and Privacy Specialist
2 weeks ago
Providence, United States Lifespan Full timeAs Rhode Island's largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We are seeking a Sr. Compliance and Privacy Specialist to join our Internal Auditing department in Providence, RI. This is a hybrid position with two remote days per week. In this role, you will serve as the...
-
Sr Compliance and Privacy Specialist
2 months ago
Providence, United States LifeSpan Full timeSummary: Under the supervision of the Director of Privacy and Compliance Operations (Director) serves as a subject matter expert regarding the HIPAA Privacy Act; maintains the HIPAA Privacy Log performs security breach analysis and reviews and revises Privacy policies. Plans directs and performs investigations annual and ongoing Conflict of Interest...
-
Employee Compliance Specialist
5 days ago
New York, United States Premier Home Healthcare Services Inc Full timePremier Home Health Care Services, Inc. is a leading multi-state community-based service provider, specializing in both Care Management and Licensed Home Health Care Agency services. Premier is currently seeking an experienced Employee Compliance Specialist for NYC! The role of the Employee Compliance Specialist shall be responsible for maintaining...
-
Import and Export Compliance Specialist
1 month ago
Providence, United States Taco Full timeTaco, Inc. Import and Export Compliance Specialist Cranston , Rhode Island Apply Now Under the guidance of a corporate executive and designated outside attorneys, responsible for ensuring and facilitating company compliance with all U.S. Customs, various Global Customs, and other government agency applicable laws, regulations and policies related to imports...
-
Medicaid Compliance Specialist
3 weeks ago
New York, United States MetroPlusHealth Full time**Empower. Unite. Care.**: **MetroPlusHealth** is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. **About NYC Health + Hospitals**: MetroPlus**Health...
-
Telecommute Healthcare Reimbursement Specialist
1 month ago
New Providence, NJ, United States PRISM Vision Group Full timeThe Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service. Pursue reimbursement from...
-
Healthcare Compliance Analyst
2 months ago
New Brunswick, United States ZP Group Full timePiper Companies is looking for a Compliance Analyst HCC - Enterprise R&D to provide Healthcare Compliance support working for a Pharmaceutical company in New Brunswick, NJ. Responsibilities for the Compliance Analyst HCC - Enterprise R&D include: * Review simple transactions created to support business activities and open payments requirements in support...