Compliance Audit Specialist

4 days ago

Columbus, Ohio, United States National Seating & Mobility Full time
About National Seating & Mobility

At National Seating & Mobility, we are dedicated to providing exceptional care and mobility solutions to our clients. Our team of passionate professionals is committed to making a meaningful impact on the lives of those we serve.

Job Summary

We are seeking a highly skilled Compliance Audit Specialist to join our team. As a Compliance Audit Specialist, you will be responsible for ensuring compliance with National Seating & Mobility policies and procedures, as well as all applicable insurance guidelines.

Key Responsibilities
  1. Develop and maintain a working knowledge of current durable medical equipment and policies and procedures held by National Seating & Mobility, as well as all applicable insurance guidelines.
  2. Ensure compliance with National Seating & Mobility policies and procedures.
  3. Responsible for quarterly audits of claims from the point of service initiation through the ensuring of correct payment.
  4. Responsible for conducting targeted audits of other risk areas such as CRT claims, highly utilized items, miscellaneous codes, repairs, and other targeted areas of concern.
  5. Assist in conducting audits of other Compliance related risk areas such as privacy and other areas of Compliance.
  6. Assist with the development of tools to monitor compliance risk data for assessing the environments risk and need for deeper analysis through review of documentation.
  7. Maintains and manages audit records. Provides detailed audit reports to include accuracy rate information and corrective actions.
  8. Identifies trends and proposes solutions based on identified issues.
  9. Ability to collect, analyze, and report on claims/other-related data.
  10. Collaborate with NSM Audit/QA Team members to gather information for external auditors.
  11. Ability to identify areas requiring training and ensures gaps are addressed. Continuously provides feedback to improve the quality and suitability of training program.
  12. Ability to coach teammates and collaborate with supervisors for performance enhancement of team members across NSM.
  13. Performs any related job duties assigned by the Chief Compliance Officer. Carries out all position expectations in a professional manner and with minimal supervision.
  14. Responsible to complete all continuing education requirements to include assigned NSM University courses.
  15. Must meet minimum productivity and quality standards.
  16. Must maintain regular and predictable attendance.
Work Environment

This position primarily operates in a work from home environment. The work from home policy and requirements must be adhered to. Occasionally, this job operates in a professional office environment.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to sit; use hands repetitively to operate standard office equipment. The employee is frequently required to reach with hands and arms.

Required Education, Experience & Competencies

·Has minimum of 5 years of experience related to Durable Medical Equipment and/or Complex Rehab Technology required, preferred experience in all aspects of a Billing and/or Reimbursement Specialist's position including all order types.

·Has extensive knowledge of the process and insurance guidelines to bill and/or collect for Durable Medical Equipment and/or Complex Rehab Technology including comprehensive knowledge of insurance verification for DME.

·Experience with applications such as BCS, Mobility Advisor or data management systems required.

·Proven record of excellent people skills including good communication and inter-personal skills.

·Strong leadership skills.

·Strong Team Player.

·Strong organizational skills and attention to detail.

·Customer service driven.

·Excellent computer and technology skills including good knowledge of Microsoft Office applications, Outlook, and Power Point; Experience with Excel to include spreadsheets and formulas and outlook email is required.

·Ability to be a strong role model for high performance and productivity.

·Ability to read, analyze and interpret general business reports, technical procedures, work instructions, and governmental regulations.

·Ability to write reports, business correspondence, and develop training materials.

·Ability to effectively present information and respond to questions from a variety of staff.

·Basic understanding of and willingness to learn and adopt professional and industry standards.

  • Compliance Audit Specialist

    3 weeks ago

    Columbus, Ohio, United States National Seating & Mobility Full time

    About National Seating & MobilityAt National Seating & Mobility, we are dedicated to providing exceptional mobility solutions to our clients. Our team of passionate professionals is committed to delivering high-quality care and services that empower individuals to live independently and with dignity.Job SummaryWe are seeking a highly skilled Compliance Audit...

  • Trade Compliance Specialist

    3 weeks ago

    Columbus, Ohio, United States Trade Compliance Recruiting Solutions Full time

    Job SummaryWe are seeking a highly skilled Trade Compliance Specialist to join our team at Trade Compliance Recruiting Solutions. As a Trade Compliance Specialist, you will be responsible for assisting the Trade Compliance Manager with all aspects of trade compliance for multiple locations.Key ResponsibilitiesAssist the Trade Compliance Manager with...

  • Trade Compliance Specialist

    3 weeks ago

    Columbus, Ohio, United States Trade Compliance Recruiting Solutions Full time

    Job SummaryWe are seeking a highly skilled Trade Compliance Specialist to join our team at Trade Compliance Recruiting Solutions. As a Trade Compliance Specialist, you will be responsible for assisting the Trade Compliance Manager with all aspects of trade compliance for multiple locations.Key ResponsibilitiesAssist the Trade Compliance Manager with...

  • Trade Compliance Specialist

    3 days ago

    Columbus, Ohio, United States Trade Compliance Recruiting Solutions Full time

    Job OverviewAs a Trade Compliance Specialist with Trade Compliance Recruiting Solutions, you will work closely with the Trade Compliance Manager to ensure compliance with all aspects of trade regulations and laws. This role is ideal for individuals with a strong background in trade compliance and a passion for ensuring that companies operate within the...

  • Audit and Compliance Expert

    4 weeks ago

    Columbus, Ohio, United States General Employment Full time

    Job OverviewWe are seeking a highly motivated Senior Accountant (Audit) to join our clients growing team at General Employment. As an Senior Accountant (Audit), you will play a critical role in leading financial statement audits, reviews, and compilations across a diverse range of client industries.Key Responsibilities:Lead financial statement audits,...

  • Environmental Compliance Specialist

    3 weeks ago

    Columbus, Ohio, United States WSP Full time

    About the RoleWe are seeking an experienced Environmental Compliance Specialist to join our team at WSP. As a key member of our Earth and Environment practice, you will play a critical role in supporting company environmental compliance and leading the building of our EHS Compliance business across the Midwest.Key ResponsibilitiesPerform air permitting and...

  • IT Governance and Compliance Specialist

    2 weeks ago

    Columbus, Ohio, United States MCK McKesson Corporation Full time

    About the RoleMCK McKesson Corporation is seeking a highly skilled IT Governance and Compliance Specialist to join our team. As a Senior IT Auditor, you will play a critical role in ensuring the integrity and security of our information technology systems.Key ResponsibilitiesLead and assist with the execution and maintenance of annual SOC2, SOC1, SOX, and...

  • Aircraft Maintenance Compliance Specialist

    2 weeks ago

    Columbus, Ohio, United States NetJets Full time

    Job SummaryWe are seeking a highly skilled Aircraft Maintenance Compliance Specialist to join our team at NetJets. As a key member of our maintenance group, you will play a critical role in ensuring compliance with 14 CFR and the NetJets General Maintenance Manual.Key ResponsibilitiesSurveillance and Compliance: Conduct on-site surveillance checks of base...

  • HR Compliance Specialist

    1 month ago

    Columbus, Ohio, United States augmentjobs Full time

    Job OverviewPosition Summary: The HR Compliance Specialist plays a crucial role in ensuring that the organization adheres to all relevant federal, state, and local employment laws and regulations. This position is tasked with the development, execution, and oversight of HR policies and procedures aimed at maintaining compliance and minimizing risk. The HR...

  • Nurse Specialist

    1 month ago

    Columbus, Ohio, United States Kd Staffing LLC Defunct Full time

    Position Type: Registered Nurse - Compliance and Regulatory Affairs SpecialistCompany Overview:KD-Staffing, LLC is a prominent healthcare staffing organization dedicated to supplying exceptional healthcare professionals to various facilities nationwide. We are in search of a highly qualified and experienced Registered Nurse - Compliance and Regulatory...

  • Grants Compliance Specialist

    1 week ago

    Columbus, Ohio, United States IEM Inc Full time

    Job SummaryIEM Inc is seeking a dedicated and detail-oriented Grants Compliance Specialist to ensure the effective and compliant management of grants for the State Broadband Program funded by BEAD and other federal funds.Key ResponsibilitiesDevelop and implement compliance processes and procedures for grant management in accordance with federal guidelines...

  • Senior Tax Compliance Specialist

    3 weeks ago

    Columbus, Ohio, United States Gable Search Group Full time

    About the RoleWe are seeking a highly skilled Senior Tax Compliance Specialist to join our team at Gable Search Group. As a key member of our tax department, you will be responsible for assisting with all aspects of U.S. federal, state, and local tax compliance reporting.Key ResponsibilitiesAssist with U.S. federal, state, and local tax compliance:...

  • Compliance and Training Specialist

    3 weeks ago

    Columbus, Ohio, United States Lutheran Social Services of Central Ohio Full time

    Job SummaryWe are seeking a highly skilled Compliance and Training Specialist to join our team at Lutheran Social Services of Central Ohio. As a key member of our organization, you will be responsible for developing and implementing comprehensive training programs to ensure compliance with regulatory requirements and industry standards.Key...

  • HR Compliance Specialist

    1 month ago

    Columbus, Ohio, United States augmentjobs Full time

    Position OverviewRole Summary: The HR Compliance Specialist is tasked with ensuring that the organization adheres to all relevant federal, state, and local employment laws and regulations. This position involves the creation, execution, and oversight of HR policies and procedures aimed at ensuring compliance and minimizing risk. The HR Compliance Specialist...

  • HR Compliance Specialist

    1 month ago

    Columbus, Ohio, United States augmentjobs Full time

    Job OverviewPosition Summary: The HR Compliance Specialist plays a crucial role in ensuring that the organization adheres to all relevant federal, state, and local employment regulations. This position involves the creation, execution, and oversight of HR policies and procedures to guarantee compliance and minimize risks. The HR Compliance Specialist...

  • Registered Nurse

    1 month ago

    Columbus, Ohio, United States KD-Staffing. LLC Full time

    Position OverviewWe are seeking a dedicated Registered Nurse - Compliance and Quality Assurance Specialist to join our esteemed team at KD-Staffing, LLC. This role is pivotal in upholding the standards of accreditation and regulatory compliance within our organization.Company Background:KD-Staffing, LLC is a premier healthcare staffing agency committed to...

  • K-12 Financial Compliance Specialist

    4 weeks ago

    Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Ohio Department of Developmental DisabilitiesPosition Title: K-12 Financial Compliance SpecialistCore Competency: Financial Management and ComplianceEssential Skills:Internal Auditing PracticesAdherence to Regulatory StandardsFinancial Management ExpertiseCompliance with Board and Commission RegulationsKey Professional Attributes:Proactive LearningAnalytical...

  • Senior Quality Assurance Specialist, Supplier Compliance

    4 weeks ago

    Columbus, Ohio, United States Forge Biologics Full time

    About the RoleWe are seeking a highly skilled Senior Quality Specialist, Supplier Management to join our team at Forge Biologics. In this critical role, you will be responsible for ensuring the quality and compliance of our suppliers, playing a vital part in maintaining the safety and efficacy of our clients' products.Key ResponsibilitiesDevelop and Maintain...

  • Customs Compliance Specialist

    3 weeks ago

    Columbus, Ohio, United States Abbott Laboratories Full time

    About Abbott LaboratoriesAbbott Laboratories is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines.We're a company that's always looking...

  • Product Compliance Specialist

    6 days ago

    Columbus, Ohio, United States Search Masters, Inc. Full time

    Product Compliance SpecialistSearch Masters, Inc. is seeking a highly skilled Product Compliance Specialist to join our team. As a key member of our compliance team, you will be responsible for ensuring our products meet local, state, and federal regulations.Key Responsibilities:Monitor and manage product safety compliance programs and policies to ensure...