Compliance and Governance Specialist

7 days ago


Wilmington, Delaware, United States ChristianaCare Full time

Overview

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  • We are seeking a skilled Compliance Auditor to support our Office of Compliance & Privacy in ensuring effective documentation and adherence to assigned audit schedules.

Estimated Salary Range:$ 93,200 - $123,400 per year based on location and experience

About the Role:

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  • The successful candidate will be responsible for reviewing internal and external inquiries regarding compliance and privacy matters, conducting audits and focused reviews to ensure compliance with government and payor guidelines.

Responsibilities and Expectations:

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  • Maintain a working knowledge of HIPAA and CMS regulations
  • Identify and report potential audit and compliance risks
  • Participate in the planning and scheduling of compliance projects
  • Research compliance related questions upon request from departments and/or practices

Requirements and Qualifications:

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  • Bachelor's Degree required; equivalent of 5+ years' experience in nursing, compliance auditing, clinical chart reviews, medical necessity review/auditing, revenue integrity, and/or compliance department operations/regulations
  • Certification (at least one of the following) CHC or CHPC
  • In-depth knowledge of compliance and privacy regulations
  • Must be proficient in CMS Conditions of Participation, CMS Conditions of Payment, and Inpatient and Outpatient Prospective Payment System

Benefits:

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  • Full Medical, Dental, Vision, and other insurance benefits
  • 403(b) with employer match
  • Diverse and Inclusive culture
  • Generous paid time off with annual roll-over and opportunities to cash out
  • 12-week paid parental leave

About ChristianaCare:

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  • Headquartered in Wilmington, Delaware, ChristianaCare is a leading health system dedicated to improving health outcomes, making high-quality care more accessible, and lowering healthcare costs
  • We offer a comprehensive range of services, including outpatient services, home health care, medical aid units, two hospitals, and specialized centers of excellence in heart and vascular care, cancer care, and women's health
  • ChristianaCare is a not-for-profit teaching health system with over 260 residents and fellows and consistently ranked as a Best Hospital by US News & World Report

Contact Information:

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Please visit our website to learn more about this exciting opportunity and how to apply



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