Medical Compliance Specialist

7 days ago


Athens, Georgia, United States UCBC - Athens - Clarke County Medical Oncology Clinic Full time
Job Overview

We are seeking a highly skilled Medical Compliance Specialist to join our team at UCBC - Athens - Clarke County Medical Oncology Clinic.

Estimated Salary: $65,000 - $80,000 per year

This is a full-time position that requires a strong understanding of healthcare regulations and compliance protocols. As a Medical Compliance Specialist, you will be responsible for ensuring the clinic's compliance with federal and state laws, as well as internal policies and procedures.

The ideal candidate will have a degree in Public Health or Healthcare Administration, 3 years of experience in the healthcare industry, and excellent communication and problem-solving skills.

Key Responsibilities:

  • MIPS Tracking/ Training
  • Depression screening tracking
  • Staging report and tracking
  • Monitoring no-show/ late appt live well
  • EOM
  • Screening day
  • Entering in providers
  • Visit note status
  • SMG- patient satisfaction surveys
  • Insurance contracts
  • FPPE @ the hospital
  • Maintain effectiveness of the Compliance Program
  • Serve as a corporate resource for healthcare compliance matters, including Medicare reimbursement information, and coding/billing matters, as well as HIPAA and OSHA.
  • Evaluate, develop, and modify policies and procedures to conform to relevant state, federal, regulatory, and/or industry standards and requirements.
  • Develop and provide education and training for providers and employees on the Compliance Program and ensure employees are knowledgeable of relevant regulations and policies.
  • Manage investigative and audit processes to ensure compliance with federal and state laws and regulations.
  • Serve as HIPAA/Privacy specialists


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