Healthcare Compliance Specialist

5 days ago


Creve Coeur, Missouri, United States Bethesda Health Full time

Bethesda Health seeks a skilled RN Care Specialist to join our team. As a registered nurse, you will conduct audits of medical billing documentation supporting claims to third parties, including Medicare and Medicaid.

This role requires ensuring compliance with documentation standards and providing education to clinical and billing staff regarding best practices. The position emphasizes knowledge of Medicare and Medicaid regulations, long-term care experience, and MDS Coordinator expertise.

The ideal candidate possesses excellent communication and organizational skills, as well as the ability to work effectively with clinical and billing staff. Experience in training/teaching adults is preferred, and proficiency in Word, Excel, PowerPoint, or equivalent software is required.

In this role, you will:

  • Conduct internal audits of medical documentation supporting claims billed to third parties and ensure compliance with appropriate third-party regulations/standards.
  • Assist in education of clinicians and billing staff to support compliance with third-party documentation and billing standards.
  • Prepare written reports of audit results and present them to management and billing staff with recommended corrective actions.

As a RN Care Specialist, you will enjoy a competitive salary range of $65,000-$80,000 annually, depending on experience, plus benefits such as 403(b), daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life insurance are available for regular status full and part-time employees.

Bethesda Health offers a dynamic and supportive work environment, where more than 1,200 employees dedicate their careers to improving the lives of others. If you are passionate about healthcare compliance, clinical documentation, and medical billing, we encourage you to apply for this exciting opportunity.



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