Compliance Specialist
5 days ago
Cook Children's Health Care System offers a comprehensive approach to caring for children through its integrated pediatric health care delivery organization.
Our unique system allows us to leverage all our resources to provide exceptional care and ensure seamless communication among physicians with a focus on caring for children and adolescents.
We are committed to delivering high-quality services that meet the evolving needs of our patients, families, and community.
Salary and BenefitsThe estimated salary for this role is $95,000 - $125,000 per year.
Cook Children's Health Care System offers a competitive benefits package to support the well-being of our employees, including medical, dental, and vision insurance, retirement plans, paid time off, and more.
Job DescriptionAs a Senior Compliance Specialist, you will play a crucial role in supporting our compliance program activities.
You will assist with planning, education, assessment, testing/monitoring, and other compliance program functions, with a particular focus on clinical/billing compliance and data analytics.
- Develop and maintain policies and procedures to ensure compliance with regulatory requirements.
- Monitor and investigate compliance complaints, providing timely and effective resolutions.
- Collaborate with physicians and industry partners to develop and maintain relationships that drive business growth.
You will work closely with our cross-functional teams to identify areas of improvement and implement strategies to enhance our compliance program.
Your expertise in billing/coding and data analytics will enable you to analyze complex data sets and make informed decisions to drive business outcomes.
Requirements and QualificationsTo be successful in this role, you will need:
- Bachelor's degree in business or a health-related field.
- Minimum 3 years' experience in healthcare compliance.
- Demonstrated expertise in billing/coding and data analytics.
- Strong written and verbal communication skills.
- Familiarity with software packages like Word, PowerPoint, and Excel.
Prior experience with data analytics tools like Spotfire, Tableau, and ACL is highly desirable.
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