Compliance Program Specialist

2 days ago


Fort Worth, Texas, United States Cook Children's Health Care System Full time
Senior Compliance Specialist

Job Summary:

The Senior Compliance Specialist will play a critical role in supporting the compliance program activities of Cook Children's Health Care System. This position will assist with planning, education, assessment, testing/monitoring, and other compliance program functions, with a particular focus on clinical/billing compliance and data analytics.

Key Responsibilities:

  • Assist with policy and procedure development and maintenance
  • Monitor compliance complaints and conduct investigations
  • Support physician relationships and conflicts of interest
  • Interact with industry and conduct risk assessments
  • Utilize data analytics tools such as Spotfire, Tableau, and/or ACL

Requirements:

  • Bachelor's degree in a business-related field (health-related field acceptable)
  • Minimum of three years' experience in healthcare compliance
  • Demonstrated expertise in billing/coding and data analytics
  • Strong written and verbal communication skills
  • Ability to work independently

Preferred Qualifications:

  • Certification in billing and/or coding by AAPC or AHIMA
  • Compliance certification by HCCA

About Us:

Cook Children's Health Care System is a leading integrated pediatric health care delivery organization. We are committed to improving the well-being of every child in our care and our communities.

Our Promise:

We promise to combine the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.



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