Compliance Program Specialist
2 days ago
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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