Compliance Reimbursement Consultant - Atrium Health Wake Forest Baptist Ft Day Remote

Advocate Health

Ft Day, US
Base: $41.10 - $61.65; bonus/equity: not specified...
Fully remote
Hotline triage and response
Risk assessment and remediation
Physician compensation analysis
Advocate Health is seeking a Compliance Reimbursement Consultant to assist with compliance inquiries, risk assessments, and regulatory research within its Medical Group. The ideal candidate should have experience in healthcare compliance, regulatory knowledge, and strong analytical skills, along with relevant certifications in coding and compliance

Job Summary

  • Assist with hotline triage and response for Medical Group/Clinic compliance questions and concerns, and collaborate within the compliance team.
  • Conducts and/or leads Enterprise compliance reviews and investigations impacting hospital and physician reimbursement, and performs data collection for proactive reviews.
  • Advocate Health offers a comprehensive suite of Total Rewards, including competitive compensation, generous retirement offerings, and programs that invest in your career development.

Matching Summary

Match Score: 85

Advocate Health is seeking a Compliance Reimbursement Consultant to assist with compliance inquiries, risk assessments, and regulatory research within its Medical Group. The ideal candidate should have experience in healthcare compliance, regulatory knowledge, and strong analytical skills, along with relevant certifications in coding and compliance.

Salary

Base: $41.10 - $61.65; Bonus/Equity: Not specified; Benefits: Yes

Skills & Requirements

Must-have

  • hotline triage and response
  • risk assessment and remediation
  • physician compensation analysis
  • regulatory research
  • compliance reviews and investigations
  • data collection and analysis
  • corrective action tracking

Nice-to-have

  • strong critical thinking skills
  • intellectual curiosity
  • affinity to learn new areas
  • professionalism and trustworthiness
  • personal diplomacy skills

Key Requirements

  • Bachelors Degree or equivalent knowledge
  • 5+ years of experience in healthcare
  • Knowledge of healthcare regulatory requirements
  • Medical coding and billing experience
  • CCS, CCS-P CPC, CHC or CRCR certification required

Work Rights

Not specified

Tailored Resume

Cover Letter