The Senior Compliance Specialist will support the organization's compliance program activities with a particular focus on clinical and billing compliance
Job Summary
The Senior Compliance Specialist will support the organization's compliance program activities with a particular focus on clinical and billing compliance.
This role requires demonstrated expertise in billing/coding and data analytics to assist with planning, education, assessment, and monitoring functions.
Candidates should possess strong written and verbal communication skills to handle reporting responsibilities and policy maintenance effectively.
Matching Summary
The Senior Compliance Specialist will support the organization's compliance program activities with a particular focus on clinical and billing compliance.
Skills & Requirements
Must-have
Healthcare compliance experience
Billing and coding expertise
Data analytics proficiency
Strong written communication skills
Policy and procedure development
Nice-to-have
Physician relationship management
Conflict of interest handling
Industry interaction knowledge
Advanced degree in business or health
Experience with compliance complaint investigations
Key Requirements
Bachelor's degree required (Master's preferred)
Minimum 3 years healthcare compliance experience
Certification in billing/coding by AAPC or AHIMA preferred
HCCA compliance certification considered appropriate substitute