Compliance Coordinator - Healthcare from Quadrant Inc
Chesterfield, VA
About the Job
Job ID: 24-03768
Complaince Coordinator
Chesterfield Virginia
MUST:
Experienced Complaince Coordinator
Bachelor s Degree or equivalent with 2 to 5 years of relevant compliance/auditing experience in medical or insurance setting
Compliance Certification (e.g. CHC, CHPC, CHPS) or Certified Professional Coder (CPC) desirable
Strong analytical and problem-solving skills required including experience auditing and manipulating large quantities of data
Ability to exercise initiative, problem-solving and decision-making to effectively plan, prioritize, and complete projects/tasks with minimal supervision in a fast paced, changing environment
General knowledge of regulatory requirements relating to documentation, claims processing, reimbursement, coding, HIPAA, OSHA standards applicable to the healthcare industry and other compliance related regulations
Advanced working experience in Microsoft Office including Excel (formulas, pivot tables, dashboards, etc.)
Exceptional written and strong verbal communication skills: face to face, email, written correspondence, telephone
DUTIES:
Assists with monitoring and assessing company Compliance Program
Monitors compliance reporting including overseeing and managing the compliance hotline (ensure incidents are reported correctly and closed in a timely fashion); Trains providers and staff on using the compliance hotline.
Assists in the development of compliance education and training; Coordinates compliance education and training; Ensures annual training and new hire training is completed and documented appropriately
Documents all compliance-related findings
Compiles and summarizes compliance data, including breach statistics and survey data
Facilitates and documents requests and referrals for coding and ad-hoc trainings received from practice staff; catalogs coding audits, tracks failed audits and required remedial training, and monitors rate of provider over-coding and under-coding
Facilitates annual conflict of interest/open payments evaluation process
Assists with compliance audits, monitoring and investigations; Participates in external investigations by regulatory agencies
Drafts one pagers and tip sheets on compliance issues
Completes administrative tasks and projects assigned by the Compliance Director
Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act .
Complaince Coordinator
Chesterfield Virginia
MUST:
Experienced Complaince Coordinator
Bachelor s Degree or equivalent with 2 to 5 years of relevant compliance/auditing experience in medical or insurance setting
Compliance Certification (e.g. CHC, CHPC, CHPS) or Certified Professional Coder (CPC) desirable
Strong analytical and problem-solving skills required including experience auditing and manipulating large quantities of data
Ability to exercise initiative, problem-solving and decision-making to effectively plan, prioritize, and complete projects/tasks with minimal supervision in a fast paced, changing environment
General knowledge of regulatory requirements relating to documentation, claims processing, reimbursement, coding, HIPAA, OSHA standards applicable to the healthcare industry and other compliance related regulations
Advanced working experience in Microsoft Office including Excel (formulas, pivot tables, dashboards, etc.)
Exceptional written and strong verbal communication skills: face to face, email, written correspondence, telephone
DUTIES:
Assists with monitoring and assessing company Compliance Program
Monitors compliance reporting including overseeing and managing the compliance hotline (ensure incidents are reported correctly and closed in a timely fashion); Trains providers and staff on using the compliance hotline.
Assists in the development of compliance education and training; Coordinates compliance education and training; Ensures annual training and new hire training is completed and documented appropriately
Documents all compliance-related findings
Compiles and summarizes compliance data, including breach statistics and survey data
Facilitates and documents requests and referrals for coding and ad-hoc trainings received from practice staff; catalogs coding audits, tracks failed audits and required remedial training, and monitors rate of provider over-coding and under-coding
Facilitates annual conflict of interest/open payments evaluation process
Assists with compliance audits, monitoring and investigations; Participates in external investigations by regulatory agencies
Drafts one pagers and tip sheets on compliance issues
Completes administrative tasks and projects assigned by the Compliance Director
