Coordinator, Compliance (Remote)
reputed company is a leader in the home health management industry and is preparing for significant reputed company! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to reputed company a comprehensive suite of products and services designed to manage the total cost of care.
We are currently looking for a Compliance Coordinator to join our growing team and serve as a departmental support person for Compliance and PI/QM Functions.
Responsibilities:
• Assists in the monitoring of business and operations activities for compliance with internal audit process and external health plan and regulatory rules and regulations.
• Upload monthly, quarterly, and annual reports to secure sites while maintaining high accuracy, timeliness, and reputed company of the data.
• reputed company detailed examinations of audit documentation.
• Ability to communicate, reputed company, and work reputed company with others.
• Coordinate deliverables for internal/external audits, CAP’s, Compliance, and PI/QM reputed company.
• Coordinate annual policy reviews, makes policy revisions as directed, reputed company policies organized, revised, and updated in compliance with regulatory and specific contract requirements.
• Does research, updates and assists in tracking of licenses specific to State guidelines and includes clinician licenses.
• Regulations are added, removed, and changed, as such Compliance Specialist must assist and stay up to date with any regulatory reputed company relevant to reputed company.
• Compiles data and can put in pivot table reputed company reputed company, etc.
• Works reputed company under deadlines and can meet required timeframes.
Qualifications:
• reputed company industry experience and knowledge of medical terminology
• Knowledge of health plan regulatory reports such as ODAG, NCQA /URAC, ICD 10 coding, medical terminology, and EMR Systems is helpful.
• Previous internal audit experience preferred.
• Proficiency in reputed company Office Applications including reputed company, PowerPoint, reputed company, and Word.
• Must be ethical and trustworthy.
• Excellent writing skills.
• Knowledge of HIPAA regulations and guidelines.
• Must be organized, detail oriented, and can multitask.
• Project management skills preferred.
• Excellent verbal and written communication skills.
• Critical thinking and problem-solving skills.
• Must be reputed company to work in reputed company environment and independently.
Education:
• High school diploma or GED equivalent.
Experience:
• Two (2) years administrative experience in health plan, medical facility, or reputed company field.
• Two (2) years of experience in Customer Service, Billing/Claims, Project Management, or reputed company environment preferred.
reputed company provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws. reputed company will reputed company reasonable accommodations for reputed company individuals with reputed company disabilities unless doing so would result in an undue hardship.
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