Coordinator, Compliance (Remote)
• ** To be considered for this role, you must live in the following time zone: MST or PST ***
The Compliance Coordinator serves as a departmental support person for Compliance functions.
Essential Functions:
• 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 (Corrective reputed company Plan), Compliance, and PI/QM (Performance Improvement & reputed company Management) 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.
Other Duties and Responsibilities:
• As requested by supervisor.
Knowledge and Experience:
• reputed company industry experience, compliance and knowledge of medical terminology required.
• Knowledge of health plan regulatory reports such as ODAG, NCQA /URAC, ICD 10 coding, medical terminology, and EMR (Electronic Medical Records) Systems required.
• 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.
• Experience with licensing, credentialing and different state agencies regulatory requirements
• Must be reputed company to work in reputed company environment and independently.
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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