Job Description
About the position
- Responsibilities
- Assist in the development of departmental policies and procedures and agency-wide policy and procedures as needed to ensure alignment with regulatory requirements and industry best practices.
- Support the process of updating policies, procedures, and guidance, ensuring accuracy and relevance.
- Conduct OMIG self-audits and audits as assigned within the compliance audit work plan, including chart audits and billing audits.
- Assist in completing timely utilization review (UR) of client documentation for medical necessity admission and continuing stay, and discharge reasons.
- Monitor to identify patterns, trends, and variances during and from audits.
- Assist in the development and modification of audit tools based on changing regulations.
- Actively participate in various compliance committees, subcommittees, and workgroups as Co-Chair or Member.
- Assist in conducting HIPAA privacy and security investigations in response to reports or alerts of suspected or known privacy violations.
- Prepare written reports of findings and recommendations for corrective action, monitor and manage the completion of corrective action plans.
- Develop education and training materials and provide education and training to staff on compliance matters.
- Requirements
- Master's degree in Public Health, Healthcare Informatics, Health Administration, Business Administration, Social Work, or other relevant discipline.
- Minimum of three (3) years of experience in Healthcare Compliance.
- Strong experience in Microsoft Office tools (Outlook, Excel, PowerPoint, Teams, Word).
- Experience performing audits and developing corrective action plans.
- Ability to work independently and possess strong communication, analysis, and critical thinking skills.
- Strong organizational skills and ability to prioritize critical items.
- Nice-to-haves
- Experience in Investigation and Training related to Healthcare Compliance (1 year preferred).
- Experience in conducting Audits and At-Risk Assessment (1 year preferred).
- Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Flexible spending account
- Paid time off
- Parental leave
- Employee assistance program
- 403(b)
- Professional development assistance
- Referral program
Apply Now
Apply Now