Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

OPS CMS COMPLIANCE SPECIALIST - 67965504

$52k
Temporary

State of Florida

Requisition No: 887311

Agency: Agency for Persons with Disabilities

Working Title: OPS CMS COMPLIANCE SPECIALIST - 67965504

Pay Plan: Temp

Position Number: 67965504

Salary: $25.00 Hourly

Posting Closing Date: 11/16/2026

Total Compensation Estimator Tool

AGENCY FOR PERSONS WITH DISABILITIES

POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Other Personal Services (OPS)

WORKING TITLE: CMS COMPLIANCE SPECIALIST

POSITION NUMBER: 67965504

OPEN COMPETITIVE OPPORTUNITY

This posting may close before the posted closing date.

CANDIDATE POOL: Future vacancies may be filled from this advertisement for a period of up to six months.

This position is a Telework position.

The Benefits of Working for the State of Florida

Working for the State of Florida is more than a paycheck. The State’s total compensation package for eligible employees features a highly competitive set of employee benefits, including:

  • State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
  • Retirement plan options, (For more information, please click
  • And more! For a more complete list of benefits, visit

The Agency seeks team members who contribute to a culture that develops individuals and strengthens teams through transparency and a commitment to professional growth. Team members are expected to provide exceptional customer service, demonstrate humility, recognize and share credit with others, remain self-motivated, and exercise sound judgment and awareness in team interactions and group dynamics.

This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community, and the population we serve as we continuously strive to achieve the Agency’s mission.

*Responses to the qualifying questions are required and must be verifiable based on your submitted application, and “see resume” will not be considered an acceptable response.

SALARY RANGE

$25.00 Hourly

Position Summary

The primary function of this position is ensuring APD residential (group home and assisted living facility) and non-residential (adult day training and prevocational) setting compliance with the Centers for Medicare & Medicaid Services (CMS) requirements, set forth in 42 CFR 441.301. The duties to be performed include:

The Work You Will Do

Conduct onsite monitoring through established survey protocols of APD residential and non-residential settings located within the region to determine compliance with 42 CFR 441.301(c)(4).

Onsite monitoring includes conducting interviews of individuals served within residential settings and non-residential settings to verify person centered plans are in place that ensure rights, dignity, choice, and community integration.

Conduct validation surveys of residential and non-residential settings every three years to ensure continued compliance with CMS requirements.

Complete written survey reports summarizing findings related to the providers’ compliance with CMS requirements, including identification of deficiencies to be remediated.

Coordinate with providers on completion of plans of remediation/correction and provide technical assistance for providers to come into compliance with CMS requirements.

Conduct follow-up surveys to ensure providers complete their plans of remediation within established time frames.

Participate in meetings to discuss concerns and provider actions that may be necessary, including terminations.

Conduct heightened scrutiny reviews of settings that appear to meet the definition of presumptively institutional and report findings to the APD leadership team and participate, as necessary, in the review of public comments on settings identified as presumptively institutional, providing recommendations on identified issues as requested.

Provide APD leadership team with status reports of completed assessments.

Participate in all training and technical assistance conference calls.

Perform other duties as assigned.

Minimum Qualifications

  • Valid Driver’s License or other efficient means of transportation to travel for work purposes.
  • Must be able to work evenings and weekends, as necessary, to ensure residential settings are assessed when individuals are home.
  • Professional experience with monitoring or conducting quality assurance activities.

Knowledge, Skills, And Abilities

Knowledge of:

  • Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.

Ability to:

  • Work under strict timelines.
  • Effectively communicate orally and in writing.
  • Establish, organize, and maintain files.
  • Read and interpret applicable laws, rules, and regulations.
  • Write evaluations and/or reports.
  • Plan, organize, and coordinate work assignments.
  • Establish and maintain effective working relationships with others.

Additional Information

Profile Completion

To qualify for this position, applicants must complete all fields in the Candidate Profile, including their work history with the month and year.

Resumes and other documentation can be attached to provide additional information but will not replace the required completed Candidate Profile.

Retiree Notice

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you will be required to repay all benefits received depending upon your retirement date.

Direct Deposit Program

As a condition of employment, a person appointed to a position in the State Personnel System is required to participate in the Direct Deposit Program. Rather than receiving a paper paycheck, your funds will be deposited directly into your account at your financial institution. This will be accomplished by Electronic Funds Transfer. Banks, savings and loan associations, and credit unions are eligible to accept such deposits. Retirement funds are also required to be in the Direct Deposit Program.

Background Screening Requirement

It is the policy of the Florida Agency for Persons with Disabilities that applicants for employment undergo Level 2 employment screening in accordance with the requirements of Chapter 435, Florida Statutes, as a condition of employment or being permitted to serve as a volunteer.

No applicant for a designated position will be employed or permitted to volunteer until the Level 2 screening results are received, reviewed, and approved by the Agency.
Level 2 background screening shall include, but not be limited to, fingerprinting for Statewide criminal and juvenile records checks through the Florida Department of Law Enforcement and Federal criminal records checks through the Federal Bureau of Investigation and may include local criminal records checks through local law enforcement agencies.

Pursuant to S. 110.1127(1), Florida Statutes, this position requires a background investigation, including fingerprinting.

APD only hires U.S. citizens and those lawfully authorized to work in the U.S. APD participates in the U.S. government’s employment eligibility verification program (E-Verify), which electronically confirms an employee’s eligibility to work in the U.S. after completing the employment eligibility verification form (I-9).

All applicants should complete the online application process. If you need assistance applying for this position, please call the People First service center at View phone number on aiapply.co.

Responses to the qualifying questions are required to be considered for this position. Answers to the qualifying questions must be verifiable based on your submitted application.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center View phone number on aiapply.co). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the OPS CMS COMPLIANCE SPECIALIST - 67965504 in Remote vacancy
  • $52k

     ...Requisition No: 887311 Agency: Agency for Persons with Disabilities Working Title: OPS CMS COMPLIANCE SPECIALIST - 67965504 Pay Plan: Temp Position Number: 67965504 Salary: $25.00 Hourly Posting Closing Date: 11/16/2026 Total Compensation... 
    Cms
    Hourly pay
    Temporary work
    Work at office
    Local area
    Remote work
    Weekend work
    Afternoon shift

    State of Florida

    Florida
    4 days ago
  •  ...Medicare & Medicaid Services Risk Adjustment Data Validation (CMS RADV) contract. Day time availability is required due to meetings...  ...(MRR) work performed under the contract. This role ensures compliance with CMS RADV guidelines, coding standards, and risk adjustment... 
    Cms
    Contract work
    Part time
    Work at office
    Remote work
    Flexible hours

    J29, Inc.

    Millersville, MD
    3 days ago
  • UChicago Medicine is seeking a remote OP/ED/OBS Coding Auditor to join the HIM Coding/CDI team. You will review inpatient and outpatient...  ...educate medical staff on coding questions, stay current with CMS/IPPS/OPPS rules, and contribute to coder education and annual quality... 
    Cms
    Remote job

    Ingalls Health System

    Chicago, IL
    1 day ago
  • AMN Healthcare seeks a Remote OP Coder to accurately code outpatient procedures and diagnoses from medical records, using ICD-10-CM, CPT and HCPCS, with a remote workflow and standard PC setup. You will maintain a high accuracy rate (95%), meet productivity standards,... 
    Cms
    Remote job

    AMN Healthcare

    New York, NY
    3 days ago
  • AMN Healthcare is seeking a Remote OP Coder to accurately code outpatient procedures and diagnoses using ICD-10-CM and CPT, adhering to CMS and facility guidelines. The role requires maintaining high accuracy and productivity while ensuring documentation supports coding... 
    Cms
    Remote job

    AMN Healthcare

    Franklin, TN
    3 days ago
  •  ...Medical Coder (CCS certified) for a 100% remote role. The candidate must have at least 5 years of IP PCS coding experience, 3 years OP preferred, and a CCS certificate. Start date is immediate, with a required coding assessment. Responsibilities include accurate coding... 
    Cms
    Remote job
    Immediate start

    Pena4 Inc

    Knoxville, TN
    1 day ago
  • AMN Healthcare is seeking a Remote OP Coder to perform accurate coding of procedures, diagnoses and conditions from medical records using ICD-10-CM, CPT and HCPCS. The role requires 3+ years in OP/SDS coding, strong documentation practices, and adherence to coding guidelines... 
    Cms
    Remote job

    Trinity Clinics AMN

    New York, NY
    2 days ago
  • Duke Health is seeking a remote Compliance Educator to implement and maintain compliance programs across the health system. The role focuses...  ...and audits. Responsibilities include educating providers on CMS/Medicare guidelines, performing focused reviews, and coordinating... 
    Cms
    Remote job

    Duke PA

    Springfield, IL
    1 day ago
  • Remote OP Coder Under indirect supervision, is responsible for accurate OP (SDS, ER, Ancillary and OBSV) coding, procedures, diagnoses...  ...Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational... 
    Cms
    Remote job

    AMN Healthcare

    Franklin, TN
    3 days ago
  •  ...****@*****.***     RN Pre-Op & PACU Position Summary The...  ...airway management Maintain compliance with facility policies,...  ...~ Adhere to all applicable CMS, State, CDC, and AAAHC standards... 
    Cms
    Full time
    Local area

    SP MANAGEMENT SERVICES INC-7V4WB

    Wilmington, NC
    2 days ago
  • Rochester General Health System is seeking a compliance professional to minimize organizational risk through audits, investigations, and...  ...role guides system administration and EMR optimization to ensure CMS and payer regulatory compliance, with high emphasis on accuracy... 
    Cms
    Remote job

    Rochester Regional Health

    New York, NY
    2 days ago
  • Capitol Bridge, LLC is seeking an IDR Compliance Specialist to support the federal IDRE program, ensuring eligibility determinations, arbitration decisions, and case handling meet CMS guidance and internal standards. The role emphasizes detail orientation, regulatory interpretation... 
    Cms
    Remote job

    Capitol Bridge, Llc

    Richmond, VA
    1 day ago
  •  ...Human Services Comm in Texas seeks a LTCR Regional Coordinator Compliance Reviewer to oversee surveys and enforce regulations across nursing...  ...regulatory oversight, policy guidance, and collaboration with CMS. Under supervision, you will monitor enforcement actions,... 
    Cms
    Remote work

    Health & Human Services Comm

    San Antonio, TX
    1 day ago
  • OP/ED/OBS Coding Auditor Be a part of a world-class academic health-care system at UChicago...  ...by AHIMA. Remains current on all OIG, CMS, and IPPS/OPPS rules, regulations, and coding...  ...Administrator (RHIA), or Certified Coding Specialist (CCS) credentials. Five (5) years or more... 
    Cms
    Full time
    Remote work
    Work from home
    Shift work
    Day shift

    Ingalls Health System

    Chicago, IL
    1 day ago
  •  ...is hiring a Medicare Products Document Specialist for the Medicare Marketing Materials & Support...  ...on time, managing annual mailings and CMS regulation interpretation. Collaborate...  ...Strategy, Operations, Pharmacy, and Compliance while engaging external vendors and pursuing... 
    Cms
    Remote job

    BlueCross BlueShield of Tennessee, Inc.

    Chattanooga, TN
    3 days ago
  •  ...and/or its third parties /subcontractors' corporate ethics and compliance program, and ongoing oversight and analysis of regulatory compliance...  ..., State Medicaid program annual work plans, and OIG and CMS work plans including but not limited to, care management utilization... 
    Cms
    Full time
    Part time
    For subcontractor
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Florida
    11 days ago
  • $33.99 - $50.98 per hour

     ...Shield of California Promise Health Plan Compliance team is responsible for the...  ...Government Programs Compliance Medi‑Cal Specialist, Experienced will report to the Government...  ...maintenance of the department audit calendar, CMS, DMHC and DHCS audit calendar, corrective... 
    Cms
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield of California

    Sacramento, CA
    1 day ago
  • $30.47 - $31.42 per hour

    Home Position: Compliance Specialist II Location: Louisville, KY Remote Status: On-Site Job Id: 424 # of Openings: 1 Role By emphasizing ONE Park...  ...Park Community Credit Union’s Compliance Management System (CMS) and Enterprise Risk Management (ERM) programs. The role... 
    Cms
    Hourly pay
    Work at office
    Immediate start
    Remote work

    Park Community Credit Union Foundation

    Louisville, KY
    1 day ago
  • $70k - $85k

     ...Salary Range: $70,000.00 - $85,000.00 Salary, Job Shift: Any, IDR Compliance Specialist About Capitol Bridge Founded in 2012, Capitol Bridge is based...  ...case handling practices aligned with federal requirements, CMS guidance, and internal standards. The ideal candidate is... 
    Cms
    Full time
    Work at office
    Remote work
    Shift work

    Capitol Bridge, Llc

    Richmond, VA
    1 day ago
  •  ...Mitra in the United States is seeking a Remote Health Insurance Compliance Analyst to uphold ethical healthcare practices while working...  ...and regulatory documentation. You'll translate evolving HIPAA, CMS, and Medicare guidelines into actionable protocols, drive risk... 
    Cms
    Remote job
    Work from home

    Naukri Mitra

    New York, NY
    8 hours ago
  • Humana is seeking a Medical Records Retrieval Specialist to perform quality assurance audits on medical records and ICD-9/10 codes for CMS and other agencies. This remote role...  .... The role emphasizes accuracy, HIPAA compliance, and efficient processing in a field-based... 
    Cms
    Remote job

    Humana

    New York, NY
    2 days ago
  • $70k - $80k

     ...Description Under indirect supervision, the Coding Compliance Audit/Education Specialist audits medical records for compliance with federal coding...  ...communicate federal and state laws and guidelines pertaining to CMS and Medicare. Acts as an internal expert on coding... 
    Cms
    Work at office
    Local area
    Remote work
    Work from home
    Home office

    Privia Health

    United States
    4 days ago
  • $31 - $46.25 per hour

     ...productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits... 
    Cms
    Full time
    Part time
    Work experience placement
    Relocation package
    Shift work
    Night shift

    Avera Health

    Aberdeen, SD
    1 day ago
  •  ...recredentialing efforts. The role involves maintaining accurate provider records, coordinating outreach, and ensuring regulatory compliance across NCQA/CMS standards. The position offers remote work with a regional Newport Beach, CA office, with a salary range of $36,410.00 to... 
    Cms
    Work at office
    Remote work

    Guardian Life

    United States
    19 hours ago
  • Addus HomeCare is seeking an EVV Compliance Specialist to monitor electronic visit verification across multiple states, communicate with caregivers and branch staff, and reconcile data from Excel reports. The role emphasizes training, issue resolution, and ensuring accurate... 
    Remote job
    Flexible hours

    Addus HomeCare

    Frisco, TX
    2 days ago
  •  ...Remote Credentialing Specialist (Provider Credentialing) Get providers credentialed and in-network - CAQH, PECOS, Medicaid and commercial...  ...portal experience Familiarity with Medicare enrollment (PECOS, CMS-855I/855B/855R) and state Medicaid enrollment Strong organisation... 
    Cms
    Remote work

    CredSpun LLC

    New York, NY
    2 days ago
  •  ...our clients’ success. Job Description The Credentialing Specialist will perform provider Initial Credentialing, Recredentialing...  ...policy and procedures, criteria, state, NCQA Accreditation and CMS standards. Savvy internet skills are required in order to perform... 
    Cms
    Work at office

    Integrated Resources

    Grand Rapids, MI
    19 hours ago
  •  ...Credentialing Specialist The Credentialing Specialist will perform provider Initial Credentialing, Recredentialing and/or Ongoing Monitoring...  ...policy and procedures, criteria, state, NCQA Accreditation and CMS standards. Savvy internet skills are required in order to... 
    Cms
    Work at office

    Integrated Resources

    Grand Rapids, MI
    2 days ago
  •  ...excellent writing, and the ability to manage multiple initiatives with minimal supervision. You’ll own campaign execution, content publishing, CMS updates, and event coordination, collaborating with the Head of Marketing to improve #J-18808-Ljbffr Energize Marketing, LLC
    Cms
    Remote job

    Energize Marketing, LLC

    New York, NY
    2 days ago
  •  ...provider documentation and denial prevention. Requires CPC and five years of coding/mentoring experience. Ideal candidate will drive quality reviews, staff development, and compliance with payer guidelines while supporting RAC and #J-18808-Ljbffr Boston Medical Center
    Cms
    Remote job

    Boston Medical Center

    New York, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to OPS CMS COMPLIANCE SPECIALIST - 67965504. Be the first to apply!