Compliance Specialist, Senior

Senior Compliance Specialist

The Senior Compliance Specialist assists with and support the compliance program activities of the organization. This is a generalist position that will support the planning, education, assessment, testing/monitoring and other compliance program functions including any existing compliance activities, but will have a particular focus on clinical/billing compliance and data analytics. May also assist with such activities as policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, physician relationships, conflicts of interest, interactions with industry, and risk assessments.

Qualifications:

• Bachelor's degree required. Master's preferred.
• Bachelor's degree should be in business related field, but can be in health related field.
• Candidates should have a minimum of 3 years experience in health care compliance and demonstrated expertise in the areas of billing/coding and data analytics.

Knowledge, Skills, & Abilities:

Individual needs health care experience, preferably in the compliance area. Strong written and verbal communication skills are required. This individual will have reporting responsibilities that require routine use of software packages such as Word, PowerPoint and Excel.

Recommended Licensure, Registration, and/or Certification:

• Certification in billing and/or coding by either AAPC or AHIMA strongly preferred.
• Compliance certification by HCCA could be considered an appropriate substitute under the right circumstances.

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.