Compliance Specialist
- Requisition ID
- 182870
- Department
- 100603 Corporate Compliance
- Schedule
- Full Time - Eligible for Benefits
- Shift
- Day
- Category
- Professionals
Position Purpose
Under the general direction of Chief Compliance Officer or designee, the Compliance Coordinator provides support to the organization in coordinating all Federal and State compliance, privacy, and regulatory requirements including Human Subject Research. This includes research and development of current and upcoming compliance expectations and developing Renown policies and procedures. This position will coordinate any audit preparations including internal, external and Federal/State audits.
Nature and Scope
The responsibilities of the incumbent will include:
• Demonstrating strong knowledge of healthcare compliance laws and regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act, SAMHSA, FDA, and Payment Card Industry (PCI) compliance) in order to coordinate an effective Compliance Program.
• Coordinate annual Compliance Risk Assessments and Compliance Reviews.
• Examine and review departmental policies, procedures, and practices to ensure compliance with laws, regulations, and accreditation standards.
• Assist in the development and implementation of compliance policies and procedures.
• Provide notifications to certain oversight agencies when appropriate.
• Assess, improve, and streamline existing compliance programs.
• Assist in the development of new compliance programs.
• Develop compliance auditing and monitoring plans.
• Work with various departments in establishing coding audits.
• Develop and deliver compliance training programs and communications.
• Lead auditing and monitoring projects to address specific healthcare compliance risks.
• Investigate and resolve compliance issues.
• Develop compliance analysis and reporting.
• Demonstrate high levels of communication from all level of internal and external audiences.
This position does not provide patient care.
Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name | Description |
|---|---|
Education: | Must have working-level knowledge of the English language, including reading, writing and speaking English. A Bachelor’s degree in Healthcare administration or business-related field is required. |
Experience: | 3 years healthcare related compliance experience. |
License(s): | None |
Certification(s): | Must have and maintain one of the following certifications: CHC (Certified in Healthcare Compliance), CHPC (Certified in Healthcare Privacy Compliance), CHRC (Certified in Healthcare Research Compliance) CCEP (Certified Compliance and Ethics Professional), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder) required |
Computer / Typing: | Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. |
Benefits
Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.
With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.
Paid Time Off
401(k) Company Match
Flexible Work Environment
Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
For Providers: Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.