Compliance Specialist, Senior

Cook Children's Health Care System • Fort Worth, TX

9d • Onsite

About The Position

The Senior Compliance Specialist assists with and supports 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.

Requirements

• Bachelor’s degree required.
• Minimum of 3 years experience in health care compliance.
• Demonstrated expertise in the areas of billing/coding and data analytics.
• Strong written and verbal communication skills.
• Routine use of software packages such as Word, PowerPoint and Excel.

Nice To Haves

• Master's preferred.
• Bachelor’s degree in business related field, but can be in health related field.
• 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.

Responsibilities

• Support the planning, education, assessment, testing/monitoring and other compliance program functions.
• Focus on clinical/billing compliance and data analytics.
• Assist with policy and procedure development and maintenance.
• Assist with hotline monitoring and compliance complaint investigations.
• Assist with physician relationships, conflicts of interest, and interactions with industry.
• Assist with risk assessments.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior