Compliance Specialist

HMH Hospitals Corp • Hackensack, NJ

238d

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Compliance Specialist assures on-going compliance and implements an effective compliance program under the direction of the Regional Compliance Officer. Proactively assesses changes in the regulatory environment; researches, investigates, reviews and responds to issues related to accreditation, documentation, coding, billing and licensure. Coordinates and participates in the record/claims review process, provides documentation and compliance education sessions to physicians and other staff. The Compliance Specialist may assist the Regional Compliance Officer(s) with other aspects/projects/tasks/reviews of the Compliance Program to assure compliance with licensure, accreditation and other applicable state and federal regulations.

Requirements

• 4-year bachelor's degree in Business Management, Healthcare Administration or related law/health field or equivalent.
• Computer proficiency and demonstrated presentation skills.

Nice To Haves

• Master's degree in Business Management or related law/health field.
• 3-5 years in a healthcare compliance role, or equivalent.
• Familiarity with TJC, NJ State DOH and CMS regulations required with corporate compliance implementation preferred.
• Minimum of 3 years coding and 2 years audit experience in a hospital, consulting firm or practice management setting.
• Proficiency with medical terminology and ICD-10-CM and CPT-4 methodologies.
• Proficiency with physician documentation and reimbursement methodologies.

Responsibilities

• Assure ongoing compliance and implement an effective compliance program under the direction of the Regional Compliance Officer.
• Proactively assess changes in the regulatory environment.
• Research, investigate, review and respond to issues related to accreditation, documentation, coding, billing and licensure.
• Coordinate and participate in the record/claims review process.
• Provide documentation and compliance education sessions to physicians and other staff.
• Assist the Regional Compliance Officer(s) with other aspects/projects/tasks/reviews of the Compliance Program.

What This Job Offers

• Education Level: Bachelor's degree