Healthcare Compliance Analyst

Children's Healthcare of Atlanta • Brookhaven, GA

4d

About The Position

Plans and coordinates operational activities to assist with compliance with governmental regulations and Children’s policies. Conducts internal monitoring under the corporate compliance program to review functional areas for compliance with applicable regulations, policies, procedures, and program requirements. Coordinates compliance projects to promote the system’s compliance program and strategy.

Requirements

• Three years of experience in a legal, regulatory, and/or healthcare environment, with direct experience understanding and implementing government regulations.
• Bachelor’s degree in Business, Healthcare, or a related field required.
• Strong working knowledge of compliance, auditing, and monitoring techniques.
• Ability to research and analyze regulatory issues that may arise in the Compliance Office.
• Knowledge and understanding of Federal, State, and healthcare laws and regulations related to compliance issues.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Access.
• Organized, capable of prioritizing and managing multiple unrelated tasks and projects simultaneously.
• Strong sense of accountability.
• Demonstrated customer service skills, including service recovery and problem solving.

Nice To Haves

• Demonstrated presentation skills.

Responsibilities

• Supports development and execution of annual auditing and monitoring plans based on identified risk areas to promote adherence to applicable regulations, policies, procedures, and compliance program requirements.
• Tracks corrective action plans through completion and follows up with management.
• Facilitates resolution of compliance-related complaints, concerns, appeals, and grievances by answering calls and working with appropriate departments.
• Maintains Compliance Office files on each concern and its resolution.
• Assists with responses to inquiries from governmental agencies and other payors.
• Collaborates with appropriate personnel to develop, review, and implement compliance-related policies, procedures, educational initiatives, or workflows relating to clinical, billing, coding, or other activities pertinent to the Compliance Program.
• Conducts or assists with investigations of reported or identified allegations of violations.
• Conducts or assists with special projects that promote the system’s compliance program and strategy.
• Develops, analyzes, inputs, and maintains the Compliance Office database.

What This Job Offers

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