Regulatory Affairs Specialist

HealthDrive•Framingham, MA

18h•$20 - $25•Hybrid

About The Position

HealthDrive is seeking full-time Regulatory Affairs Specialist to join our team! The Regulatory Affairs Specialist will assist in ongoing regulatory and compliance activities under the direct supervision of the Vice President of Regulatory Affairs. The hourly pay range for this position is $20.00 - $25.00 per hour. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.

Requirements

This position requires a person to have the ability to work in a team environment by building and maintaining positive working relationships with providers and other corporate personnel.
This individual must be a detail-oriented problem-solver, have knowledge of healthcare and medical terminology, and have excellent time management, interpersonal, verbal, and written communication.
This individual must have a bachelor’s degree or equivalent work experience.
Proficiency with Microsoft Word and Excel is essential.

Nice To Haves

Prior experience in healthcare is highly preferred

Responsibilities

Audit Management & Compliance Respond to audit requests with accurate and timely submissions. Organize, track, and maintain all audit-related documentation.
Medical Record Review Review provider documentation as needed to ensure compliance with billing requirements.
Provider Training & Education Conduct documentation and coding training sessions for new providers, primarily in audiology, optometry, and behavioral health.
Regulatory Updates & Documentation Maintain and update provider manuals in alignment with Medicare and Medicaid guidelines. Ensure all materials reflect current billing requirements and HealthDrive Policies.
System & Coding Support Add and update procedure codes and diagnosis codes within the electronic medical record (EMR) system as needed.
EMR Optimization Develop and implement EMR rules to support accurate and compliant billing practices. Collaborate with internal teams to improve system efficiency and reduce billing errors.
Weekly QA Follow the schedule and pull and send to the practice directors the DOS for review for the providers due each week. Maintain the documentation requests.
Record Requests Process record requests that are handled in-house or forward them to the appropriate internal team when applicable. Work with the outside vendor and forward applicable requests to them for processing.
Facility Credentialing Back-Up Provide back-up support to the Credentialing team for provider facility credentialing.
Other duties and tasks may be assigned as appropriate or necessary.