Laboratory Clinical Compliance Specialist
Sanford Health
full-time
Posted on:
Location Type: Hybrid
Location: Minnesota • North Dakota • United States
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Salary
💰 $31 - $50 per hour
About the role
- Ensure compliance with federal and state laws, regulations, and rules governing healthcare entities.
- Prepare audit tools, conduct audits, and provide analysis, recommendations and education to staff and leadership.
- Demonstrate understanding and application of Sanford Health and Good Samaritan Society systems, policies and procedures.
- Evaluate, implement, and monitor processes and procedures for compliance with governmental and organizational requirements.
- Identify and validate correct CPT code billing for new lab test implementations.
- Analyze and report on data and ensure accuracy of data submission for payment.
- Collaborate with operational teams for reviews and process analysis.
- Create reports summarizing compliance risks and needed education.
- Conduct audits of clinical, financial, or other records and provide support for auditors.
Requirements
- Bachelor’s degree in health related field or equivalent education is required.
- Minimum of three years’ experience working in a clinical role.
- Prior relevant compliance work experience is preferred.
- Working knowledge specifically in Medicare and Medicaid reimbursement a plus.
- Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
- Additional certification from specific professional societies as necessary for the role may be required within the first six months of employment from date of hire.
- All certification and licensures must be maintained.
- Obtains and subsequently maintains required department specific competencies and certifications.
Benefits
- None specified 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingdata analysisaudit preparationcompliance evaluationprocess monitoringreport creationdata submission accuracyclinical record auditingfinancial record auditingrecommendation development
Soft skills
collaborationcommunicationleadershipeducationorganizational skillsanalytical thinkingproblem-solvingattention to detailinterpersonal skillsrecommendation skills
Certifications
RN licensemultistate licensuredepartment specific competenciesprofessional society certifications