Senior Manager, Learning & Technology Operations, Compliance
Cars Commerce
Compliance Specialist
Sanford Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Iowa, Minnesota, New York, South Dakota • 🇺🇸 United States
Visit company websiteSalary
💰 $28 - $44 per hour
Job Level
Mid-LevelSenior
About the role
- Identify risk areas, prepare audit tools, conduct audits, and provide analysis and recommendations to executive leadership.
- Conduct audits and provide support for other internal or external auditors; investigate and resolve compliance issues related to the healthcare environment.
- Evaluate regulatory agency reports and formulate responses and corrective actions.
- Maintain logs, indexes, files, computer databases, and other records pertaining to compliance and risk.
- Create logs and systems for entering and tracking compliance guidelines.
- Confer with administrative staff regarding compliance risk areas and final reports.
- Develop strategies and lead compliance related committees/work groups.
- Implement compliance procedures.
- Responsible for ensuring compliance with governmental requirements.
- Demonstrate an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment.
Requirements
- Bachelor’s degree in health related field or equivalent education is required.
- Master’s degree is preferred.
- Prior relevant compliance work experience is preferred.
- Depending on department, may be required to maintain licensure/certification as appropriate to background, including but not limited to: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Healthcare Constructor (CHC).
- Complete continuing education requirements as necessary.
- Certification in healthcare compliance is preferred but not mandatory.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
audit toolscompliance proceduresrisk analysisCurrent Procedural Terminology (CPT)International Classification of Diseases (ICD-10)Healthcare Common Procedure Coding System (HCPCS)data analysisregulatory compliancecorrective actionsdatabase management
Soft skills
communicationleadershipproblem-solvingcollaborationorganizational skillsanalytical thinkingstrategic planningattention to detailinterpersonal skillsreport writing
Certifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Professional Medical Auditor (CPMA)Certified Coding Specialist-Physician-based (CCS-P)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Healthcare Constructor (CHC)Certification in healthcare compliance
