Healthcare Compliance Coordinator

About the position Responsibilities • Assist in the development of departmental policies and procedures and agency-wide policy and procedures as needed to ensure alignment with regulatory requirements and industry best practices. • Support the process of updating policies, procedures, and guidance, ensuring accuracy and relevance. • Conduct OMIG self-audits and audits as assigned within the compliance audit work plan, including chart audits and billing audits. • Assist in completing timely utilization review (UR) of client documentation for medical necessity admission and continuing stay, and discharge reasons. • Monitor to identify patterns, trends, and variances during and from audits. • Assist in the development and modification of audit tools based on changing regulations. • Actively participate in various compliance committees, subcommittees, and workgroups as Co-Chair or Member. • Assist in conducting HIPAA privacy and security investigations in response to reports or alerts of suspected or known privacy violations. • Prepare written reports of findings and recommendations for corrective action, monitor and manage the completion of corrective action plans. • Develop education and training materials and provide education and training to staff on compliance matters. Requirements • Master's degree in Public Health, Healthcare Informatics, Health Administration, Business Administration, Social Work, or other relevant discipline. • Minimum of three (3) years of experience in Healthcare Compliance. • Strong experience in Microsoft Office tools (Outlook, Excel, PowerPoint, Teams, Word). • Experience performing audits and developing corrective action plans. • Ability to work independently and possess strong communication, analysis, and critical thinking skills. • Strong organizational skills and ability to prioritize critical items. Nice-to-haves • Experience in Investigation and Training related to Healthcare Compliance (1 year preferred). • Experience in conducting Audits and At-Risk Assessment (1 year preferred). Benefits • Health insurance • Dental insurance • Vision insurance • Life insurance • Flexible spending account • Paid time off • Parental leave • Employee assistance program • 403(b) • Professional development assistance • Referral program Apply tot his job Apply To this Job