Compliance Specialist

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Support the creation of detailed billing and coding audit plans with minimal oversight.

• Produce reports and evaluate data from various databases and software systems throughout ARH.

• Carry out audits and requested investigations autonomously.

• Conduct and document follow-up activities for audits to ensure continuous monitoring and effective execution of corrective action plans.

• Draft clear and thorough written audit reports that encompass the audit process, methodology, findings, root cause analysis, and recommendations.

• Review audit findings with management at all levels and provide educational support when necessary.

• Stay updated on changes in statutes, regulations, compliance principles, and practices.

• Evaluate programs and activities influenced by industry regulations and suggest modifications to non-compliant procedures and practices.

• Engage in annual risk assessments and propose enhancements to processes and policies.

• Offer training on coding and reimbursement updates.

• Perform additional tasks as assigned.

⛳️ Requirements

• A Bachelor's Degree is mandatory.

• A minimum of three (3) years of experience in healthcare is required.

• Prior experience in coding, reimbursement, risk management, or regulatory compliance is preferred.

• Certification in Healthcare Compliance is desirable.

• Strong knowledge of coding, internal auditing, or reimbursement laws.

• Exceptional communication and collaboration skills.

• Proven leadership capabilities.

• Proficiency in data analysis and reporting tools.

• Ability to maintain confidentiality and manage sensitive information with discretion and professionalism.

• Capacity to handle multiple deadlines and projects concurrently.

• Must uphold coding certification.

🏝️ Benefits

• Regular full-time position.

• Day shift.