Senior Compliance Coordinator

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

📋 Description

• Mentor and develop less experienced team members.

• Assist in resolving intricate issues and addressing technical inquiries.

• Perform Corporate Compliance audits, investigations, and training across various affiliates.

• Advise on system administration and RGHS management regarding adherence to laws, regulations, and contractual obligations.

• Act as a subject matter expert in building and enhancing the EMR.

• Independently manage projects and prepare governmental disclosures.

• Facilitate external audits conducted by regulatory bodies.

• Oversee audits related to the revenue cycle, financial statements, payments, attestations, grants, employees, contractors, exclusions, and payment agreements.

• Conduct staff interviews to uncover the root causes of issues.

• Collaborate with healthcare professionals to discuss findings and provide education on compliance.

• Create audit reports and present findings to the Compliance Director, RGHS Administration, and management.

• Develop and assist in implementing corrective action plans.

• Conduct follow-up audits to assess the effectiveness of monitoring efforts.

• Analyze studies from government and professional associations for risks and opportunities.

• Identify compliance benchmarks and carry out risk assessments.

• Monitor regulatory changes impacting various departments.

• Support initiatives aimed at fostering new business growth.

• Approve and collaborate on initiatives to improve margins while ensuring compliance.

• Provide EMR documentation and workflow training to clinicians.

• Design and implement compliance training for the revenue cycle for physicians, healthcare providers, HIM coders, and staff.

• Oversee internal investigations related to fraud, waste, and abuse.

• Facilitate corrective actions and monitoring within affected departments.

• Manage external investigations by OIG, DOJ, OMIG, FBI, Medicare, and third-party payer fraud units.

⛳️ Requirements

• Associate's or Bachelor's degree in Health Information Management, Health Care Administration, Finance, or Accounting, along with experience in healthcare compliance.

• A minimum of five years in the healthcare sector, including at least three years focused on healthcare compliance.

• A combination of relevant healthcare work experience, credentials, and/or education will be taken into account.

• RHIT, RHIA, CCS, or CCS-P certification.

• Relevant healthcare-related certification with experience may be considered instead of the above certifications.

• Strong analytical abilities.

• Experience in project management.

• Effective training skills.

• High levels of mental and visual acuity, attention to detail, critical thinking, and decision-making capabilities.

• Requirements for sedentary work, including prolonged sitting and use of computers, writing, and telephone communication.

• Availability for flexible hours, TB screening, or possession of a valid driver’s license may be required.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and career advancement.

• Supportive and collaborative work environment.