Compliance Specialist - Compliance
Job Title: Compliance Specialist | Compliance | Multi-City
City: Sioux Falls
Department *: * Compliance-HSD
Job Schedule: Full Time
Hours Per Shift: 8 hr
Conducts audits and provides support for other internal or external auditors; investigates and resolves compliance issues related to the healthcare environment. Evaluating regulatory agency reports and formulating responses and corrective actions. Maintaining logs, indexes, files, computer databases and other records pertaining to compliance and risk. Creating logs and systems for entering and tracking compliance guidelines. Conferring with administrative staff regarding compliance risk areas and final reports.
Chooses audit methods, instruments and plans according to the nature of assessment targets Works with a variety of audit methods, tools and techniques. Designs, develops and implements compliance testing criteria and tools. Documents established audit processes, practices and procedures.Ensures compliance with current government and industry audit practices and requirements. Facilitates compliance-related business process implementation or improvement initiatives. Analyzes complex reports as revealed by the data. Communicating effectively in writing as appropriate for the needs of the audience. Implements internal and external audit requirements for a specific business activity. Identifies key medical information coding concepts and features such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD). Provides accurate and timely ICD-10 coding and abstracting of diagnoses and treatments. Formulates corrective action plans to remedy training or knowledge gaps in an organization.
Maintain licensure/certification as appropriate to background, including but not limited to: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Complete continuing education requirements as necessary. Certification in healthcare compliance is preferred but not mandatory. Bachelors degree in health related field or equivalent education is required. Masters degree is preferred. Prior relevant compliance work experience is preferred.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth.
We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition here in your community,
across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities.
We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
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employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .
Job Function: Legal & Compliance
Job Schedule: Full Time
Req Number: req22358