Compliance Specialist
Renown Health, Reno, NV, United States
Overview
The Compliance Specialist provides support to the organization in coordinating all Federal and State compliance, privacy, and regulatory requirements including Human Subject Research. This includes research and development of current and upcoming compliance expectations and developing Renown policies and procedures. This position will coordinate any audit preparations including internal, external and Federal/State audits.
Responsibilities
Demonstrating strong knowledge of healthcare compliance laws and regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act, SAMHSA, FDA, and Payment Card Industry (PCI) compliance) in order to coordinate an effective Compliance Program.
Assist in annual Compliance Risk Assessments and Compliance Reviews.
Examine and review departmental policies, procedures, and practices to ensure compliance with laws, regulations, and accreditation standards.
Assist in the development and implementation of compliance policies and procedures.
Provide notifications to certain oversight agencies when appropriate.
Assess, improve, and streamline existing compliance programs.
Assist in the development of new compliance programs.
Develop compliance auditing and monitoring plans.
Work with various departments in establishing coding audits.
Develop and deliver compliance training programs and communications.
Lead auditing and monitoring projects to address specific healthcare compliance risks.
Investigate and resolve compliance issues.
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Responsibilities
Demonstrating strong knowledge of healthcare compliance laws and regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act, SAMHSA, FDA, and Payment Card Industry (PCI) compliance) in order to coordinate an effective Compliance Program.
Assist in annual Compliance Risk Assessments and Compliance Reviews.
Examine and review departmental policies, procedures, and practices to ensure compliance with laws, regulations, and accreditation standards.
Assist in the development and implementation of compliance policies and procedures.
Provide notifications to certain oversight agencies when appropriate.
Assess, improve, and streamline existing compliance programs.
Assist in the development of new compliance programs.
Develop compliance auditing and monitoring plans.
Work with various departments in establishing coding audits.
Develop and deliver compliance training programs and communications.
Lead auditing and monitoring projects to address specific healthcare compliance risks.
Investigate and resolve compliance issues.
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