Compliance Specialist

HMH HOSPITALS CORPORATION
Neptune, NJ Full Time
POSTED ON 3/3/2024

Our team members are the heart of what makes us better. 

 
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. 
 
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

 

 

The Compliance Specialist assures on-going compliance and implements an effective compliance program under the direction of the Regional Compliance Officer. Proactively assesses changes in the regulatory environment; researches, investigates, reviews and responds to issues related to accreditation, documentation, coding, billing and licensure. Coordinates and participates in the record/claims review process, provides documentation and compliance education sessions to physicians and other staff. I The Compliance Specialist may assist the Regional Compliance Officer(s) with other aspects/projects/tasks/reviews of the Compliance Program to assure compliance with licensure, accreditation and other applicable state and federal regulations.

Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • Bachelor's degree in Business Management, Healthcare Administration or related law/health field or equivalent
  • Computer proficiency and demonstrated presentation skills required.

Education, Knowledge, Skills and Abilities Preferred:

  • Masters degree in Business Management or related law/health field. 
  • 3-5 years in a healthcare compliance role, or equivalent
  • Familiarity with TJC, NJ State DOH and CMS regulations required with corporate compliance implementation preferred.
  • Minimum of 3 years coding and 2 years audit experience in a hospital, consulting firm or practice management setting.
  • Proficiency with medical terminology and ICD-10-CM and CPT-4 methodologies.
  • Proficiency with physician documentation and reimbursement methodologies.

Licenses and Certifications Preferred:

  • Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder or Registered Health Info Tech License. 
  • Certification in Healthcare Compliance (CHC) or the ability to obtain within 6 months.

 

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

 

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