Compliance Analyst
hace 2 días
Mesquite
Position Summary: The Compliance Analyst’s primary job responsibilities include conducting and responding to internal and external fraud and privacy related investigations. Other responsibilities may include responding to medical record requests and generally supporting all aspects of the Compliance Program on an as needed basis. Schedule: Hybrid (in our Frisco, TX office two days a week/remote three days) Location: Addus HomeCare 6303 Cowboys Way Suite 600 Frisco, TX 75034 We offer our team the best << • Medical, Dental and Vision Benefits, • Continued Education, • PTO Plan, • Retirement Planning, • Life Insurance, • Conducts, documents, and reports on compliance related investigations (primarily fraud and privacy)., • Responds to external investigations including gathering and preparing the documentation. This includes being the point of contact with the external party, as needed., • Develops and conducts internal audits based on the company’s identified compliance risks., • Performs research of regulations and requirements from multiple sources including federal and state laws., • Creates and maintains databases to demonstrate an effective compliance program., • Receives and responds timely to medical record requests from external parties (including clients/patients)., • Develops and maintains standardized tools for documenting and reporting compliance activity throughout the enterprise., • Develops and produces written communications, emails, training materials, policies, standard operating procedures and guidance documents, with the ability to communicate information in a manner easily understood by various levels of individuals throughout the organization., • Perform special projects and assignments as requested in an accurate, timely and professional manner., • Maintains a high degree of confidentiality at all times due to access to sensitive information., • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department., • Follows all Medicare, Medicaid, state, federal, HIPAA and privacy regulations and requirements., • Abides by all regulations, policies, procedures and standards., • Maintains positive internal and external customer service relationships, • Maintains open lines of communication, • Plans and organizes work effectively and ensures its completion, • Meets all productivity requirements, • Demonstrates team behavior and promotes a team-oriented environment, • Actively participates in continuous quality improvement, • Bachelor’s degree in Health Care, Health Care Administration, Public Health, Public Administration, Public Policy, or other related field and/or a combination of relevant work experience preferred, • Investigation experience required, • Reimbursement knowledge preferred, • 2+ years of experience in health care compliance, in a provider or payer setting preferred, • Working knowledge of compliance and privacy related issues preferred, • Ability to work independently, • Excellent verbal and written communications skills, • Ability to effectively analyze, interpret, apply and communicate policies, procedures and regulations This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. To apply via text, text 9980 to 334-518-4376. #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: .