The Role
The Compliance Analyst ensures compliance with healthcare regulations, conducts audits and investigations, trains employees, and communicates policy updates.
Summary Generated by Built In
Job Summary & Responsibilities
The Compliance Analyst is responsible for ensuring employees comply with various federal and state healthcare regulations and policies, and for conducting training of new and existing employees for understanding of applicable.
- Conducts Medicare and Medicaid internal and external billing audits
- Conducts internal investigations into alleged or perceived improprieties, or violations of policy or Medicare/Medicaid regulations
- Communicates Medicare/Medicaid policy and procedures to field and staff employees
- Answers questions from employees on existing Medicare/Medicaid Policy
- Responds to calls regarding interpretation of policies and regulations, providing explanations of policies and what is permitted under same
- Communicates Medicare/Medicaid updates and policy changes to the filed managers and staff
- Analyzes data from the pulse oximeter data base and AS400 to determine compliance with company and Medicare/Medicaid Standards
- Knowledge of FDA, HIPAA, Anti-Kickback statutes/Stark law, Safe Harbor laws, and/or DOT regulations not required, but would be preferred
- Prior experience with durable medical equipment, medical oxygen, long-term care, or hospice organizations preferred
- Previous experience interacting with all levels of management required
- Must be a self-starter, able to take initiative
- Proactive problem solver
- Ability to multitask and work well under pressure
- Strong knowledge of Microsoft Office required
- Excellent organizational, analytical, communication, and customer service skills required
- Excellent attention to detail and follow-up skills required
- Must uphold organizational values and adhere to strict ethical standards
Education and Experience:
- High school diploma or equivalent required
- Some college coursework preferred
- Paralegal certification preferred
- At least 1-3 years of experience in compliance administration or a similar role required
- Relevant education considered in lieu of experience
- Requires 3-5 years homecare experience
Top Skills
MS Office
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The Company
What We Do
Lincare is a leading supplier of respiratory-therapy products and services for patients in the home. You can learn more about our extensive suite of products and services by visiting our website. Everywhere we operate, Lincare is working to be a partner in patient care by providing high-quality services and supplies, promoting patient education, and building strong relationships with patients, physicians, families and caregivers.
Services we offer include:
Oxygen Therapy
Nebulizer Therapy
Sleep Therapy
Ventilator Therapy
Enteral Therapy
Pediatric Services
Caring Responders
Long Term Care
Disease Management Programs
and More!
