Senior Compliance Specialist

Reposted 4 Days Ago
Be an Early Applicant
Fort Worth, TX, USA
In-Office
Mid level
Healthtech
The Role
The Senior Compliance Specialist assists with compliance activities focusing on physician relationships, conflicts of interest, and clinical/billing compliance while supporting policy development and investigations.
Summary Generated by Built In

Location:

Rosedale Office Building

Department:

Corporate Compliance

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Senior Compliance Specialist assists with and support the compliance program activities of the organization. This is a generalist position that will support the planning, education, assessment, testing/monitoring and other compliance program functions including any existing compliance activities, but will have a particular focus on clinical/billing compliance and data analytics.  May also assist with such activities as policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, physician relationships, conflicts of interest, interactions with industry, and risk assessments.


Qualifications:

  • Bachelor’s degree required. Master's preferred.
  • Bachelor’s degree should be in business related field, but can be in health related field.
  • Candidates should have a minimum of 3 years experience in health care compliance and demonstrated expertise in the areas of billing/coding and data analytics.

Knowledge, Skills, & Abilities:

  • Individual needs health care experience, preferably in the compliance area.
  • Strong written and verbal communication skills are required. 
  • This individual will have reporting responsibilities that require routine use of software packages such as Word, PowerPoint and Excel.

Recommended Licensure, Registration, and/or Certification:

  • Certification in billing and/or coding by either AAPC or AHIMA strongly preferred.
  • Compliance certification by HCCA could be considered an appropriate substitute under the right circumstances.

About Us:


Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.


Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.

Skills Required

  • Bachelor's degree in business or health related field
  • Minimum 3 years experience in health care compliance
  • Expertise in billing/coding and data analytics
  • Certification in billing and/or coding (AAPC or AHIMA) preferred
  • Compliance certification by HCCA preferred
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The Company
HQ: Fort Worth, TX
5,001 Employees
Year Founded: 1918

What We Do

Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

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