Compliance Admin

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

Qualifications

• 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