Compliance Analyst conducting fraud and privacy investigations for Addus HomeCare, supporting all aspects of the Compliance Program with a hybrid work schedule.
Responsibilities
Conducts, documents, and reports on compliance related investigations (primarily fraud and privacy)
Responds to external investigations including gathering and preparing the documentation
Develops and conducts internal audits based on the companys 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
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
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
Requirements
Bachelors 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
Ability to operate PC-based software programs including proficiency in Word, Excel, and PowerPoint
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