1 Compliance Specialist Job in New Providence, NJ
PRISM Vision Group is Hiring a Compliance Specialist Near New Providence, NJ
Assist the Director of Compliance with-
- Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.
- The investigation of HIPAA incidents.
- Maintaining the existing language assistance program and Implementing the PRISM language assistance program for integrations with new affiliates, including training.
- Monthly OIG Exclusions/Sanctions Searches, including investigating potential matches and ruling them out.
- Due Diligence and Integrations projects during PRISM joint ventures, acquisitions, and the like.
- Coordination of the legal request for medical record requests process, including determining whether it is appropriate to approve the requested medical records.
- Providing educational support to staff as needed.
- Investigating Compliance Hotline concerns.
- Assisting with maintenance of compliance applications and other databases as needed.
- Other general duties as assigned.
- 3-5 years of healthcare compliance experience.
- Bachelor's degree or equivalent experience in a compliance role.
- Compliance certification from HCCA, AAPC, or the like strongly preferred but not required.
- Proficiency in or experience with healthcare compliance including The HIPAA Rule, HITECH, federal False Claims Act, Anti-kickback Statute, Fraud Waste and Abuse laws, and other healthcare compliance laws.
- Detail-oriented and organized.
- Effective oral and written communication skills.
- Strong research skills.
- Strong organizational skills.
- Proficient in Microsoft Office Suite software including Word and Excel.
- Basic understanding of CMS requirements.
- Ability to stay current with the healthcare regulatory environment including regulatory changes.
- Ability to deal effectively with individuals at all organizational levels, working independently and/or with teams.
- Ability to manage multiple priorities and workflow at one time.
Job Summary
Full Time
$95k-120k (estimate)
05/01/2024
05/19/2024
prismvisiongroup.com
Union, NJ
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