Medicare Compliance Specialist

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