Compliance Analyst, Healthcare

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This position will assist in the coordination and assessment of the policies, programs and compliance activities. It will be a liaison with the organization and external organizations, including governmental and regulatory agencies. The Compliance Analyst will report to the VP Chief Compliance and Privacy Officer.

• Assisting with the development, update, revision, and/or implementation of compliance policies, procedures and practices for the general compliance and operations.
• Researching and analyzing matters related to existing and new applicable regulatory requirements.
• Coordinating with other departments to gather information needed for regulatory reviews, validations, and audits.
• Assisting with the investigation, auditing, review and analysis of general compliance, HIPAA Privacy, and other matters to help ensure compliance with governmental regulations and internal policies.
• Helping identify areas for audit opportunities based on industry performance, regulatory focus areas and risk areas within the organization.
• Must demonstrate strong critical thinking and analytical skills when performing various audits.
• Establishing and maintaining open lines of communication, both internal and external, to effectively present department services, policies, procedures and programs.
• Drafting and submitting responses to external inquiries and requests.
• Managing multiple tasks simultaneously ensuring timely execution in a fast-paced environment.
• Demonstrating the ability to work effectively within multidisciplinary teams.
• Develops, coordinates, and participates in an educational and training programs that focus on the elements of the compliance program to help ensure that all employees and management understand applicable regulatory guidelines and company policies.
• Measures effectiveness of compliance by conducting routine and focused audits of policy/procedure adherence and ensuring a compliance feedback/prevention process that uses the results of both internal and external audits and investigations to develop, revise and strengthen new and/or existing policies, procedures and relevant employee training.

• A Bachelor's degree is (preferred). Business Administration, Healthcare Compliance, legal/paralegal, or related preferred.
• Certification in Healthcare Compliance is (preferred)
• Certified Coder (preferred)
• Experience in healthcare compliance, audit, or other risk management working experience in health insurance industry, health insurance compliance programs, or related fields.
• The successful candidate will possess strong organizational, coordination skills and interpersonal skills for facilitating Compliance audits, the ability to gather and analyze data and generate reports.
• Knowledge of HIPAA Privacy and Security Requirements.
• Excellent communication skills (written and verbal).
• Strong Excel, Sharepoint, and analytical skills required.
• Must be a self-starter, results-oriented, a team player and be able to prioritize responsibilities.

Bio Reference Health, LLC. is an Equal Opportunity Employer.

• Entry level

• Full-time

• Legal

• Hospitals and Health Care