Job Description
We are looking for a Senior Compliance Specialist, someone who's ready to grow with our company. In this position, you will independently and cooperatively plan and manage audits, reviews, investigations and projects to ensure compliance with Texas Children's policies/procedures and state and federal rules, regulations and statutes. To identify risks by conducting ongoing risk assessments for Texas Children's and document and report the risk(s) to Senior Management.
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Job Duties & Responsibilities
• Conducts and manages compliance audits, reviews, projects or investigations
• Ensures that written reports and correspondence are organized, accurate and appropriate in content and convey reported issue(s)
• Assists operational area with implementing recommended changes to enhance operations or mitigate risk
• Conducts compliance training and assists in the on-going development/maintenance of the organization's compliance program
• Monitors regulatory environment; evaluates statutes, regultions, laws to determine applicability to Texas Children's and communicates information to TCHP personnel
• Leads the work of Compliance Specialists, Compliance Assistants and others
Skills & Requirements
• Required High School Diploma or GED - preferred Bachelor's Degree
• Preferred Licenses/Certifications: CPC - Cert-Cert Professional Coder, CCS-P - Cert-CCS-P Physician Based, RHIA - Cert-Reg Health Inform. Admins, CCS - Cert-Cert Coding Specialist, CHC - Certified in Healthcare Compliance
• Required 9 years in a healthcare regulatory environment including specific experience in project management and audit type work such as planning, supervising, executing, and reviewing audits, reviews, or investigations.
