OverviewThe Compliance Specialist III supports the development and implementation of compliance programs, policies, reporting, and practices for the organization. This role monitors activities impacted by regulatory requirements and utilizes internal controls and auditing systems to identify and correct noncompliance. The Specialist implements changes to compliance processes due to new or amended regulations, prepares communication materials, and assists with training initiatives to inform stakeholders about compliance requirements. Reporting to senior compliance management, the Specialist performs comprehensive compliance audits, provides recommendations for system improvements, and collaborates with department leaders to enhance compliance efforts.
Required Skills and Abilities1. Thorough understanding of anatomy, medical terminology, and coding with demonstrated experience in provider coding (CPT and ICD-9/ICD-10) and licensure as a Certified Professional Coder (CPC).
2. Extensive knowledge of healthcare financial and billing concepts, particularly Medicare billing guidelines.
3. Strong organizational skills, professional standards for excellence, and ability to lead collaborative work.
4. Proficiency in Microsoft Word and Excel; preferred experience with EPIC, MD Audit, and ComplyTrack software.
5. Ability to develop and conduct comprehensive training programs.
Preferred Skills and Abilities1. Certified in Healthcare Compliance (CHC) and a Registered Nurse (RN) preferred.
2. Proven experience in training and education in a healthcare compliance context.
3. Prior experience in an academic medical center.
Principal Responsibilities
1. Manages and monitors technology needs, conducts inventory, and system requirements for the assigned departments.
2. Manages and coordinates training sessions for assigned departments when new policies or practices are adopted.
3. Ensures compliance with University and federal regulations as they apply to the assigned departments.
4. Identifies and assists with the development of administrative policies for the assigned departments.
5. May perform other duties as assigned.
Required Education and Experience
Bachelor’s Degree in related field and 5 years of experience or an equivalent combination of education and related experience.
Required License(s) or Certification(s)
LICENSURE CPC is required.
Job Posting Date
05/28/2026
Job Category
Professional
Bargaining Unit
NON
Compensation Grade
Administration & Operations
Compensation Grade Profile
Senior Manager; Senior Program Leader (25)
Salary Range
$82,000.00 - $131,500.00
Time Type
Full time
Duration Type
Staff
Work Model
Remote
