Essen Health Care · 1 month ago
Healthcare Compliance Specialist
Bronx, NY
Full-time
Onsite
Entry, Mid Level
2+ years expEssen Health Care is the largest privately held multispecialty medical group in the Bronx, dedicated to providing high-quality medical care to vulnerable residents of New York State. The Healthcare Compliance Specialist ensures adherence to regulations by conducting audits, monitoring processes, and collaborating across divisions to implement corrective actions.
Health CareMedical
Responsibilities
Conduct routine and targeted compliance audits across clinical and administrative areas (documentation, coding, billing, regulatory processes, policy adherence, etc.)
Review patient care workflows in medical offices and identify gaps or opportunities for improvement
Monitor regulatory updates and ensure organizational policies and procedures are aligned with federal, state and payer requirements
Work collaboratively with clinical leadership, operations, quality and IT to support corrective actions, training and process improvement initiatives
Utilize EMR systems and BI reporting tools to analyze data, measure compliance trends and prepare reports for leadership
Investigate potential compliance issues, support incident follow-up and maintain documentation on outcomes and resolutions
Serve as a resource to staff and leadership on compliance-related issues and best practices
Assist with development and delivery of compliance education and training programs
Maintain confidentiality and handle sensitive information in line with regulatory standards
Qualification
Required
Bachelor's degree required
Minimum 2 years of direct patient care experience required
Demonstrated understanding of medical office patient care workflows
Experience with EMR systems and/or business intelligence (BI) reporting tools
Strong analytical and problem-solving skills
Ability to function independently with minimal supervision
Excellent verbal and written communication skills
Ability to collaborate across diverse teams and departments
High attention to detail and strong organizational skills
Working knowledge of HIPAA, CMS regulations, state regulations, and payer compliance requirements
Preferred
Master's degree preferred
RN strongly preferred
RN-BSN preferred
Prior experience in Healthcare Compliance and/or audit functions strongly preferred
Company
Essen Health Care
Essen Health Care is a premiere healthcare network in New York with over 400 providers across Manhattan, Bronx, Queens, Staten Island, Long Island and Westchester County.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kain Capital
2024-04-30Private Equity
Leadership Team
Durga Dhanikonda
Chief Information Security & Technology Officer (CISO & CTO)
Ranjan Munjal
Chief Financial Officer
Recent News
Company data provided by crunchbase