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Addus HomeCare · 18 hours ago

Compliance Analyst

Frisco, TX

Full-time

Hybrid

Entry, Mid Level

2+ years exp

Addus HomeCare is a leading provider in the healthcare sector, and they are seeking a Compliance Analyst to support their Compliance Program. The role involves conducting investigations related to fraud and privacy, responding to medical record requests, and developing internal audits based on compliance risks.

Hospital & Health Care

Responsibilities

Conducts, documents, and reports on compliance related investigations (primarily fraud and privacy)

Responds to external investigations including gathering and preparing the documentation. This includes being the point of contact with the external party, as needed

Develops and conducts internal audits based on the company’s identified compliance risks

Performs research of regulations and requirements from multiple sources including federal and state laws

Creates and maintains databases to demonstrate an effective compliance program

Receives and responds timely to medical record requests from external parties (including clients/patients)

Develops and maintains standardized tools for documenting and reporting compliance activity throughout the enterprise

Develops and produces written communications, emails, training materials, policies, standard operating procedures and guidance documents, with the ability to communicate information in a manner easily understood by various levels of individuals throughout the organization

Perform special projects and assignments as requested in an accurate, timely and professional manner

Maintains a high degree of confidentiality at all times due to access to sensitive information

Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department

Follows all Medicare, Medicaid, state, federal, HIPAA and privacy regulations and requirements

Abides by all regulations, policies, procedures and standards

Other duties as assigned

Maintains positive internal and external customer service relationships

Maintains open lines of communication

Plans and organizes work effectively and ensures its completion

Meets all productivity requirements

Demonstrates team behavior and promotes a team-oriented environment

Actively participates in continuous quality improvement

Represents the organization professionally at all times

Qualification

Investigation experienceHealth care complianceCompliancePrivacy knowledgeVerbalPC software proficiencyWritten communication

Required

Bachelor's degree in Health Care, Health Care Administration, Public Health, Public Administration, Public Policy, or other related field and/or a combination of relevant work experience preferred

Investigation experience required

Ability to work independently

Excellent verbal and written communications skills

Ability to effectively analyze, interpret, apply and communicate policies, procedures and regulations

Ability to operate PC-based software programs including proficiency in Word, Excel, and PowerPoint