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Renown Health · 1 day ago

Senior Compliance Specialist

Reno, NV

Full-time

Onsite

Senior Level, Lead/Staff

8+ years exp

Renown Health is dedicated to promoting a culture of ethical and compliant behaviors. The Senior Compliance Specialist is responsible for implementing and maintaining a compliance program, providing education, and serving as a resource for compliance-related issues.

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Responsibilities

Promoting a culture of ethical and compliant behaviors and practices through planning, coordinating, implementing and maintaining a system-wide compliance program as part of the Renown Health Corporate Compliance Program

Providing education, guidance, audits and monitoring of billing and health plan activity for Renown Health and delegated entities

Serving as the primary Renown Health resource regarding issues related to billing or health plan compliance

Assisting with the development and implementation of compliance training and education programs

Serving as a point of contact for Renown Health or Hometown Health employees regarding potential compliance concerns and questions

Researching federal and state regulations

Monitoring and communicating regulatory changes that impact Renown Health and delegated entities

Supporting compliance leadership in timely detection, response, investigation, analysis and applicable corrective action pertaining to any compliance matter

Chairing or co-chairing various Compliance Committees

Qualification

Healthcare ComplianceRegulatory ExperienceCompliance CertificationsMicrosoft Office SuiteEnglish Proficiency

Required

Must have working-level knowledge of the English language, including reading, writing and speaking English

8 years of health care billing or regulatory experience

Must have and maintain two of the following certifications: CHC (Certified in Healthcare Compliance), CHPC (Certified in Healthcare Privacy Compliance), CHRC (Certified in Healthcare Research Compliance) CCEP (Certified Compliance and Ethics Professional), CPC (Certified Professional Coder), CIC (Certified Inpatient Coder) or another certification approved by leadership

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc

Preferred

A Master's in Healthcare or Business Administration is preferred

Preference will be given to those applicants with experience in more than one setting (i.e. skilled nursing facilities, acute hospital, home health, physician office, health plan, etc.) and/or clinical experience