Sanford Health · 19 hours ago
Compliance Specialist - Sioux Falls, SD
Sioux Falls, SD
Full-time
Onsite
Mid Level
$27.50/hr - $44/hrSanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. The primary function of this position is to ensure compliance with federal and state laws governing healthcare entities, specifically HIPAA, while managing audits and compliance monitoring activities.
ChildrenEducationHealth Care
Responsibilities
Managing projects of varying scopes from start to end
Ensuring compliance with the federal and state laws, regulations, and rules governing healthcare entities
Identifying risk areas, preparing audit tools, conducting audits, and providing analysis and recommendations to executive leadership
Conducting audits and providing support for other internal or external auditors; investigating and resolving compliance issues related to the healthcare environment
Evaluating regulatory agency reports and formulating responses and corrective actions
Maintaining logs, indexes, files, computer databases, and other records pertaining to compliance and risk
Creating logs and systems for entering and tracking compliance guidelines
Conferring with administrative staff regarding compliance risk areas and final reports
Developing strategies and leading compliance related committees/work groups
Implementing compliance procedures
Demonstrating an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10, and HCPCS code assignment
Qualification
Required
Bachelor's degree in health related field or equivalent education is required
Strong Skills In Project Management
Strong Skills In Critical Thinking
Strong Skills In Auditing / Evaluation / Investigation
Ensures compliance with the federal and state laws, regulations, and rules governing healthcare entities
Identifies risk areas, prepares audit tools, conducts audits, and provides analysis and recommendations to executive leadership
Conducts audits and provides support for other internal or external auditors
Investigates and resolves compliance issues related to the healthcare environment
Evaluates regulatory agency reports and formulates responses and corrective actions
Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk
Creates logs and systems for entering and tracking compliance guidelines
Confers with administrative staff regarding compliance risk areas and final reports
Develops strategies and leads compliance related committees/work groups
Implements compliance procedures
Responsible for ensuring compliance with governmental requirements
Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10, and HCPCS code assignment
Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines
Preferred
Master's degree is preferred
Prior Relevant Compliance Work Experience Is Preferred
Certification in healthcare compliance is preferred but not mandatory
Depending on department, may be required to maintain licensure/certification as appropriate to background, including but not limited to: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Healthcare Constructor (CHC)
Complete continuing education requirements as necessary
Benefits
Health insurance
Dental insurance
Vision insurance
Life insurance
A 401(k) retirement plan
Work/life balance benefits
A generous time off package to maintain a healthy home-work balance
Company
Sanford Health
Sanford is a healthcare company providing research, education and clinical care.
Founded in 1894
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Baier Roger
CEO
Bill Gassen
President & Chief Executive Officer
Recent News
2025-11-20
2025-11-01
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