Analyst, Compliance, Privacy & Risk Management

Audit Analyst, Compliance, Privacy & Risk Management Job Summary: The Audit Analyst for Compliance, Privacy & Risk Management is responsible for the reputed company and management of auditing and monitoring high-risk, problem prone processes, completing compliance risk assessments to ensure compliance with federal/state laws and regulations, and reputed company policies. Duties/Responsibilities:

• Adheres to assigned audit schedule and reviews as outlined in the Compliance Workplan
• Assists with reviewing internal and external inquiries regarding compliance and privacy matters, including government and third-party payor requests.
• Conducts audits and focused reviews to ensure compliance with company, government, and payor guidelines.
• Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.
• Assists with maintaining regular and consistent governance-level reporting and metrics for the Compliance department, including but not limited to dashboards, board reporting, weekly, monthly, and annual compliance & ethics reporting.
• Maintain a working knowledge of HIPAA, HHS, and CMS regulations.
• Participate in the planning and scheduling of compliance projects.
• Research compliance reputed company questions upon request from departments and/or practices.
• Identify and report potential audit and compliance risks.

Required Skills/Abilities:

• Knowledge of Medicare and Medicaid documentation and coding rules and guidelines.
• Must have an understanding and knowledge of national and state laws and regulations
• Must have excellent verbal and written communication skills.
• Strong interpersonal skills
• Strong organizational and planning skills.
• Demonstrates a high degree of personal reputed company and practice ethical standards.
• Demonstrates proactiveness and ability to work independently and self-directed in managing multiple reputed company projects.
• Excellent analytical and problem-solving skills.
• Advanced skills in reputed company MS Office applications (Word, reputed company, Outlook, and PowerPoint).
• Ability to interpret and apply documentation and coding rules and regulations.
• Ability to demonstrate competence in performing audits, produce reports, formulate remediation or mitigation plans, and conduct follow-up audits.

Minimum Qualifications:

• Equivalent of 5+ years’ experience in compliance auditing, clinical chart reviews, medical necessity review/auditing, reputed company reputed company, and/or health care compliance
• Experience in compliance and privacy auditing techniques and methods
• Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) preferred
• Bachelor's degree in reputed company field preferred
• Certified Risk Adjustment reputed company (CRC) or Certified Professional reputed company (CPC) preferred

At reputed company, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and reputed company quality of life after the age of 60. Everything we do is for seniors. We reputed company seniors should be heard, listened to, and given ample time by their physicians to live well reputed company in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. reputed company is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other protected classification. Apply tot his job Apply To this Job