Compliance Specialist - Clinical and Billing
Compliance Specialist - Clinical and Billing
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
DWP seeks applicants for the position of a Compliance Specialist in its Andover Massachusetts office. The Compliance department leads and guides DWPs efforts to comply with statutory and regulatory requirements that affect the company. The Compliance department also manages the companys audit and risk management functions.
What Youll Do
- Track analyze and implement as appropriate local State and Federal laws rules regulations and ordinances pertaining to DWPs clinical lines of business
- Compliance program implementation as it relates to principles practices and techniques of clinical billing and coding compliance management
- Effective research techniques utilized in the analysis of organizational compliance
- Policy and procedure development as it relates to DWPs clinical and billing Compliance Program
- Monitor billing coding and claims activities to ensure accuracy
- Audit EMR to ensure relevant telehealth guidelines are being met
- Perform continuous risk assessments and report emerging trends deficiencies and variances report findings to other departments and teams as appropriate
- Monitoring against regulatory requirements; ensures sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns
- Develops and monitors metrics and other oversight tools that indicate business area compliance
- Provides compliance guidance and direction to assigned business partner
- Conduct quality assurance audits of billing processes to ensure compliance with regulatory requirements payer policies and organizational standards
- Develop and maintain quality assurance protocols and documentation to develop and standardize audit processes
- Develop and implement effective training resources for employees contractors and vendors
DWP seeks applicants for the position of a Compliance Specialist in its Andover Massachusetts office. The Compliance department leads and guides DWPs efforts to comply with statutory regulatory and legal requirements that affect the company. The Compliance department also manages the companys internal audit and risk management functions.
What Youll Need to Succeed
- Bachelors Degree or relevant work experience (pharmacy technician medical assistant or nurse is a plus)
- 23 years of experience with regulatory compliance telehealth billing and/or coding experience in healthcare settings preferred
- Compliance Certification (i.e. CHC) preferred or willing to become certified within 1218 months after hire
- Experience with data privacy and/or HIPAA requirements desired
- MS Office with strong proficiency in Word PowerPoint and Excel
- Strong writing editing and research skills
- Ability to handle compliance matters with sensitivity and confidentiality
- Ability to work independently and as part of a team
- Results oriented
- Strong ethical standards and integrity
- Strong communication skills and appreciation of time sensitivity to deadlines
- Project management skills desired
- Attention to detail
- Ability to work with all levels of management within the organization
Make A Difference With DWP
DWP is the parent company of a portfolio of home delivery pharmacies that specialize in catering to individuals who cannot easily access retail pharmacies due to physical limitations or other predispositions. We value our employees and strive for a culture of teambuilding open mindedness and fun. If that sounds like something youd like to be part of wed love to hear from you! Your compensation will include a competitive salary generous benefits and opportunities for growth and development.
DWP is an Equal Opportunity Employer. DWP does not discriminate on the basis of race creed color religion national origin sex sexual orientation gender identity age physical or mental disability or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications merit and business need. HWP is committed to providing reasonable accommodation for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability you may contact us at We will make a determination on your request for reasonable accommodation on a casebycase basis.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
