Description
Apply before July 30, 2022 at hr@hiredirect.com
Description:
Job Summary
Completes work with a high degree of accuracy The Auditor, Legal Compliance & Regulatory conducts the standardized compliance assessments through various credentialing technology and documents the results.
Job Responsibilities
- Perform regular and ad hoc audits on the credentialing requirements to ensure clinician files meet requirements which include AMN requirements, state, federal, client specific requirements, JC and NCQA requirements
- Utilize applicable credentialing technology and audit tool to complete audits
- Track audit efforts closely against the agreed scope to ensure timely high quality accurate completion of audits
- Accurately communicate production status and risk identification to management on a weekly basis
- Proactively identify & mitigate all risks to achieve target completion dates
- Provide support to as needed for ad hoc audits (Strike events, EMR projects, State audits, facility audits, etc.)
- Proactively engage with internal functional teams, and customers as required to ensure successful completion of compliance initiatives
- Assist with workflow development and/or implementation and other quality related activities
- Demonstrate metrics driven approach to measuring success of compliance projects with strong analytical background
- Coordinate the preparation of and may prepare document packages for regulatory submissions from all areas of company as well as for internal and external audits and inspections
Requirements
Education
- Bachelor’s Degree | Preferred
Certifications
- Certified in Healthcare Compliance (CHC) | Health Care Compliance Association (HCCA) | Preferred
Minimum Work Experience
- 2+ years of regulatory research and analysis.
- 2+ years operational experience in staffing, healthcare, audit, or quality positions.
- 2+ years experience with compliance, auditing, and/or credentialing
Key Skills
- Ability to focus and manage details with precision
- Excellent time management, prioritization, and organizational skills with high work standards and attention to detail
- Excellent written and verbal communication skills
- Completes work with a high degree of accuracy
Work Enviroment
Job is typically performed in a general office environment.
Physical Requirements
- Sitting: Remaining in a normal seated position.
- Handling: Seizing, holding, grasping, turning or otherwise performing precision work with hands.
- Talking: Expressing or exchanging ideas by means of the spoken work.
- Hearing: Receiving detailed information through oral communication.
- Vision: Clarity of vision at near or far distances.
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