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Compliance Specialist Job in Roseburg, Oregon

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Job Title: Compliance Specialist

Employer:Umpqua Health
Skills:Strong verbal and written communication and presentation skills,proficient in Microsoft Office,Working knowledge of healthcare rules and regulations
Specialties:Medical and/or billing coding, healthcare compliance, privacy and/or auditing, working knowledge of applicable healthcare rules and regulations
Required Certifications:Certification from AAPC or AHIMA,Bachelor's degree
Preferred Certifications:Certified in Healthcare Compliance (CHC),Certification in CPMA,Master's degree,CCS or CCS-P.
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location:1813 W Harvard Ave. Suite 427 Roseburg 97471, OR, US
Date Posted:7/31/2018
The Compliance Specialist will assist the Compliance Manager in implementing Umpqua Health’s Compliance Program and Fraud, Waste, and Abuse (FWA) Plan. Essential responsibilities include:

- Collaboration with the Compliance Manager in designing and executing internal, external and provider audits.

- Conducting compliance and privacy investigations.

- Developing and tracking monitoring activities.

- Assigning and tracking corrective action plans with management.

- Developing and conducting compliance and privacy trainings, in the absence of the Compliance Manager.

- Creating a monthly Compliance Newsletter, in the absence of the Compliance Manager.

- Conducting FWA audits and investigations.

- Compliance with the organization’s internal policies and procedures, Code of Conduct, Compliance Plan, along with applicable Federal, State and local regulations.

The successful applicant will have the following qualifications:

- Bachelor’s degree.

- Certification in medical and/or billing coding from AAPC or AHIMA.

- 2+ years’ experience in healthcare compliance, privacy and/or auditing.

- Strong verbal and written communication and presentation skills.

- Proficient computer skills in MS Word, Excel, Outlook and PowerPoint.

- Working knowledge of applicable rules and regulations.

- Ability to operate autonomously.

Preferred qualifications:

- Master’s degree.

- Certified in Healthcare Compliance (CHC).

- One of the following certifications: CPMA, CCS, or CCS-P.

- Experience in health plan compliance, specifically with Oregon’s Coordinated Care Organizations environment.


To apply, please visit our website at www.umpquahealthcareers.com/careers

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