| Employer: | Umpqua Health |
| Type: | Full-Time |
| 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: | Roseburg, OR |
| 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:
- 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:
- 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.