Compliance Analyst
Position Summary:
The Compliance Analyst plays an essential role for managing the development, coordination, implementation and evaluation of regulatory compliance and process improvement throughout FCHC.
Primary Duties:
· Auditing/monitoring government compliance according to established guidelines, e.g. Medicare, Medicaid, Health Resources Service Administration (HRSA), National Committee for Quality Assurance (NCQA), and The Joint Commission
· Assisting with development of training programs, providing Compliance Plan information & training to team members
· Reporting audit findings to QI Director and Compliance Committees, preparing reports for the Compliance Committees and FCHC board reports
· Reviews data technical specifications to ensure compliance with reporting regulations.
· Evaluates data to identify and interpret data trends
· Oversight of incident triage and communication process for patient privacy monitoring tools
· Conduct reviews and/or investigations to determine if there is non-compliance with healthcare privacy laws or policies
· Conduct walkthroughs of clinical space to review for privacy-related and regulatory concerns, as needed
· Assist with any breach/incident response by performing research, conducting analytics, reviewing data/audit trails, and performing analysis
· Analytical ability to gather and interpret requirements and utilize those requirements to develop, recommend and implement reporting, training and workflow solutions required
· Performs other related duties, which may be inclusive, but not listed in the job description
Minimum Qualifications:
- Critical thinking skills
- Work with minimal supervision
- Knowledge of regulatory standards appropriate to position
- Customer service skills
- Written and verbal communication skills
- Organizational skills
- Bachelor Degree or equivalent experience preferred
- Minimum two (2) years of healthcare compliance experience
- Must be proficient in computer programs: Microsoft Excel, Word and PowerPoint
- Must be able to analyze data and report it effectively
- 11. Must have working knowledge of medical terminology
- 12. Strong understanding of workflow design and reporting technique required