Compliance Specialist - Albany, United States - AdaptHealth corp.

Description

AdaptHealth Opportunity Apply TodayAt AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives out of the hospital and in their homes.

We are actively recruiting in your area.

If you are passionate about making a profound impact on the quality of patients lives, please click to apply, we would love to hear from you.

Compliance SpecialistCompliance Specialists provide the full scope of advanced professional level support to the Chief and Regional Compliance Officer. Conducts various audits and investigations in accordance with AdaptHealths corporate compliance program. Identifies compliance issues, gaps in adherence of our standards, and reported issues. Additionally, should function in an advisory and consultative capacity to foster our culture of compliance.

The Compliance Specialist will serve as a resource to others across the organization as well as leads investigations as necessary.

Job Duties:

Conducts internal and external audit while adhering to audit schedules, including traveling to sites to conduct audits and promoting the AdaptHealth compliance programCollaborates with the leadership team of designated region, ensure compliance objectives are metProvide compliance guidance and support regarding clarification of compliance requirements, accreditation standardsParticipates in investigations of identified issues, gaps in adherence of our standards, and reported issuesPerform internal audits including, but not limited to on site reviews for compliance to HIPAA, Medicare, State, and accreditation requirements and post-payment claims reviewsMay lead compliance investigations, mapping out strategy, approach, and after assessing facts and data, make a recommendation to the Chief Compliance Officer as to resolutionDocument investigation results in a comprehensive, factual, and appropriate manner including rationale of findings and recommendationsTravel to branch locations as needed provide compliance support, conduct site audits and investigationsAssist operation managers and other business leaders in the development and execution of action plans for improvement and corrective/preventative action as necessary to address any deficienciesRespond promptly and appropriately to all requests for assistance with compliance related matters, and function in a consultative, guiding capacityMaintains awareness of when escalate issues of suspected non-compliance or items needing additional clarification or immediate attention from an executiveResearch and respond to questions from supervisors and other employees regarding specific Medicare and other healthcare issues on a case-by-case basisEnsure audit tracking is updated and changed per any process changes within AdaptHealth or per any criteria changes with Medicare/healthcare guidelinesContact Medicare and other insurance carriers as needed for additional information regarding claim auditsDevelop and maintain working knowledge of current HME products and services offered by the companyMaintains an understanding of Medicare and Medicaid criteria claims filing requirements, Medicare Supplier Standards, and accreditation requirementsMaintain patient confidentiality and function within the guidelines of HIPAACompletes assigned compliance training and other educational programs as requiredMaintains compliant with AdaptHealths Compliance ProgramPerform other related duties as assignedCompetency, Skills, and Abilities:Knowledge of Medicare, Medicaid, and commercial health plan reimbursement and regulatory requirements.

Expert written and verbal communication skillsStrong interpersonal skillsAbility to prioritize tasks and manage multiple projectsStrong analytical and problem-solving skills with attention to detailsProficient use of Microsoft Office Suite Excel, Word, Outlook, and PowerPointSolid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interactionAbility to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

RequirementsMinimum Job Qualifications:

Associates degree from an accredited college is required; Bachelors degree preferredThree (3) years of compliance or quality assurance experience is requiredExperience Medicare, Medicaid, and third-party insurance related experience preferredDME related experience preferredAdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individuals race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law.

This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.

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