- Conduct regular audits and assessments of healthcare operations, policies, and procedures to identify areas of non-compliance.
- Stay informed about emerging trends and best practices in healthcare compliance and audit procedures.
- Create and implement policies and procedures to enhance compliance efforts across the organization.
- Develop and monitor stats on compliance metrics, trends, and key performance indicators.
- Maintain and manage numerous daily and monthly reports as needed in preparation for Board meetings and committee meetings.
- Serve as a resource for employees regarding compliance-related questions and concerns.
- Transcribe bi-monthly Compliance Ambassador Committee meeting minutes.
- Develop and deliver training programs on compliance topics to employees at all levels of the organization.
- Lead and conduct investigations into potential violations of policies, procedures, regulations, or laws within the organization by collecting and analyzing evidence, including documents, records, and interviews, to determine the facts surrounding an incident or allegation.
- Perform fraud, waste and abuse risk assessments to pinpoint areas of concern and develop and implement remediation plans. Add the areas of concerns onto the Compliance Workplan.
- Conduct on-site inspections at various operational units to ensure compliance with regulatory, legal, and policy standards.
- Develop and implement a comprehensive compliance audit program to assess the effectiveness of internal controls, processes, and procedures in detecting and preventing fraud, waste, and abuse.
- Collaborate with department heads and stakeholders to develop action plans and recommendations for addressing fraud, waste, and abuse findings.
- Foster a culture of compliance, integrity, and zero tolerance for fraud, waste, and abuse throughout the organization by promoting awareness and training initiatives.
- Professionally communicates both verbally and in writing and prepares formal presentations with executive summaries and recommendations based on audit results.
- Plan and execute activities for compliance week.
- Develop, monitor and track Compliance Survey responses and trends.
- This role may require occasional local travel to operational sites to perform site inspections.
- Strong ability to work independently for periods of time.
- Additional ad hoc duties as assigned.
- 3 years of experience in healthcare compliance; certifications preferred
- 3 years of experience in audit compliance; certifications preferred
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Compliance and Audit Specialist - New York, United States - DocGo
Description
TITLE: COMPLIANCE & AUDIT SPECIALISTSALARY: $72,500-$82,000
LOCATION: DocGo HQ, 35 W 35th St. New York, NY 10001
EMPLOYMENT TYPE: Full Time, On-Site
BENEFITS: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k
ABOUT DOCGO:
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.
RESPONSIBILITIES:
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.