- Oversees and monitors the organization's compliance program.
- Identifies potential areas of compliance vulnerability and risk by conducting risk analysis; develops/implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
- Reports on a regular basis to the organization's compliance committee on the activities of the compliance program.
- Revises the compliance program, and at least annually, in response to changes in regulations and in accordance with the needs of the organization.
- Develops and coordinates an educational and training program for employees on the elements of the compliance program and ensures employees are knowledgeable of relevant federal and state regulations.
- Works with human resources to ensure all employees and contractors have been screened and checked against sanction and exclusion lists.
- Serve as a subject matter expert on Billing and Coding compliance and advise company accordingly.
- Leads an internal compliance review, monitoring activities, payor audits, etc.
- Facilitates the internal chart review program.
- Investigates and acts on compliance matters including coordinating corrective actions.
- Develops policies and programs that encourage employees to report suspected compliance issues.
- Maintains current knowledge of healthcare laws and regulations, keeping abreast of changes as they take place.
- Other duties as assigned.
-
Director of Compliance
2 weeks ago
Strategic Wealth Designers Atlanta, United StatesAre you a seasoned compliance professional with a passion for ensuring regulatory adherence in a dynamic and fast-paced environment? Do you excel at implementing and maintaining compliance policies and procedures while fostering a positive and supportive workplace culture? If so, ...
-
Director of IT Compliance
1 week ago
Cantaloupe, Inc. Atlanta, United StatesResponsibilities · : Partner with Management (IT and Business) and Internal Audit toParticipate in SOX Scoping for in-house developed, purchased, or external IT systems and service providersIdentify key controls that could impact Cantaloupe's IT System reporting · Manage and rat ...
-
Director of IT Compliance
1 week ago
Cantaloupe,Inc. Atlanta, United StatesJob Description · Job Description · Director of IT Compliance · Cantaloupe, Inc. is a software and payments company that provides end-to-end technology solutions for self-service commerce. Cantaloupe is transforming the self-service commerce industry by offering one integrated so ...
-
Compliance Director I
6 days ago
Truist Atlanta, United States Full timeESSENTIAL DUTIES AND RESPONSIBILITIES · Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. · 1. Developing and maintaining a robust ...
-
Contracts Compliance Director
1 week ago
City of Atlanta, GA Atlanta, United StatesSalary Range: $166,324.50 $207,931.57 · General Description and Classification Standards · The Contract Compliance Director is a champion for supplier diversity, who focuses on inclusion, impact, and integration of their programs into business opportunities with the City of Atlan ...
-
Director II Compliance
3 weeks ago
Elevance Health Atlanta, United StatesAnticipated End Date: · Position Title: · Director II Compliance · Job Description: · Director II Compliance · Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locatio ...
-
IT & Security Compliance Director
2 days ago
Endeavor Atlanta, United StatesAbout us: · We strongly believe that · people · are the biggest asset of our company. Our hand-picked team consists of passionate, collaborative, and forward-thinking individuals from all over the globe. · We are passionate about making science easy and accessible to · retaile ...
-
Director, Sanctions Compliance
3 weeks ago
Circle Atlanta, United StatesCircle is a financial technology company at the epicenter of the emerging internet of money, where value can finally travel like other digital data - globally, nearly instantly and less expensively than legacy settlement systems. This ground-breaking new internet layer opens up p ...
-
Director, Compliance Consulting
3 weeks ago
Kroll Atlanta, United StatesJob Description · In a world of disruption and increasingly complex business challenges, our professionals bring truth into focus with the Kroll Lens. Our sharp analytical skills, paired with the latest technology, allow us to give our clients clarity-not just answers-in all are ...
-
Compliance Director
3 weeks ago
SENTA Partners Atlanta, United States· Compliance Director is responsible for managing activities related to developing, implementing, maintaining, and adhering to policies and procedures in compliance with federal, state, and local healthcare laws and regulations. Compliance Director is responsible for providing g ...
-
Director IT Compliance
2 weeks ago
Trimont LLC Atlanta, United StatesOverview: · Founded in 1988 and headquartered in Atlanta, Trimont ) is a specialized global commercial real estate loan services provider and partner for lenders seeking the infrastructure and capabilities needed to make informed, effective decisions related to the deployment, m ...
-
Compliance & Audit, Associate Director
4 days ago
Willis Towers Watson Public Limited Company Atlanta, United StatesIn this role you will partner with local client teams to develop and deliver health and welfare compliance solutions to clients. You will be working both directly with clients and in coordination with our broader Health & Benefits practice, as well a Director, Compliance, Audit, ...
-
Compliance & Audit, Associate Director
4 days ago
Willis Towers Watson Atlanta, United StatesIn this role you will partner with local client teams to develop and deliver health and welfare compliance solutions to clients. You will be working both directly with clients and in coordination with our broader Health & Benefits practice, as well as our Technical Services Group ...
-
Compliance & Audit, Associate Director
2 days ago
Willis Towers Watson Atlanta, United StatesJob Description · In this role you will partner with local client teams to develop and deliver health and welfare compliance solutions to clients. You will be working both directly with clients and in coordination with our broader Health & Benefits practice, as well as our Techn ...
-
Compliance & Audit, Associate Director
4 days ago
WTW inc. Atlanta, United StatesIn this role you will partner with local client teams to develop and deliver health and welfare compliance solutions to clients. You will be working both directly with clients and in coordination with our broader Health & Benefits practice, as well as our Technical Services Group ...
-
Contracts Compliance Director
2 weeks ago
City of Atlanta Atlanta, United StatesSalary Range: $166,324.50 $207,931.57 · General Description and Classification Standards · The Contract Compliance Director is a champion for supplier diversity, who focuses on inclusion, impact, and integration of their programs into business opportunities with the City of Atl ...
-
Compliance & Programs Director
3 weeks ago
State of Georgia Atlanta, United StatesTechnical College System of Georgia - TCSG · 2 days ago · Compliance & Programs Director · TechnicalCollegeSystemofGeorgia Office of Workforce Development · Location:1800CenturyPlace,Atlanta,Georgia, 30345 · Thepositionisopentoallapplicantsthatmeettheminimumqualifications · belo ...
-
Contracts Compliance Director
3 weeks ago
City of Atlanta, GA Atlanta, United StatesSalary Range: $166,324.50 $207,931.57 · General Description and Classification Standards · The Contract Compliance Director is a champion for supplier diversity, who focuses on inclusion, impact, and integration of their programs into business opportunities with the City of Atl ...
-
The Judge Group Atlanta, United StatesWhat You'll Do: The primary responsibility of the Director, SOX Compliance & Financial Controls is to ensure the company's adherence to regulatory requirements outlined in Sarbanes Oxley Act. Your duties include developing, implementing, and overseeing internal controls, policies ...
-
JobsRUs Atlanta, United Statesis seeking to hire a Director of SOX Compliance and Internal Controls for our client · Benefits Available · Pay Rate - $95-115/hr · Job Description · About The Team · The Reporting, Technical Accounting and Controls team is responsible for the accurate presentation and filing of ...
Compliance Director - Atlanta, United States - SENTA Partners
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Compliance Director is responsible for managing activities related to developing, implementing, maintaining, and adhering to policies and procedures in compliance with federal, state, and local healthcare laws and regulations. Compliance Director is responsible for providing guidance to senior leadership team and clinicians on all compliance-related matters, working with outside legal counsels when appropriate to determine risks and action plans and implementing policies and procedures to ensure consistency across the practices.
Major Duties and Responsibilities: