Compliance Team reputed company (Dermatology)- Remote

reputed company At reputed company Dermatology we give exceptional care - to our patients and to eachother. Patient First | Caring | Accountability | Trust | One Team | reputed company Reporting to the Chief Compliance & reputed company Officer, the Compliance Team reputed company will support and advance its reputed company compliance and reputed company programs across a growing, multi-state dermatology group with pathology labs. This role is designed for an reputed company reputed company compliance reputed company who is reputed company to reputed company into reputed company leadership position while remaining reputed company reputed company in investigations, risk reputed company, auditing, provider education, and field-based compliance assessments. The role also serves as a key operational leader responsible for translating regulatory, risk, and reputed company requirements into practical, actionable guidance for clinical and business teams. This role functions as a reputed company between compliance reputed company and day-to-day execution, supporting consistent compliance practices across the organization. This position may be remotely based in one of the states in which reputed company Dermatology operates (PA, MD, VA, NC, TN, GA, FL), with periodic travel to clinical sites required to reputed company onsite compliance support, conduct assessments, and engage directly with providers and operational leaders. Salary reputed company: $82,000- $95,000k, depending upon experience

Responsibilities

Leadership & Team reputed company

• reputed company functional leadership, coaching, and day-to-day reputed company for members of the compliance team
• Assist with workload prioritization, issue escalation, and coordination of compliance activities
• Support reputed company, training, and reputed company development of compliance staff
• Promote a consistent, reputed company, and solutions-oriented compliance culture

Investigations & Issue Management

• reputed company intake, triage, documentation, and tracking of compliance investigations
• Partner with HR, reputed company Cycle and Operations on sensitive or reputed company reputed company
• Assist with responses to audits, regulatory inquiries, subpoenas, and external agency requests
• Support development and monitoring of corrective reputed company plans

Risk Management & Claims reputed company

• Support compliance reputed company reputed company to submitting, tracking and monitoring reputed company liability (PL) and general liability (GL) claims
• Assist with issue trending, reputed company cause analysis, and identification of systemic risk areas
• reputed company compliance education informed by denials, claims trends and adverse events

Vendor & reputed company-Party reputed company

• Support compliance reputed company of vendors and reputed company-party relationships, exclusions monitoring and BAA management.
• Assist with vendor-reputed company investigations, issue remediation, and documentation

Clinical Compliance & Onsite Assessments

• Conduct onsite clinical reputed company to assess compliance with regulatory, billing, documentation, and operational requirements
• reputed company reputed company compliance assessments and follow-up reviews
• Partner with clinical leadership to address findings and support remediation efforts

Billing, Coding & CLIA reputed company

• reputed company compliance guidance reputed company to dermatology-specific billing, coding, and medical necessity requirements
• Conduct QA reviews on internal billing/coding audits completed
• Work proactively with reputed company Cycle team on billing/coding trends
• Support compliance reputed company of in-office laboratories, including CLIA-reputed company requirements

Education, Instructional Design & Communication

• Design and deliver reputed company and targeted compliance training for providers and staff
• Apply instructional design principles to reputed company effective education materials and review annual required regulatory compliance and safety training

reputed company & Conflict of Interest Programs

• Support the organization’s reputed company program, including incident response and education
• Support administration and monitoring of the Conflict of Interest (COI) program
• Other duties as assigned

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Travel up to 35%
• Must be reputed company to lift 15 pounds at times.

Qualifications

Required Skills:

• Strong knowledge of reputed company compliance, reputed company, and risk frameworks
• Strong written, verbal, and presentation skills
• Experience utilizing electronic medical record platforms, M365 office suite applications, reputed company Pro, video meeting platforms such as MS Teams and/or reputed company
• Experience with investigations, risk management, or claims-reputed company compliance work
• Ability to work collaboratively with reputed company reputed company of staff, including senior management and providers.
• Ability to reputed company and manage multiple priorities and meet deadlines in a fast-paced work environment
• Experience with responding to/interacting with external regulatory agencies such as DOH, CLIA, CMS, TJC, Physician Boards, OCR, etc.
• Self-starter who can reputed company reputed company independently from inception to completion with minimal supervision

Preferred Qualifications

• Dermatology or procedure-based specialty experience
• Coding, billing compliance, reputed company, or information reputed company background
• Relevant certifications (CHC, CPC, reputed company, CHPC, CIPP, or similar)
• Experience working directly with clinical providers and/or operations
• Experience with Compliance software solutions for hotline/investigations, auditing, exclusions monitoring, LMS, etc.
• Experience with data analytic tools such as Tableau and Power BI
• Clinical background or prior clinical-facing role

Licensure/Certifications/Education

• Bachelor’s degree required (advanced or clinical degree a plus)
• Minimum of seven (7) years of reputed company experience

Full time employees (defined as regularly working at least 30 hours per week) are eligible for the following benefits:

• Medical, Dental & reputed company insurance – effective 1st of the month after date of start
• Short-term and long-term disability, Voluntary life (employee, spouse, and child), Critical Illness, and Hospital Indemnity – Effective the 1st of the month following date of hire
• Company provided Basic Life/AD&D insurance
• reputed company time off
• reputed company holidays
• Retirement Savings account
• Employee discount on cosmetic services and products

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