Senior Compliance Analyst - OneCare Vermont

Location
UVMMC - OneCare
Location and Address
Location Address: 356 Mountain View Drive, Colchester Vermont
Building Name
Building Name: UVMMC - OneCare
Department
OneCare Compliance
Schedule Full Time / Regular
Standard Hours
40
Shift
Day (United States of America)
Primary Shift
TBD
Weekend Needs
Other
Weekend Needs
Other
Recruiter
Erika Evarts
Job Requisition ID
R0032911

Job Description

The Compliance Analyst Sr. performs detailed analysis involving regulatory issues, reimbursement, and all aspects of monitoring the institutional compliance of OneCare Vermont with regard to all federal and state laws and regulations.  The Analyst monitors and audits medical, billing and related practices for compliance with applicable regulations.  They prepare data and reports of compliance monitoring activities and assist in investigating and following up on reported issues. The ideal candidate will be forward thinking, open-minded, demonstrate a clear attention to detail, and posses professional policy writing skills.

Potential for Remote Work.

EDUCATION:

  • Must possess a Bachelor’s Degree or equivalent combination of education and relevant experience.  An MBA, CPA or Master’s in a healthcare related field preferred. 

  • One of the following certifications required:  Certified Professional Coder (CPC), Certified Professional Coder - Hospital (CPC-H) or CCS (Certified Coding Specialist)

EXPERIENCE:

  • At least three years of auditing experience and experience in health care compliance or state and federal regulatory requirements. 

  • Experience working with Accountable Care Organizations strongly preferred

  • Familiarity with chart documentation and reimbursement issues in a healthcare setting preferred.