Senior Compliance Coordinator

🕒 September 21

🗽 New York – Remote

🗽 New York – Remote

💵 $66k - $85k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Rochester Regional Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Rochester Regional Health is an integrated health services organization serving the people of Western New York. It operates multiple hospitals and healthcare facilities, providing a wide range of healthcare services, including emergency care, primary care, specialty clinics, and urgent care. The organization is committed to medical education and research, offering training programs, residencies, and clinical trials. Rochester Regional Health focuses on comprehensive care with emphasis on treating patients respectfully and meeting their diverse medical needs across all stages of life.

📋 Description

• Mentor and train less experienced staff and provide guidance on complex issues • Conduct Corporate Compliance audits, investigations, and training throughout affiliates • Guide system administration and management on compliance with laws, regulations, and contract obligations • Act as subject matter expert for building and optimizing the EMR, including clinical documentation, workflows, and revenue-cycle impacts • Manage projects independently and prepare governmental disclosures • Facilitate external audits and investigations by regulatory agencies and payer fraud units • Coordinate audits covering clinical documentation, EMR workflows, registration, coding, charging, billing, payments, denials, financial statements, grants, exclusions, and payment agreements • Interview staff to identify root causes of compliance issues • Collaborate with healthcare professionals to communicate findings and provide compliance education • Develop audit reports and present findings to the Compliance Director, administration, and management • Develop and help implement corrective action plans and conduct follow-up audits • Analyze government and professional association studies to assess risk and opportunity • Identify compliance benchmarks and perform risk assessments • Monitor regulatory changes affecting departments • Support new business growth and margin improvement initiatives while ensuring compliance • Design and implement revenue-cycle compliance training for physicians, providers, coders, and employees • Conduct internal investigations into fraud, waste, abuse, and other non-compliance • Complete investigation reports and assist HR with employee discipline processes • Perform cause analysis and monitor corrective actions • Represent the system professionally during external investigations by OIG, DOJ, OMIG, FBI, Medicare, and third-party payer fraud units

🎯 Requirements

• AAS or BS in Health Information Management, Health Care Administration, Finance, or Accounting, and experience with healthcare compliance • Minimum five years of healthcare experience, including a minimum of 3 years of health care compliance experience • A combination of healthcare work experience, credentials and/or education will be considered • RHIT, RHIA, CCS, or CCS-P; Compliance Board Certification a plus • Relevant health care related certification with experience may be considered in lieu of above certifications • Experience with healthcare compliance • Strong analytical skills • Project management experience • Training skills • Attention to detail, critical thinking, and decision-making abilities • Ability to work confidentially and professionally with sensitive information • Ability to interpret healthcare rules and regulations • Sedentary work capabilities, including prolonged sitting and computer-based work • Must meet any applicable program-specific experience, educational, or continuing education requirements