REGENCY IHS ADMINISTRATIVE SERVICES LLC

Healthcare Compliance Analyst


This job is now closed

PayCompetitive
LocationAustin/Texas
Employment typeFull-Time
  • Job Description

      Req#: 714938
      RIHS Austin Regional Office - Austin, TX 78727

      Overview

      Position Type: Full Time

      Description

      The primary responsibilities include supporting the administration of our Compliance program, HIPAA-compliant records request process, the company's Compliance Hotline, credentialing of outside healthcare providers in our facilities, and creating and administering reports and trainings to help facility and regional-level teams improve their performance.

      Essential Functions

      • Compliance Hotline Administration: Manage and monitor the company's third-party Compliance Hotline, ensuring it is available 24/7. Respond to and document compliance concerns and inquiries and escalate issues as necessary.
      • As directed, assist in the review/analysis of HIPAA-compliance for records requests, and administer the process to ensure secure and compliant production of records
      • As directed, participate in the credentialing process for outside healthcare providers, ensuring all necessary documentation and qualifications are verified and maintained.
      • Review Medical Director time logs for accuracy and compliance with contractual requirements; maintain an ongoing tracking log to support oversight and reporting.
      • Reporting: Create and administer detailed reports to track compliance issues, hotline metrics, credentialing status, and performance metrics. Provide insights and recommendations to facility and regional-level teams to improve compliance and operational performance.
      • Policy Implementation: Assist in the development and implementation of compliance policies and procedures to ensure adherence to regulatory requirements and company standards.
      • Training and Education: Support the development and delivery of compliance training programs for staff and healthcare providers.
      • Collaboration: Work closely with various departments, including Legal, Clinical, IT, Finance, Operations, and Human Resources, to address compliance issues and implement corrective actions.
      • Regulatory Updates: Stay current with changes in healthcare regulations and ensure the company’s compliance programs are updated accordingly.
      • Support: Will assist other compliance functions as needed in support of particular initiatives or projects

      Qualifications

      Educational/Training Requirements

      • Bachelor's degree in healthcare administration, business, or a related field; certification in compliance or credentialing preferred.
      • Strong understanding of healthcare regulations and compliance requirements.
      • Excellent organizational, analytical, and communication skills.
      • Ability to work independently and manage multiple tasks simultaneously.
      • Proficiency in Microsoft Office Suite and compliance management software.
      • Willingness to travel occasionally as required.

      Licensing Requirements

      • Certification in compliance or credentialing preferred

      Experience Requirements

      • Minimum of 3 years of experience in compliance, credentialing, or a related field, preferably in the healthcare or long-term care industry.

      Strong preference for candidates located in Texas

  • About the company

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