Talent.com
Compliance Audit Specialist
Compliance Audit SpecialistClinical Pathology Laboratories, Inc • Dripping Springs, TX, United States
Compliance Audit Specialist

Compliance Audit Specialist

Clinical Pathology Laboratories, Inc • Dripping Springs, TX, United States
30+ days ago
Job type
  • Full-time
Job description

Job Functions, Duties, Responsibilities and Position Qualifications :

We're not just a workplace - we're a Great Place to Work certified employer!

Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!

Position Summary : The Compliance Audit Specialist reports to the VP of Compliance and will assist with and support the compliance program activities of Clinical Pathology Laboratories (CPL). The Compliance Audit Specialist will support the compliance department through auditing / monitoring, planning, education, assessment, and other compliance program functions including any existing compliance activities, with a particular focus on clinical / billing compliance and data analytics. They will also assist with such activities as policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, and training throughout the company. This position requires 30% travel.

Principal Responsibilities :

  • Auditing and Monitoring

Perform annual compliance department risk assessment to develop annual department work plan

  • Design data tracking systems to detect, monitor, audit and track data to aid in identifying risk areas and correct non compliances
  • Prepare compliance audit data by compiling and analyzing internal and external data
  • Manage audits of federal and state exclusion sanctions lists for employees, vendors and clients
  • Monitor annual and new hire compliance and HIPAA training
  • Review and audit revenue billing cycle  functions including but not limited to, ABNs, standing orders, charge master, and denials
  • audit findings, communicate to and recommend corrective strategies to agency
  • Establish and refine, as needed, systems to effectively audit and monitor CPL compliance with rules and regulations applying to laboratory operations.
  • Compliance Inspections of CPL laboratories and phlebotomy locations
  • Using established inspection tools to identify non-compliances and prepare written report

  • Provide guidance for corrective action, track completion and monitor success. Participate in employee education
  • Other compliance department responsibilities
  • Communicate, promote and exemplify the Compliance Plan and Standard of Conduct to employees in a useful and understandable format

  • Provide guidance about regulations affecting laboratories to staff when requested
  • Continuous reeducation regarding current and updated regulations using sources which include Centers for Medicare and Medicaid Services, the DHHS Office of Inspector General, and state regulators such as the Department of State Health Services, the State Board of Medical Examiners, the State Department of Insurance and local carriers in each state.
  • Participate in compliance updates and education at manager meetings, phlebotomy meetings, new sales training, QI Ops calls, etc.
  • Remain current with all applicable laws, rules and regulations
  • Medicare and Medicaid Enrollment
  • Education :

  • Bachelor’s Degree; preferred concentrations; chemical, biological or medical technician, healthcare compliance, health sciences, healthcare data science, and healthcare administration.
  • Preferred : Certification in Healthcare Compliance and / or Certification in Medical Coding and Billing
  • Experience :

  • Minimum of three years in laboratory training and / or experience in a medical laboratory
  • Skills :

  • Good knowledge of laboratory medicine at both the technical and administrative levels
  • Highly developed analytical skills for both qualitative and quantitative data
  • Ability to plan and lead projects following tight deadlines
  • Demonstrates a high-level of attention to detail and accuracy
  • Excellent communication skills - strong verbal and written skills
  • Ability to exercise initiative, discretion, and judgement
  • Ability to provide sound advice and guidance to managers and employees in supporting governance and compliance matters
  • Scheduled Weekly Hours :

    40

    Work Shift : Job Category :

    Administration

    Company :

    Clinical Pathology Laboratories, Inc.

    Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

    Create a job alert for this search

    Audit Specialist • Dripping Springs, TX, United States

    Related jobs
    Senior Quality Compliance Specialist

    Senior Quality Compliance Specialist

    VirtualVocations • Austin, Texas, United States
    Full-time
    A company is looking for a Senior Quality Compliance Specialist - MDR Reporting.Key Responsibilities Evaluate global complaint information and conduct investigations as needed Prepare and submit...Show more
    Last updated: 30+ days ago • Promoted
    Audit Senior

    Audit Senior

    Gpac • Austin, Texas, United States
    Full-time
    Quick Apply
    Well-respected local Public Accounting firm is looking to add an .This stable and growing firm offers clients valuable knowledge and expertise in tax. Due to the recent growth of the firm, ther...Show more
    Last updated: 30+ days ago
    Remote Financial Analyst - AI Trainer ($50-$60 / hour)

    Remote Financial Analyst - AI Trainer ($50-$60 / hour)

    Data Annotation • San Marcos, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 5 days ago • Promoted
    Senior Compliance Analyst

    Senior Compliance Analyst

    MicroVentures • Manchaca, TX, US
    Full-time
    The Senior Compliance Analyst role is an integral function with the MicroVentures team, working across multiple offices and departments to meet compliance and business objectives defined by the man...Show more
    Last updated: 30+ days ago • Promoted
    Compliance Audit Specialist

    Compliance Audit Specialist

    Clinical Pathology Laboratories, Inc • Georgetown, TX, US
    Full-time
    Job Functions, Duties, Responsibilities and Position Qualifications : .We're not just a workplace - we're a Great Place to Work certified employer!. Proudly certified as a Great Place to Work, we are ...Show more
    Last updated: 8 days ago • Promoted
    Global Compliance Assurance Specialist, AI, Content, Consumer, Payments

    Global Compliance Assurance Specialist, AI, Content, Consumer, Payments

    Google • Austin, TX, US
    Full-time
    Global Compliance Assurance Specialist, AI, Content, Consumer, Payments.The Google Compliance team makes sure that our business is always consistent with the current financial regulations.Comprised...Show more
    Last updated: 9 days ago • Promoted
    Associate, Portfolio Compliance (Austin, Texas)

    Associate, Portfolio Compliance (Austin, Texas)

    PIMCO • Austin, TX, US
    Full-time
    PIMCO is a global leader in active fixed income with deep expertise across public and private markets.We invest our clients' capital across a range of fixed income and credit opportunities, leverag...Show more
    Last updated: 30+ days ago • Promoted
    Drive with DoorDash - Flexible Schedule

    Drive with DoorDash - Flexible Schedule

    DoorDash • Spring Branch, TX, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a var...Show more
    Last updated: 30+ days ago • Promoted
    Remote Corporate Development Analyst – AI Trainer ($50-$60 / hour)

    Remote Corporate Development Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • San Marcos, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 5 days ago • Promoted
    Financial Representative Trainee (Sales) - Austin, TX

    Financial Representative Trainee (Sales) - Austin, TX

    Mutual of Omaha • Sandy, TX, US
    Full-time
    Financial Representative Trainee (Sales) - Austin, TX.Sales, Early Career Programs, Financial Representative Trainee.Are you driven, self-motivated, and eager to jumpstart your career in the financ...Show more
    Last updated: 11 days ago • Promoted
    Compliance Audit Specialist

    Compliance Audit Specialist

    Sonic Healthcare USA • Austin, TX, US
    Full-time
    Proudly certified as a Great Place to Work, Sonic Healthcare USA is dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation.Check ...Show more
    Last updated: 30+ days ago • Promoted
    Remote Finance Director - AI Trainer ($50-$60 / hour)

    Remote Finance Director - AI Trainer ($50-$60 / hour)

    Data Annotation • Round Rock, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 5 days ago • Promoted
    AI Compliance Specialist

    AI Compliance Specialist

    VirtualVocations • Austin, Texas, United States
    Full-time
    A company is looking for an AI Compliance Specialist to ensure the quality assurance of AI-generated call transcripts and insights. Key Responsibilities Review and validate AI-generated call trans...Show more
    Last updated: 4 days ago • Promoted
    Compliance Data and Operations Specialist, Compliance Education / Awareness

    Compliance Data and Operations Specialist, Compliance Education / Awareness

    Google • Austin, TX, US
    Full-time
    Compliance Data And Operations Specialist, Compliance Education / Awareness.The Google Compliance team makes sure that our business is always consistent with the current financial regulations.Compris...Show more
    Last updated: 30+ days ago • Promoted
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • San Marcos, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 5 days ago • Promoted
    Board Certified Behavioral Analyst

    Board Certified Behavioral Analyst

    Action Behavior Centers • Buda, TX, US
    Full-time
    APPLICATIONS ARE REVIEWED DAILY.YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.Our Patients : An intentional focus on small caseloads with a compassionate care approach. Our Culture : ABC Core Values are m...Show more
    Last updated: 10 days ago • Promoted
    Compliance Analyst

    Compliance Analyst

    VirtualVocations • Austin, Texas, United States
    Full-time
    A company is looking for a Compliance Analyst- Fraud Intake & Triage Analyst.Key Responsibilities Review operational performance against contractual and regulatory requirements and report on comp...Show more
    Last updated: 30+ days ago • Promoted
    Compliance Specialist

    Compliance Specialist

    VirtualVocations • Austin, Texas, United States
    Full-time
    A company is looking for a Compliance Specialist to ensure adherence to service requirements and investigate service complaints. Key Responsibilities : Review service events for compliance with cou...Show more
    Last updated: 30+ days ago • Promoted
    Compliance Specialist II

    Compliance Specialist II

    VirtualVocations • Austin, Texas, United States
    Full-time
    A company is looking for a Compliance Specialist II - Remote.Key Responsibilities Serve as the first point of contact for clients, providing guidance and training on affordable housing compliance...Show more
    Last updated: 30+ days ago • Promoted
    Remote FP&A Manager – AI Trainer ($50-$60 / hour)

    Remote FP&A Manager – AI Trainer ($50-$60 / hour)

    Data Annotation • Cedar Park, Texas
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 5 days ago • Promoted