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Summary:

The Senior Compliance Specialist will assist with and support the compliance program activities of the organization. This is a generalist position that will support the planning, education, assessment, testing/monitoring and other compliance program functions including any existing compliance activities, but will have a particular focus on clinical/billing compliance and data analytics. May also assist with such activities as policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, physician relationships, conflicts of interest, interactions with industry, and risk assessments.

Qualifications:

A Bachelor’s degree is required, Master' degree preferred.

Bachelor’s degree should be in business related field, but can be in health-related field.

Candidates should have a minimum of three years’ experience in health care compliance and demonstrated expertise in the areas of billing/coding and data analytics.

This individual must be capable of working independently.

Strong written and verbal communication skills required.

This individual will have reporting responsibilities that require routine use of software packages such as Word, PowerPoint and Excel.

Additional experience with data analytics tools such as Spotfire, Tableau, and/or ACL strongly preferred.

Licensure, Registration, and/or Certification:

Certification in billing and/or coding by either AAPC or AHIMA strongly preferred.

Compliance certification by HCCA could be considered an appropriate substitute under the right circumstances.

Our Promise:

Knowing every child's life is sacred, we promise to improve the well-being of every child in our care and our communities.

To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

About Us:

Cook Children's Health Care System

Cook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.