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Healthcare Compliance Specialist

Posted an hour ago
2-5 years experience
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AI Summary

The Healthcare Compliance Specialist monitors operational activities to ensure adherence to healthcare privacy, billing, and security regulations. They also conduct internal audits, investigate compliance issues, and maintain documentation to support organizational standards.

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Healthcare Compliance Specialist, you will help ensure Raventra’s operations follow applicable healthcare privacy, security, billing, and compliance requirements. You will support internal reviews, monitor compliance practices, investigate potential issues, and help teams maintain appropriate standards when handling healthcare information.

WHAT YOU WILL DO

  • Monitor operational activities for compliance with healthcare policies and established procedures

  • Support compliance reviews of billing, coding, claims, and documentation processes

  • Review how protected health information is handled and identify potential compliance risks

  • Assist with internal audits, compliance assessments, and corrective action plans

  • Investigate potential compliance issues and document findings and follow-up actions

  • Maintain compliance policies, procedures, training materials, and related documentation

  • Track regulatory and policy updates that may affect Raventra’s healthcare operations

  • Provide guidance to operational teams on HIPAA, PHI handling, privacy, and compliance requirements

  • Collaborate with management and operational teams to address identified compliance gaps

WHAT WE ARE LOOKING FOR

  • 2+ years of experience in healthcare compliance, healthcare administration, revenue cycle management, or a related field

  • Working knowledge of HIPAA, PHI, healthcare privacy, and compliance principles

  • Experience supporting audits, compliance reviews, or internal investigations

  • Strong understanding of confidentiality and appropriate handling of healthcare information

  • Strong attention to detail and ability to identify potential compliance risks

  • Excellent documentation, analytical, and organizational skills

  • Ability to communicate compliance requirements clearly to operational teams

  • Ability to work independently and manage multiple priorities in a remote environment

  • HIPAA-compliant private workspace

NICE TO HAVE

  • CHC, CHPC, or another healthcare compliance certification

  • Experience with healthcare billing or coding compliance

  • Knowledge of Medicare and Medicaid requirements

  • Experience with internal audits or compliance monitoring programs

  • Experience working with provider groups or hospitals

COMPENSATION AND BENEFITS

Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare compliance expertise.

Benefits and additional employment details will be discussed during the hiring process.

HIRING PROCESS

Application review → introductory conversation → hiring manager interview → offer.

EQUAL OPPORTUNITY

Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.

Location: Remote

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