Compliance Coordinator (Remote)

The Compliance Coordinator serves as a departmental support person for Compliance functions.

Essential Functions:

• Assists in the monitoring of business and operations activities for compliance with internal audit process and external health plan and regulatory rules and regulations.
• Upload monthly, quarterly, and annual reports to secure sites while maintaining high accuracy, timeliness, and security of the data.
• Perform detailed examinations of audit documentation.
• Ability to communicate, interact, and work well with others.
• Coordinate deliverables for internal/external audits, CAP’s (Corrective Action Plan), Compliance, and PI/QM (Performance Improvement & Quality Management) projects.
• Coordinate annual policy reviews, makes policy revisions as directed, keep policies organized, revised, and updated in compliance with regulatory and specific contract requirements.
• Does research, updates and assists in tracking of licenses specific to State guidelines and includes clinician licenses.
• Regulations are added, removed, and changed, as such Compliance Specialist must assist and stay up to date with any regulatory action relevant to healthcare.
• Compiles data and can put in pivot table within Excel, etc.
• Works well under deadlines and can meet required timeframes.

Other Duties and Responsibilities:

• As requested by supervisor.

Knowledge and Experience:

• Healthcare industry experience, compliance and knowledge of medical terminology required.
• Knowledge of health plan regulatory reports such as ODAG, NCQA /URAC, ICD 10 coding, medical terminology, and EMR (Electronic Medical Records) Systems required.
• Previous internal audit experience preferred.
• Proficiency in Microsoft Office Applications including Excel, PowerPoint, Adobe, and Word.
• Must be ethical and trustworthy.
• Excellent writing skills.
• Knowledge of HIPAA regulations and guidelines.
• Must be organized, detail oriented, and can multitask.
• Project management skills preferred.
• Excellent verbal and written communication skills.
• Critical thinking and problem-solving skills.
• Experience with licensing, credentialing and different state agencies regulatory requirements
• Must be able to work in a team environment and independently.

tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.