Company Overview
Vitra Health is dedicated to providing comprehensive support to caregivers who assist friends and family in their own homes. We recognize the emotional and financial challenges faced by caregivers and are committed to offering solutions that promote their well-being. Our organization prioritizes the health, happiness, and success of our team members.
Job Summary
We are seeking a detail-oriented and knowledgeable Clinical Compliance Specialist to ensure our healthcare operations adhere to all relevant regulations and standards. The ideal candidate will possess a strong understanding of healthcare compliance frameworks, including HIPAA, FDA regulations, and coding systems such as CPT, ICD-9, and ICD-10. As a key member of our team, you will oversee compliance management processes, conduct audits, and collaborate with various departments to maintain the highest standards of regulatory adherence.
Duties
- Develop, implement, and monitor compliance policies aligned with healthcare regulations such as HIPAA, Medicare, JCAHO, and FDA standards.
- Conduct regular audits of clinical documentation and coding practices to ensure accuracy in CPT, ICD-9, ICD-10, and ICD coding systems.
- Provide training and education to staff on compliance requirements, including privacy laws and billing procedures.
- Review clinical processes to ensure adherence to Medicare guidelines and other payer-specific regulations.
- Collaborate with clinical teams to address compliance issues promptly and develop corrective action plans.
- Stay current with evolving healthcare regulations and industry best practices to update policies accordingly.
- Assist in preparing for external audits or inspections by regulatory agencies, ensuring all documentation is accurate and complete.
Qualifications
- Proven experience in healthcare compliance management within clinical or medical settings.
- Strong knowledge of HIPAA privacy rules, Medicare requirements, FDA regulations, JCAHO standards, and ICD coding systems (ICD-9/10).
- Familiarity with CPT coding procedures and billing practices related to healthcare reimbursement.
- Excellent analytical skills with the ability to interpret complex regulatory guidelines.
- Effective communication skills for training staff and collaborating across departments.
- Experience conducting audits or assessments related to clinical documentation or coding accuracy is preferred.
- Certification in Healthcare Compliance (CHC) or similar credentials are a plus but not mandatory. Join us in safeguarding the integrity of healthcare operations through meticulous compliance management!
Pay: $97,000.00 - $105,000.00 per year
Benefits:
- 401(k)
- AD&D insurance
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
License/Certification:
Location:
- Boston, MA 02116 (Required)
Work Location: In person
