Healthcare Compliance Specialist
careerswift.ai
Job description
About the role
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.
Key responsibilities
- 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.
Required profile
- 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.
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Published 2 weeks ago
Expires 1 month from now
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