Compliance Analyst I

The Compliance Analyst I must maintain a comprehensive understanding of ethical principles and independence in their work. The Compliance Analyst I maintains the highest level of personal and professional conduct, duty, and responsibilities; additionally, this individual must remain objective and independent in all assignments. This position requires strict confidentiality with all compliance matters. Essential Duties and Responsibilities:

Initiates the repayment process by receiving notifications from various departments (Compliance, Legal, etc.)

Calculates repayment totals as needed and determines method of refund in order to route to the appropriate billing team member or process the necessary adjustments

Performs a review of the weekly billing process by analyzing medical record information for conformance with policy, procedure and reimbursement requirements

Evaluates internal controls for adequacy and prepares a report of the findings for review by management

Provides support to team members as needed

Assists with Compliance-related investigations as needed

Participates in team meetings, trainings and monthly department calls.

Ensures confidentiality of all information, especially medical information as related to the HIPAA regulations

Displays dedication to the corporate objectives

During all phases of a review, maintains a positive working relationship with all employees to ensure that all work related encounters are productive

Performs additional duties as assigned by the Compliance Leadership Team

Minimum Requirements:

BA/BS required; degree(s) Healthcare Economics, Health Information Management and/or Business (Accounting/ Finance) preferred

Prior auditing experience preferred

At least three (3) years of medical billing experience

Ability to work independently with little direct supervision from Manager, Auditing and Repayment

Ability to maintain positive professional business relationships

Strong project management skills a plus

Strong organizational and interpersonal skills, along with strong attention to detail

Pay Information $50,000-$55,000 + $4000 annual bonus About Maxim Healthcare Services Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.