Compliance Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Sanford Health
Compliance Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Job Description
Compliance Specialist - Sanford Health, Sioux Falls, SD
Role Overview
Sanford Health is seeking a dedicated and detail-oriented Compliance Specialist to join our team in Sioux Falls, South Dakota. As a Compliance Specialist, you will play a crucial role in ensuring that Sanford Health adheres to federal and state laws, regulations, and rules governing healthcare entities. Your primary focus will be on the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, as well as other relevant compliance standards. You will be responsible for identifying risk areas, conducting audits, providing analysis, and recommending improvements to executive leadership.
A Day in the Life
Each day as a Compliance Specialist at Sanford Health brings a variety of tasks and challenges. Your day might include:
- Preparing audit tools and conducting audits to assess compliance with healthcare regulations.
- Analyzing patient records to identify non-conformances in CPT, ICD-10, and HCPCS code assignment.
- Investigating and resolving compliance issues related to the healthcare environment.
- Evaluating regulatory agency reports and formulating responses and corrective actions.
- Maintaining logs, databases, and other records pertaining to compliance and risk.
- Collaborating with administrative staff to address compliance risk areas.
- Leading compliance-related committees and work groups to develop strategies and implement procedures.
- Providing training and education to staff on compliance policies and procedures.
- Managing vendor oversight to ensure vendors adhere to relevant regulations and standards.
- Conducting research on policy and regulation changes to stay updated on compliance requirements.
Why Sioux Falls, South Dakota?
Sioux Falls is a vibrant and growing city that offers a high quality of life. It boasts a strong economy, affordable cost of living, and a friendly community. The city offers a range of recreational activities, including parks, bike trails, and cultural attractions. With excellent schools and healthcare facilities, Sioux Falls is a great place to live and work.
Career Path
At Sanford Health, we are committed to providing our employees with opportunities for growth and advancement. The Compliance Specialist role can lead to various career paths within the organization, such as:
- Senior Compliance Specialist
- Compliance Manager
- Compliance Director
- Privacy Officer
- Risk Manager
Salary and Benefits
The estimated salary range for a Compliance Specialist in Sioux Falls, South Dakota, is between $55,000 and $85,000 per year. This range is based on market data and may vary depending on experience, education, and certifications. Sanford Health also offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and professional development opportunities.
Sanford Culture
Sanford Health is committed to creating a positive and supportive work environment for our employees. We value teamwork, collaboration, and continuous improvement. We are proud to be an EEO/AA Employer, and we welcome individuals of all backgrounds to join our team.
How to Apply
If you are interested in joining the Sanford Health family as a Compliance Specialist, we encourage you to apply online through our careers website. Please submit your resume and cover letter, highlighting your qualifications and experience.
FAQ
- What are the key responsibilities of a Compliance Specialist?
The Compliance Specialist is responsible for ensuring compliance with federal and state laws, regulations, and rules governing healthcare entities, particularly the HIPAA Privacy Rule. - What qualifications are required for this position?
A Bachelor’s degree in a health-related field or equivalent education is required. A Master’s degree is preferred. Prior relevant compliance work experience is also preferred. - What certifications are preferred for this role?
Certifications such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Registered Health Information Administrator (RHIA), or Certified Healthcare Constructor (CHC) are preferred but not mandatory. - What skills are important for a Compliance Specialist?
Important skills include project management, critical thinking, auditing, evaluation, investigation, and a strong understanding of healthcare regulations and compliance standards. - What opportunities for advancement are available at Sanford Health?
Sanford Health offers various career paths, including Senior Compliance Specialist, Compliance Manager, Compliance Director, Privacy Officer, and Risk Manager. - What benefits does Sanford Health offer to its employees?
Sanford Health offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and professional development opportunities. - What is the work environment like at Sanford Health?
Sanford Health is committed to creating a positive and supportive work environment that values teamwork, collaboration, and continuous improvement. - How does Sanford Health support employee well-being?
Sanford Health offers an employee assistance program (EAP) for mental health and well-being, as well as wellness programs and resources to support employee health. - Is relocation assistance available for this position?
Relocation assistance may be available, depending on the specific circumstances. - What is the EEO policy at Sanford Health?
Sanford Health is an EEO/AA Employer and welcomes individuals of all backgrounds to join our team.
Locations
- Sioux Falls, South Dakota, United States
Salary
60,500 - 93,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Project Managementintermediate
- Critical Thinkingintermediate
- Auditingintermediate
- Evaluationintermediate
- Investigationintermediate
- Compliance Policies and Proceduresintermediate
- Compliance Training & Educationintermediate
- Risk Assessmentintermediate
- Work Plansintermediate
- Compliance Monitoringintermediate
- HIPAA Privacy Rule Knowledgeintermediate
- Regulatory Agency Report Evaluationintermediate
- Corrective Action Planningintermediate
- Database Managementintermediate
- Compliance Procedure Implementationintermediate
- CPT Codingintermediate
- ICD-10 Codingintermediate
- HCPCS Codingintermediate
- Communicationintermediate
- Policy Researchintermediate
- Vendor Oversightintermediate
- Sales & Marketing Complianceintermediate
- Mental Health Parity Oversightintermediate
- External Audit Managementintermediate
- Reported Concerns Managementintermediate
- Effective Lines of Communicationintermediate
- Audit Tool Preparationintermediate
- Data Analysisintermediate
- Report Writingintermediate
- Leadership Collaborationintermediate
Required Qualifications
- Bachelor’s degree in health related field or equivalent education is required. (experience)
- Master’s degree is preferred. (experience)
- Prior relevant compliance work experience is preferred. (experience)
- Depending on department, may be required to maintain licensure/certification as appropriate to background. (experience)
- Certified Professional Coder (CPC) certification (preferred). (experience)
- Certified Coding Specialist (CCS) certification (preferred). (experience)
- Certified Professional Medical Auditor (CPMA) certification (preferred). (experience)
- Certified Coding Specialist-Physician-based (CCS-P) certification (preferred). (experience)
- Registered Health Information Administrator (RHIA) certification (preferred). (experience)
- Registered Health Information Technician (RHIT) certification (preferred). (experience)
- Certified Healthcare Constructor (CHC) certification (preferred). (experience)
- Complete continuing education requirements as necessary. (experience)
- Certification in healthcare compliance is preferred but not mandatory. (experience)
- Knowledge of healthcare regulations and compliance standards. (experience)
- Experience with auditing and risk assessment processes. (experience)
Responsibilities
- Identifies risk areas related to healthcare compliance.
- Prepares audit tools and conducts audits to assess compliance.
- Provides analysis and recommendations to executive leadership based on audit findings.
- Conducts audits and provides support for other internal or external auditors.
- Investigates and resolves compliance issues related to the healthcare environment.
- Evaluates regulatory agency reports and formulates responses and corrective actions.
- Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk.
- Creates logs and systems for entering and tracking compliance guidelines.
- Confers with administrative staff regarding compliance risk areas and final reports.
- Develops strategies and leads compliance-related committees/work groups.
- Implements compliance procedures to ensure adherence to regulations.
- Ensures compliance with governmental requirements and healthcare standards.
- Analyzes patient records to identify non-conformances in CPT, ICD-10, and HCPCS code assignment.
- Applies knowledge of Sanford Health Systems policies, procedures, and guidelines in daily tasks.
- Manages projects of varying scopes from start to end, ensuring timely completion and adherence to compliance standards.
- Oversees compliance policies and procedures to maintain regulatory alignment.
- Develops and delivers compliance training and education programs to staff.
- Manages reported concerns related to compliance, conducting thorough investigations and implementing corrective actions.
- Maintains effective lines of communication to ensure compliance-related information is disseminated appropriately.
- Conducts risk assessments and develops work plans to mitigate potential compliance issues.
- Oversees compliance monitoring and auditing activities to identify areas for improvement.
- Provides oversight for mental health parity compliance, ensuring equitable access to mental health services.
- Manages external audits, coordinating with auditors and providing necessary documentation and support.
- Oversees vendor compliance, ensuring vendors adhere to relevant regulations and standards.
- Ensures compliance with sales and marketing activities, adhering to advertising and marketing guidelines.
- Conducts policy and regulation research to stay updated on changes and ensure compliance with new requirements.
Benefits
- general: Comprehensive health insurance coverage (medical, dental, vision)
- general: Prescription drug coverage
- general: Health savings account (HSA) or flexible spending account (FSA) options
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Paid parental leave
- general: 401(k) retirement savings plan with employer matching
- general: Employee assistance program (EAP) for mental health and well-being
- general: Life insurance
- general: Disability insurance (short-term and long-term)
- general: Tuition reimbursement or assistance for continuing education
- general: Professional development opportunities and training programs
- general: Employee discounts on Sanford Health services and products
- general: Wellness programs and resources to support employee health
- general: Relocation assistance (if applicable)
- general: Competitive salary and compensation package
- general: Opportunities for career advancement within Sanford Health
- general: A supportive and collaborative work environment
- general: Access to state-of-the-art facilities and technology
- general: Employee recognition programs
Tags & Categories
Answer 10 quick questions to check your fit for Compliance Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now! @ Sanford Health.
Related Books and Jobs
Compliance Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Sanford Health
Compliance Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Job Description
Compliance Specialist - Sanford Health, Sioux Falls, SD
Role Overview
Sanford Health is seeking a dedicated and detail-oriented Compliance Specialist to join our team in Sioux Falls, South Dakota. As a Compliance Specialist, you will play a crucial role in ensuring that Sanford Health adheres to federal and state laws, regulations, and rules governing healthcare entities. Your primary focus will be on the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, as well as other relevant compliance standards. You will be responsible for identifying risk areas, conducting audits, providing analysis, and recommending improvements to executive leadership.
A Day in the Life
Each day as a Compliance Specialist at Sanford Health brings a variety of tasks and challenges. Your day might include:
- Preparing audit tools and conducting audits to assess compliance with healthcare regulations.
- Analyzing patient records to identify non-conformances in CPT, ICD-10, and HCPCS code assignment.
- Investigating and resolving compliance issues related to the healthcare environment.
- Evaluating regulatory agency reports and formulating responses and corrective actions.
- Maintaining logs, databases, and other records pertaining to compliance and risk.
- Collaborating with administrative staff to address compliance risk areas.
- Leading compliance-related committees and work groups to develop strategies and implement procedures.
- Providing training and education to staff on compliance policies and procedures.
- Managing vendor oversight to ensure vendors adhere to relevant regulations and standards.
- Conducting research on policy and regulation changes to stay updated on compliance requirements.
Why Sioux Falls, South Dakota?
Sioux Falls is a vibrant and growing city that offers a high quality of life. It boasts a strong economy, affordable cost of living, and a friendly community. The city offers a range of recreational activities, including parks, bike trails, and cultural attractions. With excellent schools and healthcare facilities, Sioux Falls is a great place to live and work.
Career Path
At Sanford Health, we are committed to providing our employees with opportunities for growth and advancement. The Compliance Specialist role can lead to various career paths within the organization, such as:
- Senior Compliance Specialist
- Compliance Manager
- Compliance Director
- Privacy Officer
- Risk Manager
Salary and Benefits
The estimated salary range for a Compliance Specialist in Sioux Falls, South Dakota, is between $55,000 and $85,000 per year. This range is based on market data and may vary depending on experience, education, and certifications. Sanford Health also offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and professional development opportunities.
Sanford Culture
Sanford Health is committed to creating a positive and supportive work environment for our employees. We value teamwork, collaboration, and continuous improvement. We are proud to be an EEO/AA Employer, and we welcome individuals of all backgrounds to join our team.
How to Apply
If you are interested in joining the Sanford Health family as a Compliance Specialist, we encourage you to apply online through our careers website. Please submit your resume and cover letter, highlighting your qualifications and experience.
FAQ
- What are the key responsibilities of a Compliance Specialist?
The Compliance Specialist is responsible for ensuring compliance with federal and state laws, regulations, and rules governing healthcare entities, particularly the HIPAA Privacy Rule. - What qualifications are required for this position?
A Bachelor’s degree in a health-related field or equivalent education is required. A Master’s degree is preferred. Prior relevant compliance work experience is also preferred. - What certifications are preferred for this role?
Certifications such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Registered Health Information Administrator (RHIA), or Certified Healthcare Constructor (CHC) are preferred but not mandatory. - What skills are important for a Compliance Specialist?
Important skills include project management, critical thinking, auditing, evaluation, investigation, and a strong understanding of healthcare regulations and compliance standards. - What opportunities for advancement are available at Sanford Health?
Sanford Health offers various career paths, including Senior Compliance Specialist, Compliance Manager, Compliance Director, Privacy Officer, and Risk Manager. - What benefits does Sanford Health offer to its employees?
Sanford Health offers a comprehensive benefits package, including health insurance, retirement plans, paid time off, and professional development opportunities. - What is the work environment like at Sanford Health?
Sanford Health is committed to creating a positive and supportive work environment that values teamwork, collaboration, and continuous improvement. - How does Sanford Health support employee well-being?
Sanford Health offers an employee assistance program (EAP) for mental health and well-being, as well as wellness programs and resources to support employee health. - Is relocation assistance available for this position?
Relocation assistance may be available, depending on the specific circumstances. - What is the EEO policy at Sanford Health?
Sanford Health is an EEO/AA Employer and welcomes individuals of all backgrounds to join our team.
Locations
- Sioux Falls, South Dakota, United States
Salary
60,500 - 93,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Project Managementintermediate
- Critical Thinkingintermediate
- Auditingintermediate
- Evaluationintermediate
- Investigationintermediate
- Compliance Policies and Proceduresintermediate
- Compliance Training & Educationintermediate
- Risk Assessmentintermediate
- Work Plansintermediate
- Compliance Monitoringintermediate
- HIPAA Privacy Rule Knowledgeintermediate
- Regulatory Agency Report Evaluationintermediate
- Corrective Action Planningintermediate
- Database Managementintermediate
- Compliance Procedure Implementationintermediate
- CPT Codingintermediate
- ICD-10 Codingintermediate
- HCPCS Codingintermediate
- Communicationintermediate
- Policy Researchintermediate
- Vendor Oversightintermediate
- Sales & Marketing Complianceintermediate
- Mental Health Parity Oversightintermediate
- External Audit Managementintermediate
- Reported Concerns Managementintermediate
- Effective Lines of Communicationintermediate
- Audit Tool Preparationintermediate
- Data Analysisintermediate
- Report Writingintermediate
- Leadership Collaborationintermediate
Required Qualifications
- Bachelor’s degree in health related field or equivalent education is required. (experience)
- Master’s degree is preferred. (experience)
- Prior relevant compliance work experience is preferred. (experience)
- Depending on department, may be required to maintain licensure/certification as appropriate to background. (experience)
- Certified Professional Coder (CPC) certification (preferred). (experience)
- Certified Coding Specialist (CCS) certification (preferred). (experience)
- Certified Professional Medical Auditor (CPMA) certification (preferred). (experience)
- Certified Coding Specialist-Physician-based (CCS-P) certification (preferred). (experience)
- Registered Health Information Administrator (RHIA) certification (preferred). (experience)
- Registered Health Information Technician (RHIT) certification (preferred). (experience)
- Certified Healthcare Constructor (CHC) certification (preferred). (experience)
- Complete continuing education requirements as necessary. (experience)
- Certification in healthcare compliance is preferred but not mandatory. (experience)
- Knowledge of healthcare regulations and compliance standards. (experience)
- Experience with auditing and risk assessment processes. (experience)
Responsibilities
- Identifies risk areas related to healthcare compliance.
- Prepares audit tools and conducts audits to assess compliance.
- Provides analysis and recommendations to executive leadership based on audit findings.
- Conducts audits and provides support for other internal or external auditors.
- Investigates and resolves compliance issues related to the healthcare environment.
- Evaluates regulatory agency reports and formulates responses and corrective actions.
- Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk.
- Creates logs and systems for entering and tracking compliance guidelines.
- Confers with administrative staff regarding compliance risk areas and final reports.
- Develops strategies and leads compliance-related committees/work groups.
- Implements compliance procedures to ensure adherence to regulations.
- Ensures compliance with governmental requirements and healthcare standards.
- Analyzes patient records to identify non-conformances in CPT, ICD-10, and HCPCS code assignment.
- Applies knowledge of Sanford Health Systems policies, procedures, and guidelines in daily tasks.
- Manages projects of varying scopes from start to end, ensuring timely completion and adherence to compliance standards.
- Oversees compliance policies and procedures to maintain regulatory alignment.
- Develops and delivers compliance training and education programs to staff.
- Manages reported concerns related to compliance, conducting thorough investigations and implementing corrective actions.
- Maintains effective lines of communication to ensure compliance-related information is disseminated appropriately.
- Conducts risk assessments and develops work plans to mitigate potential compliance issues.
- Oversees compliance monitoring and auditing activities to identify areas for improvement.
- Provides oversight for mental health parity compliance, ensuring equitable access to mental health services.
- Manages external audits, coordinating with auditors and providing necessary documentation and support.
- Oversees vendor compliance, ensuring vendors adhere to relevant regulations and standards.
- Ensures compliance with sales and marketing activities, adhering to advertising and marketing guidelines.
- Conducts policy and regulation research to stay updated on changes and ensure compliance with new requirements.
Benefits
- general: Comprehensive health insurance coverage (medical, dental, vision)
- general: Prescription drug coverage
- general: Health savings account (HSA) or flexible spending account (FSA) options
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Paid parental leave
- general: 401(k) retirement savings plan with employer matching
- general: Employee assistance program (EAP) for mental health and well-being
- general: Life insurance
- general: Disability insurance (short-term and long-term)
- general: Tuition reimbursement or assistance for continuing education
- general: Professional development opportunities and training programs
- general: Employee discounts on Sanford Health services and products
- general: Wellness programs and resources to support employee health
- general: Relocation assistance (if applicable)
- general: Competitive salary and compensation package
- general: Opportunities for career advancement within Sanford Health
- general: A supportive and collaborative work environment
- general: Access to state-of-the-art facilities and technology
- general: Employee recognition programs
Tags & Categories
Answer 10 quick questions to check your fit for Compliance Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now! @ Sanford Health.
Related Books and Jobs