Compliance Specialist

About Us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description

Support the implementation and operation of the Compliance Program, including but not limited to the coordination of the Conflict of Interest process; Compliance Hotline, review of excluded/sanctioned persons, the Open Payments Act, non-monetary compensation and general operations/compliance reviews.  This includes the establishment of workflows, guidance documents and tools, risk/gap analysis, policies and procedures reviews, software analysis and maintenance and implementation of processes and communication with effected parties to assist Cooper in  ongoing compliance with federal, state and other regulatory requirements.

Reviews to be performed are identified based on the compliance risk analyses and work plan.  Customers include employed providers, senior leadership, clinical and non-clinical staff of Cooper University Health Care.

Serve as liaison for questions, concerns, incidents and complaints regarding compliance matters, responding directly to the inquiry and/or consulting or interacting with other team members or departments.  Inform Chief Compliance Officer of major findings; based on types of questions/concerns received, recommend remedial correction and prevention actions; identify education/awareness opportunities and guidance topics

Work with all levels within the organization to ensure that internal controls throughout the system provide for accurate, complete and compliance program and processes

Experience Required

Demonstrated knowledge and understanding of the essential elements of an effective compliance program preferably in a healthcare environment

Demonstrated knowledge and understanding of HIPAA rules and regulations affecting the management of confidential protected health information (PHI).

Demonstrated knowledge and understanding of federal and state statutes, laws, rules and regulations with specific knowledge, including but not limited to Stark, Anti-Kickback, excluded providers, conflict of interest, non-monetary compensation,  research  billing, coding and documentation practices in support of healthcare services provided to beneficiaries of federally-funded healthcare programs and other third party payers.

Working knowledge and understanding of:

- sampling technologies and statistical analyses

.Experience using personal computers required. 

Experience using the following applications is desirable: Word, Excel, e-mail, and healthcare related billing systems.

Experience using MDAudit audit software and/or EPIC EMR desirable

Education Requirements

Four (4) year college degree or clinical degree required; master’s degree preferred.  Academic healthcare experience will be considered in lieu of degree. Current certification as a CHC or obtained within 24 months of employment; CHRC within 36 months

License/Certification Requirements

Current CHC credential required or obtained within 24months of employment

Current CHRC credential required or obtained within 36 months of employment

Valid driver’s license and automobile insurance per company policy

Special Requirements

Must possess the ability to work independently, prioritize, delegate and organize various tasks/projects simultaneously to ensure goals are met within established timeframes.

Additional qualifications include ability to conduct effective and accurate regulatory research and analysis; strong attention to detail; excellent organizational and presentation skills; demonstrated ability to maintain discretion and confidentiality.

Establish and maintain professional and effective relationships with internal and external entities

Conflict resolution skills