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Compliance Specialist

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

CS Compliance & HIPAA

Scheduled Weekly Hours

40

Starting Pay Rate Range

$59,196.80 - $74,006.40

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The incumbent is responsible to conduct coding, billing and documentation audit and monitoring activities for Monument Health facilities. Auditing and monitoring activities will be completed in a timely and professional manner as outlined in the Corporate Responsibility Audit Manual. The incumbent will also help to prevent, detect and resolve instances of conduct that do not conform to Monument Health policies or federal and state laws and regulations.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

  • Conducts compliance reviews including documentation and/or coding audits and monitoring activities, review of medical records, contracts, or other relevant information. Such reviews may be part of the annual Compliance & Audit Work Plan or as assigned throughout the year.
  • Consistently applies the current and appropriate regulatory standards to medical services as evidenced by maintenance of coding continuing educational requirements.
  • Consistently develops and assists with the development and/or delivery of timely and professional compliance education as evidenced by documented compliance curriculum and feedback from participants.
  • Assist with the development, implementation, maintenance and revision of compliance policies and procedures.
  • Communicate new or revised regulations and guidelines to department managers, staff, physicians and administration.
  • Identify potential areas of compliance vulnerability and risk, develop and implement corrective action plans for resolution of problematic issues, and provide general guidance on how to ensure compliance on a consistent basis and documents accordingly.
  • Assists with the development of strategies that promote regulatory compliance, best practices, and positive survey outcomes.
  • Develops criteria for setting priorities and consistently prioritizes these systematic reviews so as to address the departments with the most significant impact as evidenced by documentation and feedback.
  • Maintains appropriate documentation and communicates results of audits and compliance investigations/reviews in a clear, concise and logical manner.
  • All other duties as assigned.

Additional Requirements

Preferred:
Experience - 1+ years of Coding Experience; 3+ years of Healthcare Experience
Education - Bachelors degree in Business or Healthcare
Certification - Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)

Physical Requirements:
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Quality Risk Management and Compliance

Job Family

Compliance

Shift

Employee Type

Regular


15 Corporate Services Division

Make a differenceEvery day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Average salary estimate

$66601 / YEARLY (est.)
min
max
$59196K
$74006K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Compliance Specialist, Monument Health

If you're passionate about healthcare and compliance, then the Compliance Specialist position at Monument Health in Rapid City, SD, might just be your next big opportunity! In this role, you'll dive into the critical work of conducting coding, billing, and documentation audits for our facilities, ensuring that everything aligns with Monument Health's policies and the complex web of federal and state regulations. The atmosphere here is supportive and empowers you to grow and develop your competencies through targeted training and education. As a Compliance Specialist, you will be responsible for conducting thorough reviews and continuously applying the latest regulatory standards while collaborating with department managers and staff to communicate any updates or changes effectively. With a structured work environment that emphasizes flexibility, there are plenty of chances for you to advance while enjoying a great work-life balance. Plus, we offer competitive pay, comprehensive benefits – including medical, vision, and dental coverage – alongside perks like tuition assistance and instant pay for eligible positions. If you're ready to take the next step in your career with a company that truly values compliance and integrity, then we would love to hear from you!

Frequently Asked Questions (FAQs) for Compliance Specialist Role at Monument Health
What are the primary responsibilities of a Compliance Specialist at Monument Health?

As a Compliance Specialist at Monument Health, your primary responsibilities will include conducting compliance reviews, coding, and billing audits, and monitoring various healthcare documentation processes. You'll be actively involved in ensuring adherence to regulatory standards, developing compliance education materials, and identifying areas of compliance vulnerability. Your role will be crucial in helping to uphold the integrity and accountability that Monument Health represents in the community.

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What qualifications do I need to become a Compliance Specialist at Monument Health?

To qualify for the Compliance Specialist position at Monument Health, you should have a Bachelor's degree in Business or Healthcare and experience in coding (at least 1 year) and general healthcare experience (at least 3 years). Additionally, obtaining a Certified Coding Associate (CCA) certification from the American Health Information Management Association (AHIMA) will enhance your qualifications. Having strong analytical skills and the ability to communicate effectively are also vital.

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What benefits does Monument Health offer to Compliance Specialists?

Monument Health provides an array of beneficial perks to Compliance Specialists, including medical, vision, and dental insurance, retirement plans, health savings accounts, and flexible spending accounts. You can enjoy paid time off, opportunities for professional growth, tuition reimbursement, and additional pay differentials for evening, night, or weekend shifts, ensuring you are well-supported both personally and professionally.

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How does the work culture at Monument Health support Compliance Specialists?

At Monument Health, the work culture is centered on support and collaboration, encouraging Compliance Specialists to engage in continuous education and share insights among colleagues and management. This positive environment fosters teamwork, while also promoting the development of effective strategies to ensure compliance within the healthcare system. You'll be part of a team that values your contributions and strives to maintain high standards of service.

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What kind of growth opportunities are available for Compliance Specialists at Monument Health?

Compliance Specialists at Monument Health are offered various growth opportunities, including ongoing education, professional development pathways, and access to mentorship programs. With a focus on ensuring compliance and excellence in healthcare delivery, you can steadily advance your career by broadening your skill set and taking on new challenges within the organization.

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Common Interview Questions for Compliance Specialist
Can you explain your previous experience with compliance reviews as a Compliance Specialist?

In your answer, highlight specific projects or initiatives you've handled. Discuss your understanding of regulatory standards and how you monitored compliance in past positions. Be sure to provide examples where your work positively impacted organizational compliance.

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How do you stay updated on current healthcare regulations?

Share your approaches to professional development, such as attending workshops, online training, or reading relevant literature. Mention specific resources or organizations you follow to keep abreast of changes in healthcare compliance regulations.

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Describe your process for conducting audits and what steps you take to ensure accuracy.

Discuss the methodology you employ when conducting audits, emphasizing attention to detail and organizational skills. Mention the tools or software you use to facilitate the auditing process and how you ensure findings are documented accurately.

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What experience do you have in developing compliance education programs?

Outline your experience in creating or facilitating compliance training sessions. Describe how you assess the needs of your audience and adapt educational materials to different learning styles. Emphasize any successful outcomes or feedback you’ve received.

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How do you approach resolving compliance vulnerabilities?

Discuss your strategic thinking process when identifying vulnerabilities. Highlight your ability to develop corrective action plans and how you ensure that all stakeholders are involved in the resolution process to foster a culture of compliance.

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What certification do you hold and how has it prepared you for this role?

Share relevant certifications such as the Certified Coding Associate (CCA) and how the knowledge gained from them has equipped you to tackle the challenges in compliance work. Discuss how these credentials validate your expertise.

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Can you provide an example of a challenging compliance issue you faced?

Provide a specific example, focusing on the complexity of the situation and your approach to resolving it. Highlight your analytical skills and how you engaged with your team to address the matter effectively.

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How do you communicate compliance updates to various stakeholders?

Speak about your communication skills and methods, such as meetings, emails, or presentations. Explain how you tailor your communication to suit different audiences, ensuring clarity and understanding across the board.

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Why do you want to work as a Compliance Specialist for Monument Health?

Share your enthusiasm for the healthcare sector and how Monument Health’s mission aligns with your professional values and goals. Emphasize your desire to contribute to the organization's commitment to compliance and ethical standards.

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How would you handle a situation where you discover a major compliance breach?

Describe the steps you would take upon discovery, such as documenting the breach, informing relevant parties, and developing a plan for corrective action. Highlight the importance of transparency, adherence to policies, and fostering a culture of accountability.

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EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
April 20, 2025

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