Compliance Sr Associate

Shift:

Compliance Sr Associate

Step into the guardian role of healthcare integrity at Nebraska Medicine, where your eagle eye for detail and passion for ethical excellence will safeguard patient trust and financial accuracy in one of America's top-ranked health systems. As our entry-level Compliance Associate, you'll dive into the heart of revenue cycle compliance--reviewing medical records, auditing billing against Medicare and payer guidelines, and collaborating across teams to swiftly resolve recalls and inquiries--all from the flexibility of your Nebraska or Iowa home base. If you're a detail-oriented pro with three years in healthcare revenue or compliance, ready to blend analytical prowess with interdepartmental teamwork in a supportive, mission-driven environment, join us and help ensure every record tells a story of unwavering compliance and compassionate care.

Details: Compliance Sr Associate

• Candidates must reside in NE or IA
• This is a remote position - but must live in NE or IA
• Preferred consideration will be given to applicants with application of health care laws and regulations for Medicare and third-party payer guidelines relating to professional fee reimbursement experience
• Resume REQUIRED for consideration

Why Work at Nebraska Medicine?

• Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
• Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
• Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve.
• Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path.

Be part of something extraordinary at Nebraska Medicine!

The Compliance Sr Associate will conduct detailed compliance reviews of medical records and associated billing documents to assess adherence to healthcare regulations, government standards, third party payer requirements, and internal policies. Manage the review and processing of incoming recall notices, ensuring they are routed to appropriate departments for prompt response and action. Review compliance data and reports, completing required documentation to meet regulatory and compliance standards. Collaborate with other departments (e.g., Patient Financial Services, Regulatory, Risk, Internal Audit, Patient Experience) to ensure completion of required reports.
The Compliance Associate will also support the organization's compliance functions by facilitating prompt responses to compliance complaints or inquiries. This includes conducting audits, analyzing data, and collaborating with involved internal teams to address any identified issues

Required Qualifications: Compliance Sr Associate

* Minimum of three years' experience in revenue integrity or healthcare compliance.
* High school education or equivalent required.
* Current knowledge of revenue cycle processes and understanding components of electronic medical record.
* Associate or bachelor's degree in a healthcare related field or equivalent combination of education/experience (two years in health information management, revenue cycle or healthcare compliance equals one year of education) required.
* Computer skills: MS Office including Word, PowerPoint, Excel and Outlook.
* Ability to read, comprehend, and analyze governmental regulations required.
* Communicate and manage the timeliness of responses and maintain accurate tracking database of accounts, correspondence, actions, and outcomes required.
* Ability to interact on a professional basis with members of the medical staff, management, and ancillary departments required.
* Communication skills, both written and verbal required.
* Organizational skill (ability to multitask and prioritize) required.
* Ability to work within stressful conditions and difficult situations required.
* Ability to function independently and work effectively in a team environment required.
* Analytical skills to define problems, formulate logical solutions, and make recommendations required.
* Ability to speak and present in both small and large groups required.

Preferred Qualifications: Compliance Sr Associate
* Application of health care laws and regulations for Medicare and third-party payer guidelines relating to professional fee reimbursement preferred.
* Experience in a multi-specialty practitioner organization and/or academic medical center preferred.
* Experience with Medicare Recovery Audit Contractor program (RAC) or government payer audits preferred.
* Experienced project leader preferred