Coordinator, Compliance (Remote) at tango

Brief Description

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.

We are currently looking for a Compliance Coordinator to join our growing team and serve as a departmental support person for Compliance and PI/QM Functions.

Responsibilities

• Assists in the monitoring of business and operations activities for compliance with internal audit process and external health plan and regulatory rules and regulations.
• Upload monthly, quarterly, and annual reports to secure sites while maintaining high accuracy, timeliness, and security of the data.
• Perform detailed examinations of audit documentation.
• Ability to communicate, interact, and work well with others.
• Coordinate deliverables for internal/external audits, CAP’s, Compliance, and PI/QM projects.
• Coordinate annual policy reviews, makes policy revisions as directed, keep policies organized, revised, and updated in compliance with regulatory and specific contract requirements.
• Does research, updates and assists in tracking of licenses specific to State guidelines and includes clinician licenses.
• Regulations are added, removed, and changed, as such Compliance Specialist must assist and stay up to date with any regulatory action relevant to healthcare.
• Compiles data and can put in pivot table within Excel, etc.
• Works well under deadlines and can meet required timeframes.
  
  

Qualifications

• Healthcare industry experience and knowledge of medical terminology
• Knowledge of health plan regulatory reports such as ODAG, NCQA /URAC, ICD 10 coding, medical terminology, and EMR Systems is helpful.
• Previous internal audit experience preferred.
• Proficiency in Microsoft Office Applications including Excel, PowerPoint, Adobe, and Word.
• Must be ethical and trustworthy.
• Excellent writing skills.
• Knowledge of HIPAA regulations and guidelines.
• Must be organized, detail oriented, and can multitask.
• Project management skills preferred.
• Excellent verbal and written communication skills.
• Critical thinking and problem-solving skills.
• Must be able to work in a team environment and independently.
  
  

Education

• High school diploma or GED equivalent.
  
  

Experience

• Two (2) years administrative experience in health plan, medical facility, or related field.
• Two (2) years of experience in Customer Service, Billing/Claims, Project Management, or related environment preferred.
  
  

tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.