Compliance Specialist

3 weeks ago

Ernakulam, India Wave Online Infoway Full time

Role & responsibilities:

  • Monitor and maintain compliance with HIPAA Privacy and Security Rules, ISO 27001, and SOC 2 standards.
  • Conduct regular audits of billing processes, data handling, and system access to ensure regulatory compliance.
  • Collaborate with IT, billing, and legal teams to implement and maintain security controls and documentation.
  • Develop and deliver compliance training programs for staff involved in healthcare billing and data processing.
  • Maintain up-to-date knowledge of changes in healthcare regulations and compliance requirements.
  • Lead incident response efforts related to data breaches or non-compliance events.
  • Prepare and support internal and external audits, including documentation and evidence collection.
  • Create and maintain policies, procedures, and risk assessments related to data privacy and billing compliance.
  • Report compliance metrics and findings to senior leadership with actionable recommendations.

Required Qualifications:

  • Bachelors degree in Healthcare Administration, Information Security, Compliance, or a related field.
  • 5+ years of experience in U.S. healthcare billing compliance or a similar regulatory role.
  • In-depth knowledge of HIPAA, ISO 27001, and SOC 2 frameworks.
  • Experience with healthcare billing systems and data privacy tools.
  • Strong analytical, organizational, and communication skills.
  • Ability to work independently and manage multiple compliance initiatives simultaneously.

Preferred Qualifications:

  • Certifications such as CHC (Certified in Healthcare Compliance), CISA, CISSP, or ISO 27001 Lead Implementer/Auditor.
  • Experience working in a healthcare BPO or RCM (Revenue Cycle Management) environment.

Familiarity with other regulatory standards such as HITECH, PCI-DSS, or NIST.

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