Compliance Specialist
1 week ago
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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