Rush University Medical Center
Corporate Compliance Regulatory Analyst-23258
Rush University Medical Center, Chicago, Illinois, United States, 60290
Corporate Compliance Regulatory Analyst – Rush University Medical Center
Location:
Chicago, Illinois
Employment type:
Full time
Pay range:
$34.89 – $56.78 per hour
Summary
Reporting to the Manager of Compliance audit, the Corporate Compliance Regulatory Analyst plays a critical role in ensuring Rush University System for Health maintains the highest standards of regulatory compliance across the system. The Analyst conducts comprehensive audits to ensure alignment with federal and state regulations as well as Rush’s internal policies, collaborates closely with hospital departments, and manages both individual and team projects.
Required Qualifications
Associate’s degree in a healthcare discipline
AAPC or AHIMA certification (e.g., CCS, CCS‑P, CPC)
Three to five years of compliance audit experience
Ability to interpret and analyze electronic medical records, ancillary reports, and third‑party payer guidelines
Proficiency in Microsoft Office applications
Excellent verbal and written communication skills
Experience with an electronic health record
Ability to communicate effectively with physicians and hospital department leadership
Knowledge of compliance concepts including fraud, waste and abuse, CMS teaching physician rules, documentation and coding requirements
Demonstrated capacity to work independently in an organized, detailed manner while maintaining a collaborative team environment
Preferred Qualifications
Bachelor’s degree in Health Information Technology, Healthcare Administration, Nursing or related field
CHC certification
Epic electronic health record experience
Responsibilities
Design and execute compliance audits of medical record documentation to detect discrepancies and mitigate false claim allegations
Perform targeted reviews of documentation and billing to ensure compliance with Medicare teaching physician guidelines and conditions of payment
Develop and conduct training sessions for physicians and advanced practice providers on Medicare documentation guidelines
Prepare and present detailed audit reports with recommended corrective actions
Identify, assess, and prioritize compliance risk issues and collaborate with interdepartmental teams to address findings
Analyze large and complex data sets to identify audit risk areas
Monitor Rush’s adherence to federal and state regulations through recurring audits and internal assessments
Maintain knowledge of regulatory standards through seminars, training and literature reviews
Assist in developing the department’s annual compliance work plan for approval by the System Audit Committee
Facilitate compliance awareness via educational materials, newsletters and training sessions
Support updates to compliance manuals, policies, and internal websites to reflect current standards
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
#J-18808-Ljbffr
Chicago, Illinois
Employment type:
Full time
Pay range:
$34.89 – $56.78 per hour
Summary
Reporting to the Manager of Compliance audit, the Corporate Compliance Regulatory Analyst plays a critical role in ensuring Rush University System for Health maintains the highest standards of regulatory compliance across the system. The Analyst conducts comprehensive audits to ensure alignment with federal and state regulations as well as Rush’s internal policies, collaborates closely with hospital departments, and manages both individual and team projects.
Required Qualifications
Associate’s degree in a healthcare discipline
AAPC or AHIMA certification (e.g., CCS, CCS‑P, CPC)
Three to five years of compliance audit experience
Ability to interpret and analyze electronic medical records, ancillary reports, and third‑party payer guidelines
Proficiency in Microsoft Office applications
Excellent verbal and written communication skills
Experience with an electronic health record
Ability to communicate effectively with physicians and hospital department leadership
Knowledge of compliance concepts including fraud, waste and abuse, CMS teaching physician rules, documentation and coding requirements
Demonstrated capacity to work independently in an organized, detailed manner while maintaining a collaborative team environment
Preferred Qualifications
Bachelor’s degree in Health Information Technology, Healthcare Administration, Nursing or related field
CHC certification
Epic electronic health record experience
Responsibilities
Design and execute compliance audits of medical record documentation to detect discrepancies and mitigate false claim allegations
Perform targeted reviews of documentation and billing to ensure compliance with Medicare teaching physician guidelines and conditions of payment
Develop and conduct training sessions for physicians and advanced practice providers on Medicare documentation guidelines
Prepare and present detailed audit reports with recommended corrective actions
Identify, assess, and prioritize compliance risk issues and collaborate with interdepartmental teams to address findings
Analyze large and complex data sets to identify audit risk areas
Monitor Rush’s adherence to federal and state regulations through recurring audits and internal assessments
Maintain knowledge of regulatory standards through seminars, training and literature reviews
Assist in developing the department’s annual compliance work plan for approval by the System Audit Committee
Facilitate compliance awareness via educational materials, newsletters and training sessions
Support updates to compliance manuals, policies, and internal websites to reflect current standards
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
#J-18808-Ljbffr