DME Medicare Compliance Officer - United States Medical Supply - Miami, Fort Lauderdale

Job description
Proactively research, design, and implement programs, policies, and procedures to ensure that all departments are in compliance with HIPAA & accreditation standards, as well as all relevant laws & regulatory requirements.
Actively participate in the development and/or revision of policies & procedures required to comply, including documentation of departmental processes, report generation, and process improvement.
Coordinate & ensure timely completion of all required government, regulatory, and compliance documents for all departments. Draft responses to queries by regulatory agencies.
Oversee and assist department in processing and responding to all incoming audit and various requests from regulatory agencies.
File appeals on claim / audit adjustments.
Document audit outcomes; perform analysis to identify areas requiring improvement; report findings to management; provide recommendations to resolve or correct any issues identified by the audit process.
Prepare & present regularly scheduled compliance reports to management.
Conduct regularly scheduled internal compliance audits on all departments, including (as necessary or required): reviewing departmental documents & data, interviewing staff, summarizing results, and formulating recommendations for corrective action.
Work closely with management to ensure that emerging business activities meet compliance requirements.
Participate in the evaluation of the quality of work processes & documentation; continually seek opportunities to design more effective processes, improve collections, maximize revenues, and create greater efficiencies.
Provide &/or assist in training employees to understand & comply with regulatory requirements. Assist management in developing & updating policy & procedure manuals. Act as an internal resource for questions regarding compliance issues.
Desired Skills and Experience
Bachelor's degree in a related area + minimum 3 years experience in a related field; OR equivalent combination of education, training, and experience.
Previous auditing experience & familiarity of regulatory audits preferred.
Experience working for or with MAC’s / BI / PSC’s for reviewing or preparing audit requests.
Strong familiarity with standard concepts, practices, and procedures related to DME and Medicare regulations.
Ability to research, analyze, and interpret relevant laws & regulations, and link compliance to business goals & objectives.
Ability to analyze & document processes, and make appropriate recommendations for improvement.
Excellent communication skills, both written & verbal. Ability to effectively present information & respond to inquiries from management, employees, regulatory agencies, and others as necessary.
Strong leadership & problem-solving skills. Ability to manage & prioritize multiple tasks/projects, work autonomously, and meet deadlines.
Ability to work well in a team environment that promotes inclusiveness & communication among team members.
Ability to operate with considerable initiative, applying a high level of discretion & confidentiality.

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