A compliance specialist reviews medical record findings to ensure their accuracy. They must have have an extensive knowledge of medical record documentation guidelines, as well as certifications in coding and compliance. Typically employers also require at least five years of experience working in settings that require coding and compliance.
Compliance specialists typically work in a heath care facility such as a hospital or doctor's office; because they typically work in a setting with many other health care professional, they must have excellent communication and interpersonal skills.
As part of their work, they must be willing to assist in answering any coding and document questions from colleagues, such as nurse reviewers. The compliance specialists can expect a high volume of work, and they must have excellent organizational skills and be able to work well under pressure. These specialists typically work in the day during regular business hours; however, certain employers may require different shifts or extended work hours.
Compliance Specialist Tasks
- Ensure relevant documents are in compliance with established guidelines and standards.
- Responsible for the coordination and completion of all government, regulatory, and compliance documents for all business units in an organization.
- Research, develop and recommend strategic advice to ensure companies align with all applicable laws and regulations.