Healthcare EDI Analyst, Sr. jobs in Bellingham, WA

The didgalic Wellness Center is looking for a Healthcare Compliance Manager to join our team. In this role you’ll support the delivery of operational excellence by ensuring the organization meets a high level of compliance to ever changing healthcare and finance regulations. In this highly collaborative and advisory role you’ll work with employees at all levels- leadership, management, and employees alike, to develop a compliance program and oversee the Quality Improvement program; as well as ensure education and best practices for compiling with new rules, regulations, and policies. This role reports to the CEO.

Our mission is to improve outcomes with quality health care solutions by removing barriers to treatment. Our comprehensive services include primary care, behavioral health, and opiate treatment in a dedicated care team model. We also go beyond these services to support our clients by offering a range of services like transportation, childcare, dental services, acupuncture, yoga, case management, and even free lunches while onsite. Our beautiful, state-of-the-art facility is located near Anacortes, Washington.

At didgwalic Wellness Center, we prioritize the well-being of our patients and staff alike. We offer our employees an excellent total compensation package, that includes some of the following. If this sounds like an opportunity, you’re interested in exploring further please apply today! We’re excited to meet you!

Some of Our Benefits Include:

• Competitive annual compensation, with annual reviews for increase
• Comprehensive health, dental, and vision insurance with; no, to little out-of-pocket costs
• Employer-paid life insurance, AD&D, short- and long-term disability
• 401(k) Retirement Plan with up to a 4% employer contribution
• 3 weeks of Paid Time Off (PTO)
• 12 paid holidays observed
• Great working hours for work-life balance
• Onsite snacks and meals during employee recognition events (often times monthly)
• Generous professional development and reimbursement for required professional license and certification renewals

What You’ll Do:

• Stay current with healthcare compliance regulations to ensure the organization’s procedures adhere to the healthcare regulatory and finance regulations.
• Develop policies, procedures, and processes that comply with the federal and state regulations.
• Create policies and processes to prevent liability.
• Establish efficient compliance plans to make sure that patients records, billing methods, and any other source of personal patient data are kept private and in compliance with 42 CFR Part 2 and HIPAA.
• Review the organization’s records and record transfer procedures to recommend improvements to the record-keeping system.
• Identify, assess, and recommend corrective actions (including analyzing root coot causes and controls) regarding process-related issues in support of operational compliance with state and federal laws and regulations.
• Respond, identify, and investigate alleged violations of rules, regulations, policies, and procedures related to healthcare compliance.
• Communicate outcomes of investigations to the leadership.
• Remediates compliance issues by providing education, making recommendations to leadership, implementing corrective actions, ensuring timely completion of remediation as applicable.
• Research laws, rules, and regulations, obtain appropriate legal advice and assist with implementing action plans and process improvements.
• Provide employee compliance training to raise staff awareness of regulatory issues.
• Communicate with independent contractors to make sure all services are provided in accordance with the compliance program.

Must Have’s*:

• 3 years of experience in Healthcare Compliance.
• Healthcare compliance and CPHQ certification.
• Bachelor’s degree in healthcare, Finance degree, Healthcare Administration, Business Administration, Law, or a related field (master’s degree preferred).
• Advanced skills in all MS Office applications (Word, Excel, Outlook, PowerPoint).
• Thorough knowledge of healthcare regulatory requirements.
• A clear understanding of the financial aspects of the healthcare industry.
• Excellent analytical, organizational, and communication skills.
• Strong writing and verbal communication abilities to facilitate effective, concise, professional, and non-judgmental discussions and reporting with the leadership team.
• Ability to prioritize work, while remaining flexible and ready to assume additional responsibilities as needed.
• Ability to research and analyze information and provide alternative solutions for problem solving.
• Ability to maintain confidentiality and handle sensitive information with judgment and discretion.
• Ability to work in a cross-culture environment, understands the social and cultural context of the patients at the didgalic Wellness Center. Understanding the role of trauma, historical, community, family, and personal in wellness and recovery.
• Understands and has the ability to adhere to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2).
• Possess a valid Washington State Driver’s license and meet eligibility requirements for tribal insurance.
• Ability to pass extensive criminal background check and pre-employment drug screening.
• Tribal affiliation a plus!