Sample Hospital Compliance Officer Resume

Posted in Officer Resume Examples

William Blake
2561 Melrose Street
Spokane Valley, WA99206
(111)-963-4500
[email]

Job Objective Seeking position as a Hospital Compliance Officer with reputable organization in which my skills and knowledge can help further the development of the organization.

Summary of Qualifications:

  • Huge experience in revenue cycle, program development and strategic planning
  • Thorough knowledge of Medicare and Medicaid reimbursement and fraud and abuse laws
  • Sound knowledge of accreditation and licensing requirements
  • Good understanding of both CPT and ICD-9 codes
  • Ability to Ability to analyze claims, billing and medical data
  • Skilled in auditing, conducting investigations, monitoring standards
  • Strong interpersonal and communication skills
  • Excellent project management and organizational skills
  • Ability to manage a diverse and demanding workload

Work Experience:

Hospital Compliance Officer, August 2005 – Present
Central Carolina Hospital, Spokane Valley, WA

  • Provided advice on regulatory compliance issues to Hospital’s employees.
  • Coordinated and prepared reports for Company’s Compliance Department.
  • Maintained Hospital’s compliance program in adherence with applicable federal and state rules and regulations.
  • Attended compliance committee meetings and headed them.
  • Resolved safety, health and regulatory issues.

Hospital Compliance Officer, May 2000 – July 2005
Tenet Healthcare, Spokane Valley, WA

  • Ensured integrity of the regional hotline process & conducted investigations to resolve compliance issues & complaints.
  • Overseen medical center responses to external regulatory agencies such as CMS & the Federal Office of Civil Rights.
  • Managed identified privacy breaches to ensure and file all reports, performed root cause analysis, & initiated controls to prevent further loss of protected health information.
  • Overseen implementation of revenue cycle functions & ensured the remediation of Site of Service, Scope of Practice, & billing and documentation issues.
  • Managed risks & assisted local leadership to establish plans to address these risks.

Education

Bachelor’s Degree in Health Administration, Century College, White Bear Lake, MN

Master’s Degree in Health Administration, Immaculata University, Immaculata, PA

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