About this opportunity
Broward Health lists this Senior Compliance Specialist opportunity in fort lauderdale, Florida. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Summary
Are you ready to bridge the gap between clinical excellence and regulatory integrity? We are looking for a dynamic professional to champion our clinical compliance efforts. In this pivotal role you will ensure our clinical operations align with healthcare regulations and standards focusing on auditing medical necessity and documentation quality.
Broward Health Corporate ISC #31227
Shift: Shift 1 (Days)
FTE: 1.0 (Full-Time)
Overview
This is more than just a specialist position; it is a career pathway to transition into Compliance. We are dedicated to developing our internal talent and this role is designed for a high-performing individual looking to grow into senior leadership within the department. You will gain exposure to high-level regulatory strategy, risk assessment, development and deployment, and policy development setting the stage for professional advancement. The person who fills this role will have some chart review/auditing experience, some experience working on special administrative projects like process improvement, and a demonstrated willingness to learn and grow. While this role is compliance-focused, we place a high premium on the clinical perspective. We are seeking a professional who understands the realities of patient care — specifically someone with a background in Nursing or Quality. While active clinical licensure is not a requirement, having the "+clinical eye" to interpret medical necessity and complex charting is a distinct advantage.
Key Responsibilities
Perform comprehensive audits of medical records and services to verify medical necessity and accurate documentation.
Develop training and "tips" for clinical staff helping providers understand the "why" behind documentation standards.
Serve as the subject matter expert on CMS updates, the Two-Midnight Rule, and coverage criteria.
Identify documentation risks and collaborate with leadership to implement policies that enhance patient care quality.
Education
Bachelor's degree – preference for Healthcare Administration or a related clinical field.
Nursing licensure preferred.
Experience
At least 5 years of experience in a healthcare setting.
Strong understanding of medical necessity criteria and charting standards.
Excellent analytical skills with the ability to translate complex regulations into actionable training for providers.
A background in clinical care, Quality Assurance, or Clinical Documentation Improvement (CDI) is highly advantageous.
Credentials
Certification in Healthcare Compliance (CHC) or to be attained within 18 months of hire.
Additional Information
Visit us online at or contact Talent Acquisition.
Bonus Exclusions may apply in accordance with policy HR-004-026.
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information, or any other characteristic protected under applicable federal or state law.
At Broward Health the dedication and contributions of veterans are valued. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
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Worksite address
fort lauderdale, FL, 33336, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.