Compliance Coordinator

Rochester Regional Health

. Conduct Corporate Compliance audits, investigations, and training throughout all affiliates .

Posted 9/29/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $63,000 - $78,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Corporate Compliance, including conducting audits, managing investigations, and providing training within healthcare settings. Proficient in analyzing regulations, developing corrective action plans, and collaborating with healthcare professionals to ensure compliance with laws and contract obligations.

Highest-signal resume keywords

Healthcare ComplianceProject ManagementRegulatory AuditsRisk AssessmentTraining Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Corporate Compliance AuditsEMR OptimizationRevenue Cycle ManagementGovernmental DisclosuresFraud, Waste, and Abuse TrainingData AnalysisCorrective Action PlanningInternal InvestigationsRegulatory Compliance MonitoringContract Obligations

Soft Skills

Strong CommunicationAnalytical SkillsAttention to DetailCritical ThinkingDecision-Making

Certifications & Qualifications

RHITRHIACCSCCS-PCompliance Board Certification

Industry Keywords

Healthcare RegulationsCMS RegulationsPayer RegulationsFinancial StatementsAudit ReportsCompliance EducationRisk ManagementOIG InvestigationsDOJ InvestigationsMedicare Compliance

About the role

Key responsibilities & impact

Conduct Corporate Compliance audits, investigations, and training throughout all affiliates
Guide system administration and RGHS management on compliance with laws, regulations, and contract obligations
Serve as subject matter expert for building and optimizing the EMR, including clinical documentation, workflows, and revenue-cycle impacts
Manage projects independently, prepare governmental disclosures, and facilitate external regulatory audits
Coordinate and conduct audits covering revenue cycle, financial statements, payments, attestations, grants, employees, contractors, and payment agreements
Interview staff to identify causes of compliance issues
Collaborate with healthcare professionals to discuss findings and provide compliance education
Develop audit reports and present findings to the Compliance Director, RGHS Administration, and management
Develop corrective action plans and assist with implementation
Perform follow-up audits to verify monitoring effectiveness
Analyze government and professional-association studies for risk and opportunity
Identify compliance benchmarks and perform risk assessments
Monitor regulation changes affecting departments
Research and assist with approvals for new business growth
Support margin-improvement initiatives while ensuring compliance
Design and implement training on Fraud, Waste and Abuse, revenue-cycle documentation, coding, charging, billing, and denial appeals
Perform and manage internal investigations into non-compliance, fraud, waste, and abuse
Facilitate corrective action and monitor affected departments
Facilitate and manage external investigations by OIG, DOJ, OMIG, FBI, Medicare, and third-party payer fraud units

Requirements

What you’ll need

AAS or BS in Health Information Management, Health Care Administration, Finance, or Accounting, and experience with healthcare compliance; a combination of healthcare work experience, credentials and/or education will be considered
Minimum five years of healthcare experience with CMS and local payers regulations
RHIT, RHIA, CCS or CCS-P preferred
Relevant health care related certification or other experience may be considered in lieu of above certifications
Compliance Board Certification a plus
Strong communication, analytical, project management, and training skills
High attention to detail, critical thinking, decision-making, professionalism, and ability to handle confidential and sensitive work
Knowledge of local, state, and federal laws and regulations, contract obligations, CMS and payer regulations
Ability to work Monday-Friday, 8:00am-4:30pm
Sedentary work capabilities, including prolonged sitting and computer use