Compliance Partner-Clinical & Medical Services

Springfield, Missouri, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Financial Services, ComplianceIndustries

Requirements

Candidates must possess extensive knowledge of healthcare regulations, coding, and billing standards including CMS, Medicaid, CARF, HIPAA, and 42 CFR Part 2. A strong understanding of clinical documentation integrity and audit standards is essential, along with exceptional verbal and written communication skills and proficiency in Microsoft Office Suite.

Responsibilities

The Compliance Partner will implement and monitor regional compliance activities, identify risk trends, and develop mitigation strategies. Responsibilities include developing and delivering compliance training, conducting investigations of compliance concerns such as billing errors and potential fraud, waste, or abuse, and performing regular reviews of clinical documentation and medical claims for accuracy and coding compliance. They will also partner with HR and leadership on disciplinary actions and report findings to the Vice President of Compliance Culture.

Skills

Compliance

Medical Billing

Healthcare Claims Auditing

Regulatory Documentation

HIPAA

42 CFR Part 2

CMS

OIG

CARF

Investigations

Risk Management

Policy Development

Training Delivery

BrightAI

Digitizes physical assets for legacy enterprises

About BrightAI

BrightAI transforms traditional industries by digitizing physical assets and processes using technologies like the Internet of Things (IoT), Edge AI, cloud computing, and mobile technologies. The company primarily serves legacy enterprises, helping them modernize their operations to become more competitive in the global market. By quickly integrating its solutions, BrightAI drives immediate improvements in cash flow, creating a cycle of growth and profitability for its clients. The goal is to make digital transformation accessible and affordable for a wide range of businesses.

San Francisco, CaliforniaHeadquarters

2019Year Founded

$14.6MTotal Funding

SEEDCompany Stage

Data & Analytics, Industrial & Manufacturing, AI & Machine LearningIndustries

51-200Employees

Benefits

Remote Work Options

Flexible Work Hours

Risks

Competition from tech giants like Google and Microsoft could overshadow BrightAI.

Rapid technological advancements may render BrightAI's solutions obsolete if innovation lags.

Economic downturns could reduce demand for BrightAI's digital transformation solutions.

Differentiation

BrightAI specializes in digitizing physical assets for legacy enterprises.

The company leverages IoT, Edge AI, and cloud technologies for digital transformation.

BrightAI's solutions create an EBITDA flywheel, driving growth and profitability.

Upsides

BrightAI raised $15M in seed funding to enhance its AI platform.

The rise of 5G technology benefits BrightAI's real-time asset monitoring solutions.

Growing focus on predictive maintenance boosts demand for BrightAI's AI-driven platform.

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