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What Is a Medical Compliance Specialist?

A medical compliance specialist is a professional who has a complete understanding of all policies that surround the facility's billing and coding procedures. These procedures are typically dictated by government regulations. A specialist educates the medical and administrative staff on these guidelines and enforces them.

  1. Policy Communication

    • Supporting the medical compliance manager, a medical compliance specialist serves as subject matter expert in the area of compliance, educating the employee population and answering questions they may have.

    Auditing

    • On a regular basis, a medical compliance specialist audits the records kept by the facility, ensuring that all billing and coding procedures have been followed.

    Metrics

    • A medical compliance specialist actively collects all data regarding the facility’s compliance program, such as non-compliance statistics, and prepares reports for management.

    Education

    • To become a medical compliance specialist, a candidate must possess a four year degree in business, health care administration or a related field of study.

    Salary

    • Indeed.com reported in 2010 that the average medical compliance specialist earns an annual income of $62,000.

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