Compliance Auditor
2024-11-13
USA
Talkspace
Our mission at Talkspace is to help people heal. To get there, we need exceptionally passionate, bright, and motivated people. Want to help over one million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone!
We are looking for a Compliance Auditor who is responsible for conducting audits of regulatory and contractual compliance at the direction of the Chief Compliance Officer. This individual will work with the team on the execution of the annual compliance work plan and work closely with the compliance team to address information requests, track issues, and drive remediation strategies. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare.
This is a remote position based on Eastern Time. Talkspace Headquarters is located in NYC.
What You'll Do:
Internal Controls
Conduct detailed audits of compliance concerns including medical records to ensure accuracy in coding and billing practices.
Review documentation to identify and correct coding and billing errors, ensuring compliance with medical necessity and regulatory guidelines.
Log and track audit results and documentation workflows.
Analyze trends and discrepancies in coding and billing practices, providing actionable insights and recommendations for improvement.
Collaborate with internal teams to improve documentation standards and ensure compliance with relevant regulations.
Independently organize and prioritize audit tasks to meet deadlines, adjusting priorities as necessary.
Participate in process improvement initiatives, team meetings, and department projects to enhance audit workflows and overall efficiency.
Maintain up-to-date knowledge of medical coding standards, HIPAA regulations, and compliance requirements.
Provide recommendations to management on improving coding accuracy, documentation standards, and operational processes.
Reporting
Deliver adequate and timely reporting on the internal control framework and control deficiencies to ensure appropriate communication, documentation, escalation to the compliance officer.
Team Collaboration
Cross functionally collaborate with department heads and build strong communication lines to maintain engagement with process implementation.
Partner closely with Health Information Management and Quality Management teams to aid in audit efficiency and effectiveness, including the collection and delivery of information.
Process Improvement
Assist the Chief Compliance Officer, Risk with the development of the annual audit program.
Performs other related duties as assigned.
QUALIFICATIONS:
2+ years of relevant compliance auditing experience,
Bachelor’s degree in Health Information Management or related field
Professional Designation: CHC or willingness to obtain certification
Experience in evaluating compliance with laws and regulations
Proficiency in medical coding, billing practices and CMS requirements.
Strong analytical skills for identifying trends, addressing discrepancies, and proposing solutions.
Excellent organizational abilities to manage multiple audit tasks and meet deadlines.
Deep understanding of HIPAA regulations, confidentiality, and compliance requirements.
Ability to work both independently and collaboratively with cross-functional teams.
Strong process analysis, risk and control identification, negotiation and problem solving skills
Ability to build and maintain solid relationships across multiple levels of management including communicate with external auditors/consultants
Strong project management skills
Adaptive communication and change management skills
Experience in organizations that use cloud-based/SaaS business systems, build SaaS products, and use agile software development methodology
Ability and willingness to be hands-on and dive into details of processes and operations
Benefits
Comprehensive Medical, Dental and Vision plans coverage since day one
Pre-tax benefits: HSA/ FSA
401k Retirement Savings Program with matching up to 4%
Voluntary benefits including disability, basic life or pet insurance, etc.
Monthly Wellness Stipend to promote mental and physical self-care
Flexible PTO and Remote First Environment
Regular team events, including Wellness Workshops and Team Building Events
Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!
Compensation
At Talkspace, we believe that pay transparency during the interview process is a critical part of diversity, equity, and inclusion. Our salary bands are based on internal and external compensation benchmarks, which we regularly evaluate to ensure we pay competitively.
The base salary range for this role is between 79,000 and 95,000. Within the salary bands, leveling corresponds to each candidate’s relevant experience, skills as assessed during the interview process, education, and applicable certifications.
Why Talkspace?
Talkspace is the most comprehensive and convenient way to take care of your mental health and wellness, focused on providing quality mental health services on your own terms.
Our signature psychotherapy and psychiatry product connects individual users with a network of thousands of licensed mental health providers through an easy-to-use and HIPAA-compliant web and mobile platform. With Talkspace, users can connect their dedicated provider via live video, text, or phone.
Backed by over 10 years of industry-leading research and clinically proven results, our accessible care model continues to make huge strides in lowering the barriers to quality mental healthcare services nationwide. Talkspace is the top insurance-covered therapy service with over 112 million Americans covered and a leader within the Corporate Wellness Space, with more than 200 employer partnerships across several industries.
Our focus to help people feel better starts at Talkspace, where we connect and collaborate as a team to make the world a better place. Fun company-wide events, happy hours, wellness perks, flex PTO, access to Talkspace products, and competitive benefits are just some of the ways we make Talkspace a great place to work. Do you want to save the world? Come join us!
EQUAL OPPORTUNITY EMPLOYER
Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification, if you believe you could make a great addition to this team. Come as you are and learn about the exciting opportunities on our team.
Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.
How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace?
Diversity
Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.
Equity
Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.
Inclusion
Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.
Belonging
Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.
We are looking for a Compliance Auditor who is responsible for conducting audits of regulatory and contractual compliance at the direction of the Chief Compliance Officer. This individual will work with the team on the execution of the annual compliance work plan and work closely with the compliance team to address information requests, track issues, and drive remediation strategies. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare.
This is a remote position based on Eastern Time. Talkspace Headquarters is located in NYC.
What You'll Do:
Internal Controls
Conduct detailed audits of compliance concerns including medical records to ensure accuracy in coding and billing practices.
Review documentation to identify and correct coding and billing errors, ensuring compliance with medical necessity and regulatory guidelines.
Log and track audit results and documentation workflows.
Analyze trends and discrepancies in coding and billing practices, providing actionable insights and recommendations for improvement.
Collaborate with internal teams to improve documentation standards and ensure compliance with relevant regulations.
Independently organize and prioritize audit tasks to meet deadlines, adjusting priorities as necessary.
Participate in process improvement initiatives, team meetings, and department projects to enhance audit workflows and overall efficiency.
Maintain up-to-date knowledge of medical coding standards, HIPAA regulations, and compliance requirements.
Provide recommendations to management on improving coding accuracy, documentation standards, and operational processes.
Reporting
Deliver adequate and timely reporting on the internal control framework and control deficiencies to ensure appropriate communication, documentation, escalation to the compliance officer.
Team Collaboration
Cross functionally collaborate with department heads and build strong communication lines to maintain engagement with process implementation.
Partner closely with Health Information Management and Quality Management teams to aid in audit efficiency and effectiveness, including the collection and delivery of information.
Process Improvement
Assist the Chief Compliance Officer, Risk with the development of the annual audit program.
Performs other related duties as assigned.
QUALIFICATIONS:
2+ years of relevant compliance auditing experience,
Bachelor’s degree in Health Information Management or related field
Professional Designation: CHC or willingness to obtain certification
Experience in evaluating compliance with laws and regulations
Proficiency in medical coding, billing practices and CMS requirements.
Strong analytical skills for identifying trends, addressing discrepancies, and proposing solutions.
Excellent organizational abilities to manage multiple audit tasks and meet deadlines.
Deep understanding of HIPAA regulations, confidentiality, and compliance requirements.
Ability to work both independently and collaboratively with cross-functional teams.
Strong process analysis, risk and control identification, negotiation and problem solving skills
Ability to build and maintain solid relationships across multiple levels of management including communicate with external auditors/consultants
Strong project management skills
Adaptive communication and change management skills
Experience in organizations that use cloud-based/SaaS business systems, build SaaS products, and use agile software development methodology
Ability and willingness to be hands-on and dive into details of processes and operations
Benefits
Comprehensive Medical, Dental and Vision plans coverage since day one
Pre-tax benefits: HSA/ FSA
401k Retirement Savings Program with matching up to 4%
Voluntary benefits including disability, basic life or pet insurance, etc.
Monthly Wellness Stipend to promote mental and physical self-care
Flexible PTO and Remote First Environment
Regular team events, including Wellness Workshops and Team Building Events
Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!
Compensation
At Talkspace, we believe that pay transparency during the interview process is a critical part of diversity, equity, and inclusion. Our salary bands are based on internal and external compensation benchmarks, which we regularly evaluate to ensure we pay competitively.
The base salary range for this role is between 79,000 and 95,000. Within the salary bands, leveling corresponds to each candidate’s relevant experience, skills as assessed during the interview process, education, and applicable certifications.
Why Talkspace?
Talkspace is the most comprehensive and convenient way to take care of your mental health and wellness, focused on providing quality mental health services on your own terms.
Our signature psychotherapy and psychiatry product connects individual users with a network of thousands of licensed mental health providers through an easy-to-use and HIPAA-compliant web and mobile platform. With Talkspace, users can connect their dedicated provider via live video, text, or phone.
Backed by over 10 years of industry-leading research and clinically proven results, our accessible care model continues to make huge strides in lowering the barriers to quality mental healthcare services nationwide. Talkspace is the top insurance-covered therapy service with over 112 million Americans covered and a leader within the Corporate Wellness Space, with more than 200 employer partnerships across several industries.
Our focus to help people feel better starts at Talkspace, where we connect and collaborate as a team to make the world a better place. Fun company-wide events, happy hours, wellness perks, flex PTO, access to Talkspace products, and competitive benefits are just some of the ways we make Talkspace a great place to work. Do you want to save the world? Come join us!
EQUAL OPPORTUNITY EMPLOYER
Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification, if you believe you could make a great addition to this team. Come as you are and learn about the exciting opportunities on our team.
Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.
How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace?
Diversity
Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.
Equity
Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.
Inclusion
Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.
Belonging
Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.