Talent.com
Compliance Partner-Clinical & Medical Services

Compliance Partner-Clinical & Medical Services

BrightlitalentColumbia, MO, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Compliance Partner

Join our dedicated team as a Compliance Partner, where you will play a crucial role in ensuring adherence to compliance policies across our regions and service lines. This role supports day-to-day compliance functions, including the development and delivery of compliance training, conducting investigations, analyzing compliance data, ensuring regulatory conformance, and monitoring corrective action plans. This role places a strong emphasis on medical billing accuracy, healthcare claims auditing, and regulatory documentation compliance.

The Compliance Partner is responsible for the effective implementation and coordination of compliance policies within assigned regions or service lines, serving as the primary resource for corporate compliance matters. This position promotes a culture of integrity, regulatory accountability, and continuous improvement in healthcare compliance.

This position offers

  • Employee Assistance Program 24 / 7 counseling services, legal assistance, & financial consultation for you and your household at no cost
  • Mileage Reimbursement Company paid for work functions requiring travel
  • Employee Discounts Hotels, Theme Parks & Attractions, College Tuition
  • Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce
  • Additional Perks & Benefits - Scroll down to bottom of this post to learn more

Essential Job Functions

Compliance Program Management

  • Implement and monitor regional compliance activities in alignment with federal, state, and accreditation standards (e.g., CMS, OIG, CARF, HIPAA, 42 CFR Part 2).
  • Identify risk trends, monitor for policy non-conformance, and develop mitigation strategies in collaboration with leadership.
  • Participate in development and review of policies, procedures, and compliance initiatives across service lines.
  • Compliance Training & Education

  • Develop and coordinate corporate compliance training tailored to high-risk roles, including billing, coding, and clinical documentation.
  • Track training metrics, ensure annual attestations, and assist team members in understanding the Code of Conduct and non-retaliation policies.
  • Educate team members on compliance with hotline use and mandatory reporting obligations.
  • Investigations & Auditing

  • Conduct investigations of compliance concerns, including billing errors, coding discrepancies, and potential fraud, waste, or abuse.
  • Prepare detailed, objective investigative reports citing applicable regulatory guidance.
  • Lead and / or support focused internal audits of claims and documentation for billing integrity.
  • Medical Claims Monitoring

  • Perform regular review of clinical documentation, encounter notes, and medical claims for accuracy, coding compliance (CPT, HCPCS, ICD-10), and timeliness.
  • Coordinate with billing teams, clinical providers, and coders to correct and prevent future errors.
  • Provide feedback, identify trends, and make recommendations for improved billing practices.
  • Collaboration & Reporting

  • Partner with HR and leadership on disciplinary action, training compliance, and mitigation follow-through.
  • Regularly report findings, outcomes, and metrics to the Vice President of Compliance Culture.
  • Attend team meetings, team member events, and engage with employees across locations to support compliance visibility and awareness.
  • Other duties as assigned.
  • Knowledge, Skills, and Abilities

  • Extensive knowledge of healthcare regulations, coding, and billing standards (CMS, Medicaid, CARF, HIPAA, 42 CFR Part 2).
  • Strong understanding of clinical documentation integrity and audit standards.
  • Exceptional verbal and written communication skills.
  • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint) and Electronic Health Record (EHR) systems.
  • Strong analytical, problem-solving, and investigative skills.
  • Ability to manage multiple priorities, meet deadlines, and maintain confidentiality.
  • Ability to travel to various locations, including occasional overnight travel.
  • Experience and Education Qualifications

  • Bachelor's degree in health administration, nursing, health information management, or a related field required.
  • Three years of experience auditing medical claims, billing processes, or health plan compliance required.
  • Medical coding certification preferred such as one or more of the following :
  • Certified Professional Coder (CPC) AAPC
  • Certified Coding Specialist (CCS) AHIMA
  • Certified Professional Medical Auditor (CPMA) AAPC (preferred)
  • Licensed Practical Nurse (LPN) preferred for BMG billing processes.
  • Experience with compliance investigations and / or healthcare compliance program implementation strongly preferred.
  • Experience in behavioral health or substance use disorder services is a plus.
  • Employment Requirements

  • Successful completion of background check including criminal record, driving record, abuse / neglect, and fingerprint check.
  • Completion of New Hire Orientation at the beginning of employment.
  • All training requirements including Relias at the beginning of employment and annually thereafter.
  • Current driver's license, acceptable driving record and current auto insurance.
  • Physical Requirements

    ADA Consideration - Sedentary work : Exerting up to 10 pounds of force occasionally (exists up the 1 / 3 of the time) and / or a negligible amount of force frequently (exists 1 / 3 to 2 / 3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and / or writing during work shift. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

    Keywords : Compliance, Compliance Partner, Corporate Compliance, Training, Investigations, Risk Management, Healthcare Compliance, Regulatory Standards, Integrity, Policy Implementation

    Position Perks & Benefits :

  • Paid time off : full-time employees receive an attractive time off package to balance your work and personal life
  • Employee benefits package : full-time employees receive health, dental, vision, retirement, life, & more
  • Top-notch training : initial, ongoing, comprehensive, and supportive
  • Career mobility : advancement opportunities / promoting from within
  • Welcoming, warm, supportive : a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
  • Brightli is on a Mission : A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

    As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

    We are an Equal Employment Opportunity Employer. Brightli is a Smoke and Tobacco Free Workplace.

    serp_jobs.job_alerts.create_a_job

    Medical Compliance • Columbia, MO, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Hospitalist - $392,000 per year in Moberly, MO

    Physician (MD / DO) - Hospitalist - $392,000 per year in Moberly, MO

    LocumJobsOnlineMoberly, MO, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Hospitalist MD in Moberly, Missouri, 65270!.Moberly, MO, offers physicians the benefits of practicing in a close-knit, friendly commun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - ER / Trauma - $1,822 per week in Moberly, MO

    Travel Nurse RN - ER / Trauma - $1,822 per week in Moberly, MO

    TravelNurseSourceMoberly, MO, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Talent to find a qualified ER / Trauma RN in Moberly, Missouri, 65270!.Join our dynamic team and embark on a rewarding journey with us! We are Joint Commissi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,058 per week in Boonville, MO

    Travel Physical Therapist (PT) - $2,058 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Centra Healthcare Solutions to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. Centra Healthcare Solutions is seeking an experienced Phys...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,901 to $2,195 per week in Boonville, MO

    Travel Physical Therapist (PT) - $1,901 to $2,195 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with National Staffing Solutions to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. Details of the PT - Skilled Nursing opening in Boonville, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist - $1,301 per week

    Travel Physical Therapist - $1,301 per week

    AMN Healthcare AlliedBoonville, MO, United States
    serp_jobs.job_card.full_time
    AMN Healthcare Allied is seeking a travel Physical Therapist for a travel job in BOONVILLE, Missouri.Job Description & Requirements. Job Description & Requirements.Physical Therapist - Skilled - (PT...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Internal Medicine - General / Other in Moberly, MO

    Locum Physician (MD / DO) - Internal Medicine - General / Other in Moberly, MO

    LocumJobsOnlineMoberly, MO, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with Alumni Healthcare Staffing to find a qualified Internal Medicine MD in Moberly, Missouri, 65270!. Moberly Regional Medical Center-AP-Physician-0003.Union Ave Moberly ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) in Boonville, MO

    Travel Physical Therapist (PT) in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Core Medical Group to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. Client in MO seeking Physical Therapist.We are looking for a health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $789 per week in Boonville, MO

    Travel Physical Therapist (PT) - $789 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with GetMed Staffing to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. GetMed Staffing is searching for a strong Physical Therapist to assist...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Partner I (H)

    Clinical Partner I (H)

    SSM Health Rehabilitation HospitalJefferson City, MO, US
    serp_jobs.job_card.full_time
    Job Opportunity At SSM Health St.Mary's Hospital - Jefferson City.It's more than a career, it's a calling.Under supervision and in collaboration with other health care professionals, assist in perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,180 per week in Boonville, MO

    Travel Physical Therapist (PT) - $2,180 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with AHS Staffing to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. AHS NurseStat is looking for a SNF Physical Therapist in Boonville, MO fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,186 per week in Boonville, MO

    Travel Physical Therapist (PT) - $2,186 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Towne U.LLC to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. We are seeking a skilled and compassionate Travel Physical Therapist (PT) ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Hospitalist in Moberly, MO

    Locum Physician (MD / DO) - Hospitalist in Moberly, MO

    LocumJobsOnlineMoberly, MO, US
    serp_jobs.job_card.full_time +2
    LocumJobsOnline is working with Rhino Medical to find a qualified Hospitalist MD in Moberly, Missouri, 65270!.Moberly, MO Hospitalist Physician Locum Tenens. Rhino Medical is leading the charge seek...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMDFulton, MO, US
    serp_jobs.job_card.full_time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Hospitalist

    Hospitalist

    CompHealthMoberly, Missouri, US
    serp_jobs.job_card.full_time
    Hospitalist physician job in Missouri : Moberly, MO, offers physicians the benefits of practicing in a close-knit, friendly community where patient relationships can be more personal and meaningful...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,896 per week in Boonville, MO

    Travel Physical Therapist (PT) - $1,896 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Skyline Med Staff to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. Join the Top- Rated Travel Healthcare Team!\n\nSkyline Med Staff was...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,242 to $1,361 per week in Boonville, MO

    Travel Physical Therapist (PT) - $1,242 to $1,361 per week in Boonville, MO

    AlliedTravelCareersBOONVILLE, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Physical Therapist (PT) in BOONVILLE, Missouri, 65233!. Job Description & Requirements.Physical Therapist - Skilled ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,146 per week in Boonville, MO

    Travel Physical Therapist (PT) - $2,146 per week in Boonville, MO

    AlliedTravelCareersBoonville, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Cynet Health to find a qualified Physical Therapist (PT) in Boonville, Missouri, 65233!. Job Title : Physical Therapist Profession : PT Specialty : 4025 Durati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Partner I (H)

    Clinical Partner I (H)

    SSM HealthJefferson City, MO, US
    serp_jobs.job_card.full_time
    Job Opportunity At Ssm Health St.Mary's Hospital - Jefferson City.Under supervision and in collaboration with other health care professionals, assist in performing a variety of nursing care service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days