
Compliance Analyst
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Overview
Job Description
Who we are:
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you'll do:
The Healthcare Compliance Analyst supports the compliance program for a Management Services Organization (MSO) serving orthopedic physician practices. This role focuses on regulatory compliance related to surgical and procedural services, physician arrangements, revenue cycle operations, and ancillary services such as imaging, physical therapy, and durable medical equipment (DME). The analyst partners with physicians, practice leadership, and MSO departments to identify compliance risks, conduct audits, and ensure adherence to federal and state regulations across multiple orthopedic practice sites.
Responsibilities/Duties:
- Assist in the implementation and maintenance of the organization's compliance program.
- Monitor and evaluate compliance with federal, state, and local healthcare regulations and organizational policies.
- Conduct routine compliance audits, reviews, and monitoring activities related to billing, coding, documentation, privacy, and operational practices.
- Analyze audit findings, identify trends or potential risks, and prepare reports with recommendations for corrective action.
- Support investigations of compliance concerns, complaints, or potential violations.
- Maintain accurate documentation related to audits, investigations, corrective action plans, and compliance activities.
- Assist with the development and delivery of compliance education and training materials for employees and providers.
- Monitor regulatory updates and assist in assessing organizational impact and implementation needs.
- Collaborate with operational leaders and departments to support compliance initiatives and risk mitigation efforts.
- Participate in policy and procedure review and development to ensure regulatory alignment.
- Support preparation for external audits, accreditation reviews, and regulatory inquiries.
- Maintain confidentiality and handle sensitive information in accordance with organizational standards and privacy regulations.
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