Location: New Haven, CT
Cap-Exempt H-1B Position — No lottery required
Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! **Overview** The Compliance Specialist III supports the development and implementation of compliance programs, policies, reporting, and practices for the organization. This role monitors activities impacted by regulatory requirements and utilizes internal controls and auditing systems to identify and correct noncompliance. The Specialist implements changes to compliance processes due to new or amended regulations, prepares communication materials, and assists with training initiatives to inform stakeholders about compliance requirements. Reporting to senior compliance management, the Specialist performs comprehensive compliance audits, provides recommendations for system improvements, and collaborates with department leaders to enhance compliance efforts. **Required Skills and Abilities** 1. Thorough understanding of anatomy, medical terminology, and coding with demonstrated experience in provider coding (CPT and ICD-9/ICD-10) and licensure as a Certified Professional Coder (CPC). 2. Extensive knowledge of healthcare financial and billing concepts, particularly Medicare billing guidelines. 3. Strong organizational skills, professional standards for excellence, and ability to lead collaborative work. 4. Proficiency in Microsoft Word and Excel; preferred experience with EPIC, MD Audit, and ComplyTrack software. 5. Ability to develop and conduct comprehensive training programs. **Preferred Skills and Abilities** 1. Certified in Healthcare Compliance (CHC) and a Registered Nurse (RN) preferred. 2. Proven experience in training and education in a healthcare compliance context. 3. Prior experience in an academic medical center. **Princi