NextCare Introduction

NextCare strives to be the leader in high access healthcare, offering urgent care, occupational health, virtual health and primary care services to our patients. With offering services in twelve states (Arizona, Colorado, Kansas, Michigan, Missouri, New Mexico, Nebraska, North Carolina, Oklahoma, Texas, Virginia and Wyoming) and over 170 urgent care clinic locations, we offer exceptional, affordable care to patients across the country.

At NextCare, we constantly strive to provide you with the highest degree of caring, growth, integrity, results and teamwork. These essential core values form the foundation of our relationships with patients, customers, investors, partners and one another. Extraordinarily high-performance standards serve as critical guides for making important clinical and business decisions. The expression of these standards is evident in our behavior, our attitude, and our approach to our daily work. The product of our strict adherence to core values is the ability to harness tremendous organizational energy to achieve our goal of upholding the highest standard for quality and service within the high access healthcare. This unique combination of values, performance standards and commitment serves as the key to our success.

What we are looking for Compliance Analyst

Location

Join our remote team!

Responsibilities

The Compliance Analyst serves to educate, encourage, and support those across the NextCare system to always “do the right thing.” The Compliance Analyst does this by: (1) auditing claims prepared by individual providers in accordance with compliance policies and reporting audit findings to the General Counsel & Chief Compliance Officer; (2) reporting on audit findings to providers and providing training and education on audit findings to ensure that the services we bill to Federal and State programs comply with defined requirements for billing; (3) identifying billing related risk areas and devising and conducting audits of such risk areas; (4) serving as a resource for and authority on issues related to the documentation, coding, and billing of professional services; (5) keeping current on all applicable legal and regulatory requirements and ensuring that guidance and audit standards conform to such requirements; (6) reviewing and developing department and organization policies that promote compliance with all applicable legal and regulatory requirements; (7) engaging in special investigations when requested by the General Counsel & Chief Compliance Officer; and (8) modeling the NextCare values.

Essential Education, Experience and Skills:

Education:

• Bachelor's degree or equivalent

Certification:

• Working toward a Compliance or Coding certification

Experience:

• Minimum of two years’ experience reviewing physician documentation and assisting physicians to meet government and other third party payor and CPT/ICD10 coding requirements through individual and group training sessions OR at least 3 years’ coding or compliance experience.
• Knowledge of healthcare compliance regulations

Skills:

• The analytical skills to collect information from diverse sources, apply professional principles in performing various analyses, and summarize the information and data in order to solve problems.
• Excellent communication skills in order to effectively deal with conflicting views or issues and mediate fair solutions
• Well-developed writing skills
• Above average knowledge of Microsoft Office programs
• Ability to work independently as well as to accept direction on given assignments.

Valued But Not Required Education, Experience and Skills:

Experience:

• Compliance or coding experience in an outpatient setting (urgent care or primary care setting a plus)
• Familiarity with NextGen EMR

Benefits:

NextCare offers full time employees medical, health savings account, NextCare employee visit program, dental, vision, basic life, voluntary employee/spouse/child life, long term disability, short term disability, employee assistance program, critical illness, accident, legal, identity theft and paid time off benefits. Employees of all statuses are offered 401(k) Plan benefits. Employees in select positions are offered shift differential benefits. Benefits are offered per policy and plan rules.

Equal Opportunity Statement

NextCare Urgent Care is an Equal Opportunity Employer.