Certification specialist vs compliance specialist

Differences between certification specialist and compliance specialist duties and responsibilities

Certification specialist example responsibilities.

• Support ISO audits for process documentation and software/ literature distribution, managing follow-up corrective action plans as needed.
• Pre-Certify and scheduling of MRI's and bone scans.
• Order supplies, apply cast, splints and other orthopedic equipment.
• Prepare, apply, remove and adjusts casts and splints as advised by physician.
• Review medical records to determine ICD-9 diagnosis and procedure codes according to establish guidelines and submit claims for processing.
• Assign ICD-9 codes for various clinic types such as physical, occupational and speech therapies, diagnostics and labs.
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Compliance specialist example responsibilities.

• Lead bi-weekly Medicaid meetings to maintain effective communication with all staff regarding AHCA updates and notifications.
• Manage and submit regulatory permit and notification applications to USDA to import, move and release regulate plant materials.
• Participate in OCC exam preparation and review including research and presentation of documentation to achieve compliance with federal examiner requests.
• Access the IDX system to obtain patient billing information in order to review Medicare and Medicaid payments.
• Develop training materials to be used company-wide for regulatory mandate continuing education; create written policy manual for ethics and compliance.
• Perform SOX control testing and validation.
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