Complaint investigations officer vs compliance specialist

Differences between complaint investigations officer and compliance specialist duties and responsibilities

Complaint investigations officer example responsibilities.

• Coordinate, oversee and manage the repetitive patient documentation and medical necessity process for all patients meeting the repetitive patient description.
• Participate in CAPA processes and conduct root cause analysis.
• Coordinate, oversee and manage the repetitive patient documentation and medical necessity process for all patients meeting the repetitive patient description.
• Perform administration for SQL server database.

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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