New Provider Auditor and Educator

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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.

Principal Responsibilities

1. Manages and monitors technology needs, conducts inventory, and system requirements for the assigned departments. 2. Manages and coordinates training sessions for assigned departments when new policies or practices are adopted. 3. Ensures compliance with University and federal regulations as they apply to the assigned departments. 4. Identifies and assists with the development of administrative policies for the assigned departments. 5. May perform other duties as assigned. Required Education and Experience Bachelor’s Degree in related field and 5 years of experience or an equivalent combination of education and related experience. Required License(s) or Certification(s) LICENSURE  CPC is required.

Job Posting Date

05/28/2026

Job Category

Professional

Bargaining Unit

NON

Compensation Grade

Administration & Operations

Compensation Grade Profile

Senior Manager; Senior Program Leader (25)

Salary Range

$82,000.00 - $131,500.00

Time Type

Full time

Duration Type

Staff

Work Model

Remote

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks basedon the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties throughtheir hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.