Compliance Reviewer Job Description
Compliance Reviewer Duties & Responsibilities
To write an effective compliance reviewer job description, begin by listing detailed duties, responsibilities and expectations. We have included compliance reviewer job description templates that you can modify and use.
Sample responsibilities for this position include:
Compliance Reviewer Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Compliance Reviewer
List any licenses or certifications required by the position: AML, ACAMS, CFA
Education for Compliance Reviewer
Typically a job would require a certain level of education.
Employers hiring for the compliance reviewer job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and University Degree in Technical, Management, Human Services, Social Work, Psychology, Sociology, Law, Legal, Criminal Justice, Counseling
Skills for Compliance Reviewer
Desired skills for compliance reviewer include:
Desired experience for compliance reviewer includes:
Compliance Reviewer Examples
Compliance Reviewer Job Description
- Identifies risks and develops methods of assessing risks
- Conduct loan level reviews for adherence to Federal, State, and Agency guidelines
- Gather and analyze data including assisting with Fair Lending Analysis as assigned
- Assist with recommendations for implementation of controls regarding adherence to state and federal law, agency guidelines
- Promotes highly efficient processes and systems to monitor, assess, and accurately report on the state and federal regulatory changes
- When assigned, assists the Compliance function to promote awareness of emerging compliance issues and/or regulatory changes
- Assists operational areas in defining practices that would result in adherence to regulatory compliance objectives as assigned
- Assists as necessary to ensure training materials and the forum for training are adequate to meet the needs of Freedom Mortgage
- When assigned, assists in ensuring that changes in regulatory compliance requirements are reflected in our application systems, submits process improvement requests in which automation would help prevent user errors
- Consults on special projects as requested by the Compliance Officer, Associate Counsel, and Senior Management
- Effective time-management skills and the ability to work in a fast-paced environment
- Understanding of Independence requirements for professional auditing firms a plus
- Experience with instructing training courses to groups of at least 20 students
- Experience with instructing training courses to groups of 20 or more students
- A minimum of two years of college with a farming or agriculture background
- Works closely with other staff in Regulatory Compliance
Compliance Reviewer Job Description
- Act as the go-to compliance partner for technical issues, ongoing training, and all compliance related questions and concerns from the investment teams internal support departments
- Review loan files and update loan data in Altavera’s due diligence platform and run ComplianceEase
- Validate test results for certain applicable federal, state and local high cost and/or anti-predatory laws
- Validate test results for compliance with TILA-RESPA Integrated Disclosure Rule (TRID compliance)
- Process and data review supporting non-regulated research and some regulated studies in the GLP and GcLP environment in the Biologics Development Sciences department
- Assist in health authority inspections and document review and completeness for NME declaration documents
- Interact with Pharmacokineticists and Bioanalysts to ensure the accuracy and completeness of data, reports, and submission documents implement process improvements across the department related to regulatory and internal policy
- Contribution to the development of departmental SOPs and process training are expected
- 4-year Science degree is strongly preferred
- Previous experience in the pharmaceutical industry either in a scientific or quality position is preferred
- Dedicated Compliance Subject Matter Expert focused on compliance process requirements execution and control (documentation control vs
- Through training courses, onsite shadowing, and check
- Ride of CCRI Certification for network vulnerability assessments and security scanning
- Bachelor's degree in Finance, Marketing
- BS degree in CS, Management Systems, or related technical field preferred
- A financial services professional, with proven experience in a compliance oversight, audit or controls testing type role
Compliance Reviewer Job Description
- Experience with ELN -- Electronic Lab Notebook or other computer systems
- Experience withligand binding assays (ECLIA, EIA, ELISA)and flow cytometry data review is strongly preferred
- Assist in creation and manage execution of annual Billing Compliance work plan for services including ad hoc audits as they arise
- Process paybacks including report generation, check requests, cover letters and other supporting documentation as required
- Review government and commercial payer policy updates
- Utilize Cobius Audit Tracking Tool reports, manage external hospital audits, including 60 day response cycle for governmental audits and conduct education as necessary or needed
- Coordinate, assist and/or conduct billing compliance investigations as required, which may include audits designed to review the adequacy of medical record documentation to support claims inquiries into suspected or reported deviation from billing compliance program requirements
- Design and complete monthly reporting metrics for billing compliance functions
- Assist in the development of new billing compliance guidelines, procedures, and training programs designed to enhance the effectiveness of billing compliance program, including the participation in personal development activities
- Track progress and pass rates for scheduled provider audits, including Ambulatory and Inpatient providers
- Minimum 3-5 years experience in a healthcare coding, auditing and/or billing environment, inpatient and/or provider
- Certified Coder required (CCS, CCS-P, CPC )
- Ability to present findings and discuss issues with providers and departmental leadership confidently and effectively
- 3+ years of relevant progressive auditing experience with a focus on identifying risks and evaluating control design and effectiveness
- Solid foundational knowledge of planning and executing audits focused on control design and effectiveness
- Understanding of insurance and/or investments business processes, including the applicability of key laws and regulations
Compliance Reviewer Job Description
- Evaluate the adequacy and quality of work performed
- Apply quality assurance procedures, sample methodology, and related guidance
- Identify and recommend areas of improvement
- Contribute to test process enhancement initiatives
- Communicate QA results with impacted stakeholders and senior management
- Plan and execute testing in an organized, analytical, and timely fashion
- Collect statistical QA data for reporting and trend analysis
- Partner with colleagues and stakeholders to ensure Quality Assurance programs are executed consistently across functions and are based on a robust set of controls and procedures
- Those with active FINRA Series 7 & Series 24 Licenses, or the ability to quickly attain, will be highly valuable for this role
- Develops compliance training programs in conjunction with other compliance activities, maintains training records
- Ability to assume ownership of assigned tasks and deliver a quality product within the agreed framework including the hours allocated
- Able to demonstrate through experience how a proactive approach or initiative has been taken in order to meet an agreed timeline or job requirement
- Ownership for accurate documentation reflective of the work performed and supportive of the conclusions reached
- Effective time management with the ability to coordinate and prioritize multiple and competing initiatives
- Strong verbal and written communication skills with the ability to clearly articulate questions, provide management with relevant information and respond to any questions they may have
- Ability to consistently meet deadlines and work additional hours where required
Compliance Reviewer Job Description
- Identify the root cause for breaches of local law, regulation policy and/or internal control deficiencies
- Manage review hours to deliver work on time and in accordance with the agreed upon budget
- Recommend opportunities to update the test plan based on observations during execution of test work
- Identify opportunities to enhance operational efficiency and effectiveness both for processes being reviewed and Compliance Monitoring and Testing Methodology
- Standard marketing review of documents (regulatory materials, sales and marketing pieces) against CY 2018 and CY 2019 MMG/MCMG (Medicare Marketing Guidelines/ Medicare Communications and Marketing Guidelines)
- Research of regulatory questions about MCMG (Medicare Communications and Marketing Guidelines)
- Build effective relationships with colleagues to enable partnership and collaboration for control related matters
- Audit and analyze the documentation accuracy, medical necessity and billing code selection in alignment with CMS, OIG and other applicable professional and technical services regulations and guidelines
- Work closely with and directly communicate with partners, managers and team members
- Manage audit software products by setting criteria for quarterly, semi-annual, annual and biennial audits including tracking tools and reports generation
- Post-graduate advanced degree (e.g., JD, MBA, ) a plus but not required
- 1+ year of formal compliance review experience
- Some travel may be required, generally domestic but some international travel depending on business requirements
- Working knowledge of internet-based research, preferably related to mortgage banking compliance requirements and CFPB
- Ability to interpret and apply applicable laws and regulations
- Ability to adapt to new situations quickly and effectively