Regulatory Compliance Specialist I

Kettering Health

Miamisburg, OH0–2 yrs4h agovia LinkedIn

This job at a glance

Who can apply
New grads and up to 2 years · Bachelor's degree
Must know
Patient careAuditingHIPAAMicrosoft Office
Work
Hybrid in Miamisburg
Pay
Not stated by the employer.
Skill demand
Auditing65%Microsoft Office35%Patient care10%HIPAA2%of 99 similar entry-level jobs posted in the US this week
Listed
Nov 4, 2026 · still open

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About the Role

The Regulatory Compliance Specialist I supports quality patient care and adherence to federal regulations that prohibit fraud, waste & abuse of federal healthcare programs.

Key Responsibilities

  • Completing billing/coding audits.
  • Providing education.
  • Supporting the return of overpayments to payers.
  • Remaining apprised of new rules related to billing/coding issues and regulatory changes.
  • Monitoring the OIG and CGS work plans.
  • Assisting with dangerous drug audits.
  • Performing other duties as assigned.
  • Carrying out all job responsibilities in alignment with Kettering Health's mission, vision, values, and B Safe program.

Requirements & Tech Stack

  • Knowledge of federal and state healthcare regulations (e.g., HIPAA, OSHA, other regulatory agencies).
  • Ability to interpret and apply regulatory standards.
  • Strong analytical, critical thinking, and problem-solving skills.
  • Excellent written and verbal communication.
  • Proficiency with Microsoft Office Suite.
  • Ability to learn compliance management software.
  • Attention to detail and organizational skills.
  • Ability to work independently and collaboratively.
  • Hybrid role - must be in the office 2 days/week.

Qualifications

Required Education:

  • Bachelor's degree in healthcare administration, business administration, law, life sciences, or a related field, or equivalent combination of education and relevant experience.

Required Work Experience:

  • Experience (typically 0-2 years) in healthcare compliance, regulatory affairs, privacy, or a related field.
  • Experience may include internships or practicum in compliance or regulatory settings.

Required Licenses, Certifications, And Registrations:

  • None required.

Preferred Work Experience:

  • Experience developing or implementing compliance policies, procedures, or training in a healthcare environment.

Preferred Licenses, Certifications, And Registrations:

  • Certified Coder (CPC or CCS/CCS-P).
  • Has or is able to complete and pass coding certification within 12 months of hire (CPC or CCS/CCS-P).

Competencies (For positions focused on Periop compliance):

  • Employee is trained and competent with the universal protocol.
  • Employee is trained and competent in disaster planning.
  • Employee is trained and competent in hand hygiene.

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