Resume

Healthcare Compliance Specialist Resume Example & Writing Guide

Use this Healthcare Compliance Specialist resume example and guide to improve your career and write a powerful resume that will separate you from the competition.

Healthcare compliance is a massively important and growing field. As an industry that touches almost everyone, healthcare is filled with opportunities for people with all kinds of backgrounds and experience levels.

If you’re thinking about pursuing a career in healthcare compliance or want to make your current role more meaningful, you’ll need a resume that showcases your relevant experience and skills. Here are some tips and an example to help you write yours.

Mary Thompson
Los Angeles, CA | (123) 456-7891 | [email protected]
Summary

Healthcare compliance specialist with over 10 years of experience in the field. Proven ability to develop and implement policies and procedures that ensure regulatory compliance across a variety of healthcare settings. Skilled at creating and managing risk assessment programs, conducting audits, and developing training programs.

Education
San Francisco State University Jun '10
B.S. in Healthcare Administration
Experience
Company A, Healthcare Compliance Specialist Jan '17 – Current
  • Developed and implemented a comprehensive training program for all clinical staff on the requirements of HIPAA, CPT coding guidelines, ICD-10 implementation, and Meaningful Use regulations.
  • Oversaw the development of policies and procedures related to privacy/security compliance in accordance with applicable laws and regulations.
  • Assisted with preparation of annual Notices of Privacy Practices (NPP) as required by law and assisted with preparation of an Annual Data Breach Report when necessary.
  • Provided support for internal audits including documentation reviews, interviews, etc., as well as external audits such as Joint Commission or state surveyors when needed.
  • Coordinated with outside vendors regarding regulatory requirements pertaining to billing practices, credentialing processes, etc., ensuring adherence to company standards and government regulations where appropriate.
Company B, Healthcare Compliance Specialist Jan '12 – Dec '16
  • Provided training to new hires on the company’s policies and procedures, including HIPAA regulations
  • Conducted regular audits of medical records for accuracy and completeness in accordance with HIPAA standards
  • Developed a comprehensive system for tracking patient complaints that led to an 88% decrease in grievances
  • Collaborated with management team to create a more efficient workflow within the compliance department
  • Regularly updated all necessary documentation (including employee files) according to regulatory requirements
Company C, Compliance Coordinator Jan '09 – Dec '11
  • Monitored compliance with company policies and procedures as well as federal and state regulations.
  • Conducted audits of employee files to ensure compliance with hiring, onboarding, and termination procedures.
  • Investigated potential compliance issues and made recommendations for corrective action when necessary.
Certifications
  • Certified Compliance Professional (CCP)
  • Certified HIPAA Professional (CHP)
  • Certified Information Privacy Professional/Europe (CIPP/E)
Skills

Industry Knowledge: HIPAA, Privacy, Security, Privacy Rule, Security Rule
Technical Skills: Microsoft Office Suite, Data Analysis, Report Writing, Data Visualization
Soft Skills: Time Management, Problem Solving, Critical Thinking, Teamwork, Communication, Leadership

How to Write a Healthcare Compliance Specialist Resume

Here’s how to write a resume of your own.

Write Compelling Bullet Points

The best way to make your resume stand out is to use specific examples and numbers. So rather than saying you “provided patient care,” you could say you “provided care for 15 patients in a busy emergency room, ensuring all patients received timely care and all necessary paperwork was completed accurately and on time.”

The second bullet point is much stronger because it provides specific details about what you did and the results of your work. It also includes a number to help quantify the level of responsibility and scale of the project.

Identify and Include Relevant Keywords

When you apply for a healthcare compliance specialist role, your resume is likely to go through an applicant tracking system (ATS). This program will scan your resume for specific keywords related to the job, like “compliance” or “patient safety.” If your resume doesn’t include enough of the right terms, the ATS might automatically reject your application.

To increase your chances of getting an interview, use this list of common healthcare compliance keywords as a starting point:

  • Healthcare Compliance
  • Healthcare
  • Regulatory Compliance
  • Compliance Management
  • Healthcare Management
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Hospitals
  • Healthcare Information Technology (HIT)
  • Quality Improvement
  • Regulatory Affairs
  • Medicare
  • Electronic Medical Record (EMR)
  • Auditing
  • Regulatory Compliance Management
  • U.S. Food and Drug Administration (FDA)
  • Medical Devices
  • Medicine
  • Nursing
  • Life Sciences
  • Biotechnology
  • Risk Management
  • Change Management
  • Strategic Planning
  • Customer Service
  • Microsoft Access
  • Management
  • Team Leadership
  • Project Management
  • Medical Compliance
  • Business Strategy

Showcase Your Technical Skills

As a healthcare compliance specialist, you will need to be proficient in a variety of software programs and systems. This might include familiarity with healthcare compliance databases, case management software, or regulatory guidelines. Additionally, many healthcare organizations are now using social media platforms to communicate with patients and staff, and compliance specialists who are familiar with these platforms will be better equipped to take advantage of this trend.

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