Hospital Compliance Officer Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

Seeking position as a Hospital Compliance Officer with reputable organization in which my skills and knowledge can help further the development of the organization.

Summary of Qualifications:

  • Huge experience in revenue cycle, program development and strategic planning
  • Thorough knowledge of Medicare and Medicaid reimbursement and fraud and abuse laws
  • Sound knowledge of accreditation and licensing requirements
  • Good understanding of both CPT and ICD-9 codes
  • Ability to Ability to analyze claims, billing and medical data
  • Skilled in auditing, conducting investigations, monitoring standards
  • Strong interpersonal and communication skills
  • Excellent project management and organizational skills
  • Ability to manage a diverse and demanding workload

Work Experience:

Hospital Compliance Officer, August 2005 – Present

Central Carolina Hospital, Spokane Valley, WA

  • Provided advice on regulatory compliance issues to Hospital’s employees.
  • Coordinated and prepared reports for Company’s Compliance Department.
  • Maintained Hospital’s compliance program in adherence with applicable federal and state rules and regulations.
  • Attended compliance committee meetings and headed them.
  • Resolved safety, health and regulatory issues.

Hospital Compliance Officer, May 2000 – July 2005

Tenet Healthcare, Spokane Valley, WA

  • Ensured integrity of the regional hotline process & conducted investigations to resolve compliance issues & complaints.
  • Overseen medical center responses to external regulatory agencies such as CMS & the Federal Office of Civil Rights.
  • Managed identified privacy breaches to ensure and file all reports, performed root cause analysis, & initiated controls to prevent further loss of protected health information.
  • Overseen implementation of revenue cycle functions & ensured the remediation of Site of Service, Scope of Practice, & billing and documentation issues.
  • Managed risks & assisted local leadership to establish plans to address these risks.


Bachelor’s Degree in Health Administration, Century College, White Bear Lake, MN

Master’s Degree in Health Administration, Immaculata University, Immaculata, PA