Compliance Auditor - job 1 of 2

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone!

We are looking for an experienced Compliance Auditor to join our risk team. The Compliance Auditor is responsible for conducting audits of regulatory and contractual compliance at the direction of the Chief Compliance Officer.  This individual will work with the team on the execution of the annual compliance work plan and work closely with the compliance team to address information requests, track issues, and drive remediation strategies. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare.

This is a remote position based on Eastern Time. Talkspace Headquarters is located in NYC.

What You’ll Do

• Internal Controls
  • Conduct detailed audits of compliance concerns including medical records to ensure accuracy in coding and billing practices.
  • Review documentation to identify and correct coding and billing errors, ensuring compliance with medical necessity and regulatory guidelines.
  • Log and track audit results and documentation workflows.
  • Analyze trends and discrepancies in coding and billing practices, providing actionable insights and recommendations for improvement.
  • Collaborate with internal teams to improve documentation standards and ensure compliance with relevant regulations.
  • Independently organize and prioritize audit tasks to meet deadlines, adjusting priorities as necessary.
  • Participate in process improvement initiatives, team meetings, and department projects to enhance audit workflows and overall efficiency.
  • Maintain up-to-date knowledge of medical coding standards, HIPAA regulations, and compliance requirements.
  • Provide recommendations to management on improving coding accuracy, documentation standards, and operational processes.
• Reporting
  • Deliver adequate and timely reporting on the internal control framework and control deficiencies to ensure appropriate communication, documentation, escalation to the compliance officer.
• Team Collaboration
  • Cross functionally collaborate with department heads and build strong communication lines to maintain engagement with process implementation.
  • Partner closely with Health Information Management and Quality Management teams to aid in audit efficiency and effectiveness, including the collection and delivery of information.
• Process Improvement
  • Assist the Chief Compliance Officer, Risk with the development of the annual audit program.
• Performs other related duties as assigned.

About You 

• 2+ years of relevant compliance auditing experience,
• Bachelor’s degree in Health Information Management or related field
• Professional Designation: CHC or willingness to obtain certification
• Experience in evaluating compliance with laws and regulations
• Proficiency in medical coding, billing practices and CMS requirements.
• Strong analytical skills for identifying trends, addressing discrepancies, and proposing solutions.
• Excellent organizational abilities to manage multiple audit tasks and meet deadlines.
• Deep understanding of HIPAA regulations, confidentiality, and compliance requirements.
• Ability to work both independently and collaboratively with cross-functional teams.
• Strong process analysis, risk and control identification, negotiation and problem solving skills
• Ability to build and maintain solid relationships across multiple levels of management including communicate with external auditors/consultants
• Strong project management skills
• Adaptive communication and change management skills
• Experience in organizations that use cloud-based/SaaS business systems, build SaaS products, and use agile software development methodology
• Ability and willingness to be hands-on and dive into details of processes and operations

Benefits 

• Comprehensive Medical, Dental and Vision plans coverage since day one
• Pre-tax benefits: HSA/ FSA
• 401k Retirement Savings Program with matching up to 4%
• Voluntary benefits including disability, basic life or pet insurance, etc.
• Monthly Wellness Stipend to promote mental and physical self-care
• Flexible PTO and Remote First Environment
• Regular team events, including Wellness Workshops and Team Building Events
• Free access to Talkspace products for you and one household member, as well as access to a friends and family discount! 

Compensation

At Talkspace, we believe that pay transparency during the interview process is a critical part of diversity, equity, and inclusion. Our salary bands are based on internal and external compensation benchmarks, which we regularly evaluate to ensure we pay competitively.

The base salary range for this role is between $79,000 - $92,000. Within the salary bands, leveling corresponds to each candidate’s relevant experience, skills as assessed during the interview process, education, and applicable certifications. 

Why Talkspace? 

Talkspace is the world’s leading online therapy company, serving over 2 million users looking to begin their wellness journey through tele-health. According to the World Health Organization, close to 1 billion people worldwide live with a mental disorder, and on average more than 75% with mental, neurological, and substance use disorders receive no treatment for their condition at all. Additionally, one-third of the world’s population – 2 billion people – live in countries that spend less than 1% of their health budgets on mental health. Therapy is an universal need and it's our mission here to change the world by cultivating an intentional space for people to feel supported through quality care that is simple and accessible.

Combining our passion for innovation along with our desire to help others overcome the stigma behind “getting help,” we are transforming the way patients find the right care provider, making an otherwise impossible feat easily conquerable. Our network of licensed, accredited, and board-certified clinicians are increasing access to mental health for our members through a myriad of high quality therapy services: anytime and for a fraction of the price. Dedicated to our mission, we are looking for candidates that want to bring their talents into a diverse  “for purpose” space. If you’re equally as passionate about making quality mental healthcare accessible to all then Talkspace is the right place for you!

EQUAL OPPORTUNITY EMPLOYER

Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification or if your path has been nontraditional — such as not completing a formal degree program, taking a career break, or having a prior criminal record — if you believe you could make a great addition to this team. Come as you are and learn about the exciting opportunities on our team.

Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.

How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace? 

Diversity

Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.

Equity

Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.

Inclusion

Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.

Belonging

Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.