Care Synergy has an immediate opening for a Compliance Manager.
LOCATION: Denver, CO
STATUS: Full-time
SCHEDULE: Mon-Fri, 8:00am - 5:00pm
PAY RANGE: $95,908 - $108,472
SUPPLEMENTAL PAY: Depending on position, schedule, and/or availability; paid mileage, shift differentials, and stipends may apply
CULTURE, BENEFITS AND PERKS: - We value engagement, community, and outreach initiatives and know it matters for our team members and our patients. We provide welcoming and supportive care to our patients and a work environment where all team members feel respected and valued.
- We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
- Employer pays over 90% of employee medical premium in some plans
- Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
- Healthcare Benefits are effective on the 1st of the month following 30 days of employment
- Extensive Paid Time Off (PTO/Vacation Pay): 17 days in the first year for FT team members
- Seven Paid Holidays with an additional Floating Holiday
- 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
- Company-Paid Life and AD&D Insurance
- Career & Logo wear
- Education Reimbursement Program
- Clinical Career Ladders
- Certification Pay
- Generous Discover-a-Star Team Member Referral Program
- Team Member Service Awards
- Early Wage Access
- Legal and Identity Protection
- Robust Leadership Development Training Programs
THE DIFFERENCE YOU'LL MAKEAs Compliance Manager, you will lead key compliance responsibilities across Care Synergy and its Affiliates, with direct responsibility for the Enterprise Health Information Management (HIM) function and an important role in supporting hospice regulatory compliance.
You will oversee health information management practices across seven Affiliates and multiple healthcare service lines while partnering closely with clinical, operational, quality, and finance leaders. You will help ensure patient medical documentation, records, and related processes meet applicable regulatory requirements and industry standards, with particular focus on hospice Conditions of Participation, documentation, reimbursement, audit readiness, and regulatory compliance.
You will serve as a trusted resource to Affiliate leaders and teams, identifying compliance risks, strengthening documentation practices, improving processes, and helping ensure the integrity, accessibility, and security of health information throughout the Enterprise.
WHAT YOU'LL APPRECIATE ABOUT THIS ROLE- The opportunity to lead an important Enterprise function supporting seven mission driven healthcare Affiliates and multiple service lines.
- Broad exposure to clinical, operational, regulatory, reimbursement, and health information management functions across a complex healthcare organization.
- The ability to influence Enterprise practices and strengthen processes that support compliance, reimbursement, quality, and patient care.
- The opportunity to lead and develop the HIM team while serving as a trusted compliance resource to leaders across Care Synergy and its Affiliates.
- A role that combines hands on regulatory expertise with opportunities to improve systems and practices across multiple organizations.
- Meaningful work supporting nonprofit organizations dedicated to compassionate, high quality care in the communities they serve.
WHAT YOU'LL LEAD- Leads the HIM function, establishing consistent health information management practices across Care Synergy and its Affiliates.
- Supports hospice compliance by monitoring and interpreting federal and state requirements, CMS Conditions of Participation, and other requirements affecting operations, documentation, and reimbursement.
- Partners with Affiliate leaders and Finance to identify HIM, documentation, regulatory, and performance improvement needs and resolve health information systems, workflow, transcription, and data flow issues.
- Manages and develops HIM team members, including training, daily operations, work assignments, performance expectations, and budget adherence.
- Oversees patient information and data flow across clinical, admissions, finance, and other functions, ensuring timely and effective documentation and processing.
- Monitors hospice documentation requirements, including eligibility, certifications and recertifications, plans of care, physician orders, and required signatures, partnering with clinical and medical leadership to address gaps.
- Participates in Quality Assessment and Performance Improvement (QAPI) initiatives, clinical record and utilization reviews, and other committees as required.
- Develops and oversees auditing and monitoring activities to identify documentation, regulatory, reimbursement, and process risks. Tracks trends, escalates material concerns, and partners with leaders on corrective action and improvement.
- Oversees the compilation, analysis, and reporting of health information data and statistical information requested by management, regulatory agencies, and external organizations reviewing records for audit or reimbursement purposes, including Additional Documentation Requests (ADRs) and Centers for Medicare & Medicaid Services (CMS) requirements.
- Monitors regulatory and CMS guidance changes and partners with Compliance, Quality, clinical, and operational leaders to assess impact and support required changes.
- Adheres to HIPAA requirements: patient record privacy, release of information, storage, retrieval, retention, destruction, disclosure, and security practices.
- Establishes documented process standards and provides training and guidance to team members and leaders on HIM, privacy, and applicable regulatory requirements.
- Oversees timely and appropriate coding and partners with operational leaders to address outstanding orders and documentation deficiencies that may affect compliance or reimbursement.
- Develops and maintains HIM and applicable compliance policies, procedures, standards, and workflows supporting hospice, home health, PACE, and other service lines.
- Identifies opportunities to strengthen and standardize HIM and compliance practices across Affiliates while accounting for service line specific requirements.
- Serves as a resource to leaders and team members on HIM, documentation, privacy, and assigned compliance matters, escalating complex clinical, legal, or regulatory issues as appropriate.
- Performs other duties and responsibilities as assigned.
THE STRENGTHS YOU'LL BRING- Commitment to the mission and values of Care Synergy and its Affiliates.
- Ability to lead a complex health information management function across multiple organizations and healthcare service lines.
- Strong working knowledge of hospice regulatory requirements, including CMS Conditions of Participation, clinical documentation requirements, and healthcare reimbursement compliance.
- Strong knowledge of health information management practices, patient rights, privacy requirements, documentation standards, and applicable federal and state healthcare regulations.
- Ability to assess documentation and operational practices, identify compliance risk, recognize trends, and work collaboratively with leaders to develop practical solutions.
- Strong organizational and interpersonal skills with the ability to build effective working relationships across clinical, medical, operational, quality, compliance, finance, and leadership teams.
- Ability to communicate complex regulatory and HIM requirements clearly and effectively, both verbally and in writing.
- Strong attention to detail with the ability to balance Enterprise standards with Affiliate and service line needs.
- Sound critical thinking, judgment, and problem-solving skills with the ability to appropriately escalate significant compliance concerns.
- Ability to lead through regulatory, operational, and organizational change.
- Demonstrated ability to maintain confidentiality of protected health information (PHI) and appropriate professional boundaries.
- Knowledge of medical terminology and proficiency with health information systems and computer applications.
- Commitment to ongoing professional development and continuing education.
WHAT YOU'LL NEED TO SUCCEED- Associate or bachelor's degree in Health Information Management (HIM) or a related healthcare field.
- Five to seven years of management or supervisory experience in a clinical or hospital setting.
- Experience with healthcare regulatory compliance, documentation auditing, survey readiness, or reimbursement related record review.
- Hospice experience is strongly preferred. Experience in home health or the Program of All Inclusive Care for the Elderly (PACE) is also valuable.
- Working knowledge of CMS requirements and healthcare regulatory standards applicable to assigned service lines.
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification preferred.
- Valid Colorado driver's license and proof of automobile insurance in accordance with applicable state requirements.
PHYSICAL REQUIREMENTS- Ability to lift and carry a minimum of 30 pounds.
WORKING CONDITIONS- Frequent travel to Affiliate locations throughout the Front Range.
