Essential Duties and Responsibilities: •Assist in the development of audit tools, education materials and other resource documents to support full implementation of the CHS Corporate Compliance Program in clinical areas of affiliated entities including Behavioral Health entities, Ambulance providers, Skilled Nursing Facilities, Human Subject Research, Acute and Post_acutePost acute Care Clinical programs.•Maintain an awareness of current laws, statutes, regulations, etc. impacting healthcare clinical operations.•Prepare oral and written reports including recommendations for improvement based upon audit and investigative findings.•Assist with the development of incident investigations as requested or directed by the Senior Director, Corporate Compliance, Senior Vice President, Corporate Compliance and Privacy Officer, or the Corporate Compliance Directors. This activity will include conducting or participating in interviews, reviewing various types of documentation, and developing written reports to document findings and resolutions.•Research and analyze laws and regulations related to pertinent incidents and projects.•Analyze compliance issues with CCD team•Research and respond to routine compliance questions•Review Facility Compliance Committee (FCC) meeting minutes to appropriate meeting minute content in accordance with established guidelines to identify any clinically focused risk areas•Track overpayments/underpayments and identify significant overpayment amounts for inclusion in company required reporting•Other duties as assigned
Reasoning and Communication Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. To perform this job successfully an individual must possess strong organizational and problem solving skills. The associate should also have significant experience dealing with multiple competing priorities and communicating with persons with varied educational backgrounds.
Computer Skills: Proficiency in Microsoft Office.
Physical Demands:Ability to see, read, hear, and speak clearly. Ability to lift 25 pounds, possess the ability to bend, twist, and reach on occasion. This position requires the physical ability to keyboard, walk for some length on occasion and travel via car/plane on occasion.
Education/Experience: Minimum of LPN required with 3-5 years clinical experience in acute care or post-acute care setting. Specific training or experience in a hospital setting with quality or compliance experience is preferred. Demonstrated experience in prioritizing, conducting investigations, and documenting investigations is also preferred.