Schedule: Full time
Shift:Day (United States of America)
Address:6061 S Willow Dr
City:Greenwood Village
State:Colorado
Postal Code:80111
Job Description:- Conducts risk assessments and implements risk mitigation activities in assigned region.
- Coordinates external audits in conjunction with the AdventHealth Corporate Compliance Department, as necessary.
- Facilitates monitoring and auditing activity for the various compliance topics in assigned region.
- Answers questions from staff and leadership concerning compliance policies, privacy of patient information topics, physician arrangements, and other general regulatory compliance topics.
- Responds to phone and email inquiries and research requests for information on a variety of compliance topics.
- Coordinates compliance activities and investigations for the applicable facilities within assigned region.
- Serves as chairperson for the Regional Compliance Steering Committees for assigned facilities.
- Facilitates and delivers compliance and Code of Conduct education, including new employee orientation, general and targeted compliance training, and facility leadership training.
- Coordinates the submission of monitoring and auditing documentation to the Corporate Compliance Department to confirm compliance with elements of the monitoring and auditing plan.
- Communicates and provides training and education on policies regarding regulatory compliance to ensure consistency across the region.
- Performs other duties as assigned.
Knowledge, Skills, and Abilities:- Ability to understand the healthcare regulatory environment, including Stark, Anti-Kickback, False Claims, and HIPAA. [Required]
- Strong working knowledge of compliance and healthcare software/technologies including compliance and ethics reporting tools, privacy monitoring software, conflict of interest tools, and electronic medical records. [Required]
- Strong oral and written communication skills, with the ability to effectively communicate with senior leadership and all other levels of personnel throughout the organization. [Required]
- Knowledge of Medicare and third-party payer coding and billing regulations. [Required]
- Working knowledge and experience using word and excel platforms. [Required]
- Strong ability to assess, interpret, and report data. [Required]
- Exhibit proven organizational skills in compliance, privacy-related activities, and the ability to handle multiple tasks simultaneously. [Required]
- Ability to maintain a high level of integrity and confidentiality. [Required]
- Ability to operate successfully in a constantly changing, fast-paced environment. [Required]
- Ability to travel within the region itself and occasionally to the Corporate Office. [Required]
- Knowledge of the culture and working environment in the healthcare system is helpful. [Preferred]
Education:- Bachelor's [Required]
- Master's [Preferred]
Field of Study:- in Business Administration, Nursing, Law or other healthcare related field
Work Experience:- 5+ healthcare regulatory or financial experience at a management level. [Required]
- Specific experience in hospital compliance and/or physician practice/medical group compliance, coding and/or operations and/or post-acute compliance, depending on the designated entities. [Required]
Additional Information:Licenses and Certifications:Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:$144,382.30 - $268,541.30
