Schedule:

Full time

Shift:

Day (United States of America)

Address:

14055 Riveredge Dr

City:

Tampa

State:

Florida

Postal Code:

33637

Job Description:

Other duties as assigned. 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. Knowledge, Skills, and Abilities:
• Ability to understand the healthcare regulatory environment, including Stark, Anti-Kickback, False Claims, and HIPAA.
• 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.
• Strong oral and written communication skills, with the ability to effectively communicate with senior leadership and all other levels of personnel throughout the organization.
• Knowledge of Medicare and third-party payer coding and billing regulations.
• Working knowledge and experience using word and excel platforms.
• Strong ability to assess, interpret, and report data.
• Exhibit proven organizational skills in compliance, privacy-related activities, and the ability to handle multiple tasks simultaneously.
• Ability to maintain a high level of integrity and confidentiality.
• Ability to operate successfully in a constantly changing, fast-paced environment.
• Ability to travel within the region itself and occasionally to the Corporate Office.
• Knowledge of the culture and working environment in the healthcare system is helpful.

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:
• N/A

Licenses and Certifications:
• Certified in Healthcare Compliance (CHC) [Required] AND
• CERTIFIED HEALTHCARE PRIVACY COMPLIANCE (CHPC) [Preferred] OR
• Certified Coding Specialist (CCS) [Preferred] OR
• Certified Coding Specialist - Physician-based (CCS-P) [Preferred] OR
• Certified Professional Coder (CPC) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$127,310.90 - $236,789.66