Description
PURPOSE OF THIS POSITION
The purpose of the position is to support the Legal, Risk Management, and Corporate Compliance Department. The Compliance Specialist is responsible for supporting the evolution and preservation of the BVHS's compliance program efforts to prevent, detect and mitigate regulatory risks.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Participates in the implementation and coordination of compliance monitoring and auditing processes, including but not limited to, conducting/managing audits, analyzing results, identifying deficiencies, developing reports, and formulating recommendations and tracking of corrective action plans to address identified compliance risks and deficiencies.
Duty 2: Development and implementation of compliance policies and procedures, as needed.
Duty 3: Development and provision of compliance training to employees and other pertinent individuals (i.e. independent contractors, consultants, etc.).
Duty 4: Conducts and actively participates in investigations involving suspected or confirmed non-compliance, including matters related to fraud, waste, and abuse (FWA), patient privacy and confidentiality, regulatory violations, and organizational policy breaches.
Duty 5: Develops and prepares reports on the status of compliance activities.
Duty 6: Assists with reporting to governmental agencies in accordance with company policies and procedures.
Duty 7: Acts as compliance liaison and expert for regulatory inquiries, including but not limited to, responding to inquiries in a timely manner, coordinating responses across multiple departments, as applicable, and conducting follow up on previously submitted responses, if necessary.
Duty 8: Maintains an awareness of current laws, statutes, and regulations that impact healthcare operations.
Duty 9: Participates in the development and implementation of the annual Compliance Program audit plan.
Duty 10: Partners effectively with organizational leaders to monitor compliance risk areas.
Duty 11: Prepares and delivers reports to the all Compliance Committees.
Duty 12: Other duties as assigned to support the Corporate Compliance Department.
REQUIRED QUALIFICATIONS
Bachelor's degree in healthcare or related field
Certified in Healthcare Compliance (CHC) certification or commitment to obtain within first year of employment
Strong attention to detail, analytical, and statistical skills.
Positive service-oriented interpersonal and communication skills required.
- A valid driver's license is required (if you do not have a valid Ohio driver's license you. must obtain one within 30 days of your residency in the state). You must also meet BVHS's company fleet policy and insurance company requirements, and any other requirements that may be required to operate a vehicle.
PREFERRED QUALIFICATIONS
Master's degree
Proven ability to independently conduct investigations, including fact-finding, interviews, analysis, and documentation, strongly preferred.
Certification in medical coding and/or risk adjustment (i.e., CPC, CCS, or CCS-P RHIA, RHIT)
PHYSICAL DEMANDS
Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
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