The responsibilities of the incumbent will include:
Demonstrating strong knowledge of healthcare compliance laws and regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act) in order to coordinate an effective Compliance Program.
Coordinate annual Compliance Risk Assessments and Compliance Reviews.
Examine and review departmental policies, procedures, and practices to ensure compliance with laws, regulations, and accreditation standards.
Assist in the development and implementation of compliance policies and procedures.
Assess, improve and streamline existing compliance programs.
Assist in the development of new compliance programs.
Develop compliance auditing and monitoring plans.
Work with various departments in establishing coding audits.
Develop and deliver compliance training programs and communications.
Lead auditing and monitoring projects to address specific healthcare compliance risks.
Investigate and resolve compliance issues.
Develop compliance analysis and reporting.
Demonstrate high levels of communication from all level of internal and external audiences.
This position does not provide patient care.