Medical Center Compliance Officer

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Medical Center Compliance Officer
Duties: Report to the medical system compliance office, but will work directly with the hospital leadership teams to prevent and detect potential regulatory compliance problems while partnering with that leadership to increase overall efficiency and effectiveness of clinical, financial and administrative operations. Will work with the Compliance Office to ensure that the Institution implements and maintains an effective compliance program that includes: Written standards of conduct and policy. A dedicated Compliance Officer and oversight Committee. Regular training of employees. A process to receive complaints. Audits to monitor compliance. Investigate process for identified concerns. Enforcement of standards and remedy of validated allegations. Will be responsible for the oversight of and guidance related to federal and state regulatory and payment requirements and private contracting issues relevant to the prevention and/or detection of fraud, waste and abuse by MCJCHV and its employees and agents. Represent the compliance function in advice to hospital leadership and process improvement analysis. Maintain extensive and current knowledge of health care compliance in the areas of hospital contracting, processes, systems, documentation and billing Policy Development. Coordinate groups and functions to develop and maintain effective and clear policy and procedure applicable throughout Internal Controls. Review and recommend controls and processes implemented by personnel and systems to verify appropriate operations Inquiries. Lead investigations into allegations of errors or process improprieties at Liaison. Serve as a liaison between external regulatory auditors and reviewers and Collaboration. Facilitate communication between personnel and other functions of the Compliance Office, such as education and auditing & monitoring, to minimize regulatory risk and maximize clinical, financial and administrative efficiency. Providing compliance advice and guidance to hospital leadership. Supporting the development and implementation of processes to strengthen internal controls. Collaborating with hospital departments to direct compliance initiatives and process improvement controls. Monitoring and researching applicable state and federal regulations and defined compliance policies and procedures to ensure that operational activities meet federal and state requirements. Overseeing and maintaining compliance program to include annual compliance policy and procedure review. Coordinating internal control and compliance reviews including risk assessments of compliance areas, assessing the adequacy of functional compliance policies and procedures, and reporting the results to leadership. Responding to and investigating allegations of violations of the compliance program. Reporting to Chief Compliance Officer and participate in system wide compliance initiatives.

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