- Supports the Office of Audit and Compliance leadership in developing, implementing, and maintaining the VH annual Risk Assessment and associated Work Plan. Ensures successful completion of assigned audit/monitoring projects and programs as designated in the VH Compliance Plan.
- Autonomously or with minimal oversight, conducts audit/monitoring activities as delegated by the Director of Compliance & Privacy and/or the Chief Audit and Compliance Officer. Communicates identified findings and recommendations with Compliance management to ensure any potential concerns are addressed in a timely and effective manner. May act as subject matter expert to ensure recommendations are implemented.
- Prepares clear and concise project communications, documents and reports.
- Performs compliance awareness and training as needs are identified or requested.
- Maintains open communications with VH leadership/management.
- Maintains a high level of competency related to compliance by attending appropriate webinars/conferences and participating in relevant organizational committees and/or work groups as delegated.
- Willing to travel for compliance audit/projects and education.
- Assists the Director of Compliance & Privacy and/or the Chief Audit and Compliance Officer with other duties as assigned.
-
Senior Regulatory Compliance Analyst
1 week ago
ECU Health Greenville, United StatesECU Health · About ECU Health · ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group th ...
-
Senior Regulatory Compliance Analyst
3 days ago
Vidant Health Greenville, United StatesJob Description · ECU Health · About ECU Health · ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and ...
-
Senior Regulatory Compliance Analyst
1 week ago
Vidant Health Greenville, United StatesJob Description · ECU Health · About ECU Health · ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and ...
-
Revenue Integrity Analyst
1 week ago
Vidant Health Greenville, United StatesMaintain expertise on Third Party Billing Regulations and Requirements to ensure EPIC EAP remains in compliance with applicable regulations for ECU Health entities. Develops tools to provide education and communication to Revenue Producing Department Revenue, Analyst, Integrity, ...
-
Quality Assurance Analyst
6 days ago
Grover Gaming Greenville, United StatesJob Title: Quality Assurance Analyst · Department: NC Quality Assurance · Location: Greenville, NC · Reports To: Quality Assurance Lead · Status: Non-Exempt · WHO WE ARE: Grover Gaming, headquartered in Greenville, North Carolina, is a software design and development company ...
-
Accounting & Reporting Analyst I
2 weeks ago
Hyster-Yale Group Greenville, United States**Job Title** · Accounting & Reporting Analyst I · **Job Family** · **Job Description** · The **Accounting and Reporting Analyst I** will provide technical expertise and support to the Americas General Accounting department accounting and reporting activities. Create, maintain, r ...
-
Quality Assurance Analyst
2 days ago
Grover Gaming Greenville, United StatesJob Title: Quality Assurance Analyst · Department: NC Quality Assurance · Location: Greenville, NC · Reports To: Quality Assurance Lead · Status: Non-Exempt · WHO WE ARE: Grover Gaming, headquartered in Greenville, North Carolina, is a software design and development company ...
-
Quality Supervisor
5 days ago
Nufarm Greenville, United StatesGrow a Better Tomorrow with Nufarm. · We know that growing is about more than just crops and cultivation. It's about sunshine and rain, early mornings and hard work. It can be frustratingly unpredictable but also wonderfully uplifting. More than anything, it's about people. Nufar ...
-
Senior Financial Analyst
1 week ago
Catalent Inc Greenville, United States**Senior Financial Analyst** · **Position Summary:** · Catalent is a global, high-growth, public company, and a leading partner for the pharmaceutical industry in the development and manufacturing of new treatments for patients worldwide. Your talents, ideas, and passion are es ...
-
Product Manager, Digital Health
1 week ago
Vidant Health Greenville, United StatesJob Description · ECU Health · About ECU Health Medical Center · ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at Ea ...
-
Risk Management IS Analyst
1 week ago
Vidant Health Greenville, United StatesJob Description · ECU Health · About ECU Health Medical Center · ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at Ea ...
-
Risk Management IS Analyst
4 days ago
Vidant Health Greenville, United StatesJob Description · ECU Health · About ECU Health Medical Center · ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at E ...
-
Risk Management IS Analyst
4 hours ago
ECU Health Greenville, United StatesECU Health · About ECU Health Medical Center · ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina Universi ...
-
Strategic Sourcing Manager
1 week ago
Vidant Health Greenville, United StatesJob Description · ECU Health · About ECU Health · ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and ...
Senior Regulatory Compliance Analyst - Greenville, United States - Vidant Health
Description
Job DescriptionECU Health
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties.
The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children's Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University.
ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position SummaryPerform compliance audits and monitoring activities across ECU Health to ensure data integrity, and compliance with federal and state regulations pertaining to, but not limited to: complete revenue cycle, medical record documentation, coding and billing, conflict of interest, and clinical trials billing.
Coordinates external governmental agency medical or financial record requests.Responds to and investigates allegations of non-compliance and ensures allegations, concerns or questions relating to other ECU Health departments are routed appropriately.
Provides guidance, conducts research and acts as a subject matter expertise regarding compliance matters. Serves as a resource for general healthcare compliance practices.Responsibilities
b. Develop and track compliance corrective action plans that result from audits.
b. Fully documents activities in departmental databases.
c. Investigate, conducts research and responds to compliance questions and concerns, timely and with supporting guidance; if necessary.
d. Monitors federal, state, and local Medicare contractor regulations for compliance related changes that may impact the organization.
Responsibilities may include general oversight of Recovery Audit Contractor (RAC), Medicare Administrative (MAC), Medicaid Integrity Program (MIP) Supplemental Medicare, Zone Program Integrity (ZPIC) Comprehensive Error Rate Testing (CERT) and other governmental contractor activities:
a. Supporting processes that ensures RAC/MAC/ MIP and other governmental requests are received, communicated to appropriate entity staff, and documented in EPIC Program Integrity Module (PIM)
b. Training users of EPIC PIM and troubleshooting issues identified with the EPIC PIM
c. Prepare reports from EPIC PIM for Director or CACO, Operations or clinical management in order to improve performance
d. Serve as technical resource for EPIC PIM users when concerns arise regarding proper data entry
Works well with other health system team members (i.e., internal audit team, health information management, revenue cycle/financial services, clinical staff).
Ensures adequate focus on personal professional growth relevant to taking on more challenging assignments; proactively seeks relevant education and training opportunities.
b. Maintains compliance with all health system policies and procedures.Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist (CCSP), or Certified Professional Coder (CPC) certifications required.
A minimum of three (3) years of experience in health care facilities, outside regulatory agencies, compliance or healthcare auditors is required.
Certified in Healthcare Compliance (CHC) is required or must be obtained within first year of employment.Other relevant degrees, certifications and/or experience may be considered as equivalent as described herein.
Strong organizational and oral and written communication skills, analytical and reporting skills, and proficiency with MS Office products as Excel, PowerPoint, SharePoint, and EMR systems (e.g., EPIC).
Experience with paper, computerized and hybrid medical records.General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer.Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law.
We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
Share:
#J-18808-Ljbffr
