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    Assistant Director, Corporate Compliance - Brockton, United States - Signature Healthcare

    Signature Healthcare
    Signature Healthcare Brockton, United States

    1 week ago

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    Description
    Full Time 40 Hours only

    130 Quincy Ave

    Professional

    Days 1st Shift

    Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services.

    We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations.

    We believe our distinctive Signature Healthcare team approach is the way healthcare should be:

    medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients.


    Position Summary:


    The Assistant Director, Corporate Compliance (Assistant Director) is a member of the Compliance Department and reports to the Chief Compliance Officer.

    This position is responsible for assisting the Chief Compliance Officer (CCO) with the institutional compliance program planning and execution.

    The CCO performs or supports compliance audits/investigations and serves as a resource to Signature Healthcare (SHC) on issues related to corporate compliance and ethical business practices.

    Location:130 Quincy Ave, Brockton, MA


    Department:
    Compliance

    This is a full time 40 hour/week position


    Responsibilities:

    • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
    • Commits to recognize and respect cultural diversity for all customers (internal and external).
    • Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed.
    • Demonstrates initiative and strong organizational skills. Proactively identifies problems or concerns and takes the lead to reach resolution. Works collaboratively with SHC clinicians, management and staff to research and resolve compliance concerns, audit business practices and address regulatory/policy questions. Maintains appropriate degree of confidentiality.
    • Conducts and coordinates compliance investigations and audits including, but not limited to matters related to Anti-Kickback Statute, Stark Law, Exclusion statute, EMTALA, Beneficiary Inducement, and other State and Federal non-privacy healthcare laws and regulations.
    • Works with SHC management to ensure that all locations have established and are administering a process for receiving, documenting, tracking, investigating and taking action on compliance incidents and complaints.
    • Supports internal and external audits of HCPCS, CPT coding, DRG coding, and medical record reviews, using proven healthcare audit methodology, with a focus on government payers including Medicare and Medicaid.
    • Applies knowledge of Medicare and Medicaid programs, state insurance and health care laws, HITECH, HIPAA and general Corporate Compliance principles. Maintains up-to-date knowledge of health care legal requirements, and determines if policy revisions or operational changes are required to demonstrate compliance.
    • Facilitates individual, small group and large audience education programs, addressing compliance issues or new legal requirements. This includes provider and coding education.
    • Work with CCO, clinicians and management to identify areas of noncompliance, risk areas, requiring corrective actions. Monitor successful implementation and sustainability of corrective actions. With CCO, recommend specific sanctions and appropriate disciplinary measures.
    • Initiates and tracks project timelines for assigned areas to meet deadlines of SHC initiatives and programs and to ensure timely implementation of regulatory requirements.
    • Under direction of the CCO, support risk assessment activities and analyze data related to key risk areas to identify gaps in processes and where current activities can be leveraged for system-wide compliance program. Also, analyze data for errors and investigate variances.
    • Collaborate with clinical and administrative staff to support special projects and new initiatives, provide compliance guidance to accomplish management objectives.
    • Cover for CCO, if CCO is not available.
    • Perform other duties as assigned.

    BASIC KNOWLEDGE/SKILLS/APTITUDE/EXPERIENCE:

    • Working knowledge of MS Office (i.e. Excel, Word and PowerPoint). Ability to present a variety of information to a diverse audience.
    • Ability to solve practical problems and the flexibility to deal with situations, where only limited standardization may exist. Ability to interpret a variety of instructions furnished in different formats.
    • Use appropriate judgment in communications and actions with patients, physicians, other associates, outside agencies, and vendors.
    • Ability to effectively communicate with all staff levels, members of management, physicians, and midlevel providers. Effectively communicates in the English language, both verbally and in writing.
    • Exhibits clear, concise writing and presentation skills. Detail oriented with strong organizational skills.
    • To perform this job successfully, an individual must be able to meet expectations relative to the purpose of the position and perform each primary responsibility satisfactorily. The requirements listed below are representative of the knowledge, skill, education, experience, and/or ability to perform this position successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary responsibilities.

    Education/Experience/Licenses/Technical/Other:

    • Education: BA or BS degree is required commensurate with experience. Master's degree preferred.
    • Experience (Type & Length): 5 plus years of compliance/internal audit and privacy experience in health care; Healthcare compliance/ethics program experience required.
    • Certification/Licensure: Prefer, CPA, or RN, or CHC, or RHIA.
    • Software/Hardware: Working knowledge of Electronic Medical Records, Excel, Word and PowerPoint.
    • Other: Experience with Wolters Kluwer or Symplr Compliance platform a plus.
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