- Available for Hybrid WorkThe Chief of Clinical Integrity (CIO), OHSU Health serves as the focal point for all clinical compliance activities, reporting to the Executive Vice President and Chief Executive Officer with a direct reporting relationship to the UHS Board of Director's. The CIO, OHSU Health coordinates and communicates all assigned compliance activities and programs, as well as plans, implements, and monitors the Clinical Compliance Program. The CIO, OHSU Health ensures that the OHSU Health System meets federal and state laws, regulations, and guidance relating to clinical billing compliance. This position is responsible for the development, coordination, implementation, maintenance, and oversight of an integrated Clinical Enterprise Integrity program that comprises both professional and facility billing and coding practices and compliance requirements. The Clinical Integrity function will support and foster a culture that encourages compliance with legal and regulatory billing and reimbursement requirements and practices, which will be accomplished through education, monitoring, and consulting services utilizing a risk-based approach for potential areas of non-compliance.
- Implement, revise, and maintain applicable policies and procedures (program-specific and OHSU-wide) to maximize integrity, compliance, effectiveness, efficiency, and reflect current trends;
- Develop, implement, and maintain training and communication programs for the OHSU community. Education should be focused on general and specific compliance requirements, known regulatory compliance issues or changes, and the operational activities of OHSU clinical services, including documentation, coding, and billing requirements necessary for compliant billing practices;
- Serve as an expert resource for Clinical Enterprise by working closely with clinical and organizational leadership, and coordinating with other organizational safeguard departments (e.g. Regulatory Compliance, Legal , Risk Management, Enterprise Revenue Cycle, Quality, Human Resources, Central Integrity, etc.) to identify and address issues that affect the organization, its regulatory environment and compliance responsibilities;
- Develop continuous process improvement initiatives related to Clinical Enterprise integrity;
- Serve as a management representative on assignments for both internal and external constituencies.
- Hire, train, manage, and evaluate Clinical Enterprise Integrity team.
- Direct team activities to ensure department objectives are met. Develop and implement an annual, risk-based work plan related to Clinical Enterprise integrity (as assigned) and the identification of appropriate mitigation of risks, working collaboratively with organizational partners throughout the process.
- Establish and maintain adequate documentation retention practices for work product.
- Perform quality control reviews of work performed.
- Work with team to ensure appropriate and timely close-out of issues and reviews.
- Collaborate with leadership of areas being reviewed; provide recommendations and define management action plans; follow-up on the status of recommendations and determine whether appropriate corrective action has been taken.
- Manage departmental budget.
- Serve on various institutional committees related to Clinical Enterprise integrity.
- Develop and participate in development of policies and procedures with organizational partners and applicable committees, as needed.
- Identify deficiencies and advise on how to achieve compliance with regulatory requirements in an effective, efficient manner.
- Conduct ongoing review of policies and procedures, collaborating with departments to ensure correction and re-education, as necessary.
- Serve as an expert resource for Clinical Enterprise integrity issues to the OHSU community and provide information and responses to inquiries related to regulatory, strategic and operational issues, concerns, and questions.
- Communicate effectively and appropriately to all levels of the organization.
- Facilitate and lead the Clinical Integrity Compliance Committee.
- Provide effective and timely reporting on Clinical Enterprise integrity activities to senior leadership, various compliance/integrity committees, and the UHS Board of Directors and its subcommittees.
- Identify weaknesses and deficiencies, and implement solutions to enhance departmental effectiveness to improve support to the OHSU community.
- Develop and monitor program metrics to improve program effectiveness.
- Establish an ethical, Clinical Enterprise integrity audit ready and efficient OHSU.
- Bachelor's degree in Business Administration, Healthcare Administration, or related. In lieu of degree, equivalent education and/or experience may be considered.
- Certified in Healthcare Compliance (CHC)
- Three years management experience with direct management responsibility for clinical compliance.
- Five years recent experience in clinical compliance or related function. OR
- Any combination of experience that would provide the required equivalent qualifications.
- Exceptional people and ethical skills. Ability to interact in a positive, productive manner with providers, administrators and leadership (demonstrating sensitivity, tact, and professionalism) and employees.
- Extensive knowledge of best practices for clinical compliance at an academic medical center and/or large multi-disciplinary system and understanding of risk assessment methodologies and systems thinking.
- Expert knowledge in federal and state laws, regulations, and guidance relating to clinical billing compliance.
- Ability to analyze information and construct an action plan to resolve issues.
- Ability to collaborate effectively and work both independently and in a team environment.
- Effective organizational abilities, oral and written communication skills, and interpersonal skills.
- Ability to operate and communicate effectively while meeting multiple deadlines and completing projects simultaneously
- Advanced proficiency with electronic systems and software.
- EHR experience in an academic medical center
- Ability to work in a fast paced and changing environment; reacts professionally under pressure.
- Strong facilitation and mentoring skills.
- Excellent written and verbal communication skills.
- Ability to manage multiple priorities across multiple teams/projects, platforms.
- Excellent time management skills.
- Advanced degree or additional emphasis/training/education in related field
- Seven years of management experience in an academic medical center or large multi-disciplinary system with at least four years of experience in facility and professional fee documentation, coding and billing.
- Certified in coding: CPC (AAPC) or CCS-P (AHIMA)
- Application of risk-based decision making in furtherance of organizational efficiency and compliance.
- Demonstrated leadership and formal/informal influence skills
- This position is a hybrid position and may require frequent visits to campus. Travel to and participate/attend community outreach events and training.
- Ability to handle multiple highly sensitive projects and priorities simultaneously.
- Occupant may represent the University on a frequent basis.
-
Clinical Enterprise Integrity Officer
1 week ago
OHSU Portland, United StatesDepartment Overview · * Available for Hybrid Work* · The Chief of Clinical Integrity (CIO), OHSU Health serves as the focal point for all clinical compliance activities, reporting to the Executive Vice President and Chief Executive Officer with a direct reporting relationship t ...
-
Skyline Solutions Gresham, United StatesFor around people, Heidelberg is their center of life. A remarkable 98 percent of all Heidelberg residents feel comfortable in their city - a value that is unique in Germany. Heidelberg is a tolerant and cosmopolitan city with a citizen-oriented and transparent administration. Cu ...
-
Dental Assistant
1 week ago
Gentle Dental Oregon City, United States Full timeAt Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients' lives by providing accessible oral healthcare, which is paramount to ove ...
-
Dental Assistant
1 week ago
Gentle Dental Portland, United States Full timeAt Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients' lives by providing accessible oral healthcare, which is paramount to ove ...
-
Dental Assistant
1 week ago
Gentle Dental Portland, United States Full time*SIGN ON BONUS OF $1,000* · At Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients' lives by providing accessible oral healthcar ...
-
Dental Assistant
1 week ago
Gentle Dental Portland, United States Full timeAt Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients' lives by providing accessible oral healthcare, which is paramount to ove ...
-
Dental Assistant, EFODA
1 week ago
Gentle Dental Portland, United States Full time***$3,000 Sign On Bonus*** · At Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients' lives by providing accessible oral healthca ...
-
Treatment Coordinator
1 week ago
Gentle Dental Portland, United States Full timeAt Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients' lives by providing accessible oral healthcare, which is paramount to ove ...
-
Medical Assistant
1 week ago
Middlesex Health Portland, United StatesPart-time/24 hours · Schedule: Tuesday & Thursday 7:15am - 5:30pm, Friday 8am - 1:30pm · **Summary: · The Medical Assistant (MA) is an integral part of the patient care team. Under the direction of the Practice Manager, the MA performs certain clinical duties, and assists the Pro ...
-
Primary Care Provider
1 week ago
One Medical Portland, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
-
Part Time Home Health PT
4 days ago
Interim HealthCare of Maine Portland, United States Full timeDiscover a new lane in therapy where treatments are personal and outcomes are optimal. As a Home Health Physical Therapist, you'll help patients regain their strength, manage their pain and reach their goals in a home setting where therapy is customized to their daily lives. Inte ...
-
Primary Care Physician
2 days ago
One Medical Portland, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
-
Dental Hygienist
5 days ago
Gentle Dental Portland, United States Full time$5,000 sign on bonus · Pay is a combination of hourly rate and production bonuses with an expected total comp in the range of $55 - $65 per hour. · We value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, lifelong, integrated oral hea ...
-
Immunology Sales Specialist Dermatology
2 weeks ago
Johnson & Johnson Portland, United StatesJohnson & Johnson is currently seeking a Sales Specialist for Dermatology to join our Immunology team located in Portland, ME. · As the Immunology Sales Specialist you will: · - Be responsible for attaining sales objectives, presenting complex clinical and business information on ...
-
Speech Language Pathologist
4 days ago
Interim HealthCare of Maine Portland, United StatesDiscover a new path in speech therapy that makes caring for patients personal and rewarding. As a Home Health SLP for Interim HealthCare, you'll help patients find hope and healing through home-based speech therapy designed to overcome their challenges and increase their quality ...
-
Physical Therapist Assistant
1 week ago
Interim HealthCare of Maine Portland, United StatesDiscover a new lane in therapy where treatments are personal and outcomes are optimal. As a Home Health PTA, you'll help patients regain their strength, manage their pain and reach their goals in a home setting where therapy is customized to their daily lives. Interim HealthCare ...
-
Dentist
5 days ago
Gentle Dental Portland, United States Full timePlease reach out to Jeff Farrell at for more information. · We're looking for a full-time General Dentist to practice out of our Portland, Oregon office. · At Gentle Dental, we value our teammate's smile as much as our patient's smile. · Our vision is to provide exceptional, li ...
-
Svp & President- Mercy
6 days ago
Northern Light Health Portland, United States**Northern Light Health** · **Department**:Member Presidents · **Position is located: Mercy State Street** · **Work Type: Full Time** · **Hours Per Week: 40** · **Work Schedule: 8:00 AM to 5:00 PM** · **Summary**: · Subject to the applicable provisions of the Northern Light Mercy ...
-
Primary Care Physician
1 week ago
One Medical Portland, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
-
Registered Nurse
1 week ago
Interim HealthCare of Maine Portland, United StatesDiscover a new lane in nursing doing what you are made to do. The last few years have put unbearable pressure on nurses. The long hours, relentless demands and sacrifices have become too much—but there is another option. One that will reignite the passion that led you to nursing. ...
Clinical Enterprise Integrity Officer - Portland, United States - OHSU
Description
Department Overview
In fulfilling the responsibilities of this position, the CIO, OHSU Health will collaborate with a broad spectrum of organizational partners, including but not limited to: Regulatory Compliance; Legal; Clinical Enterprise providers; Enterprise Revenue Cycle, hospital administration; Faculty Practice Plan and School of Medicine leadership; directors and managers; School of Nursing; School of Dentistry; Human Resources; various committees; and various integrity programs throughout OHSU, including the Central Integrity Office and the OHSU Chief Integrity Officer.
Department leadership and management:
Using knowledge of federal, state, local, and
institutional regulations, guidance, and policies and procedures:
Policies and procedures:
Ensure that requirements (e.g., local, state, and federal regulations and guidance as well as related OHSU policies and procedures) are appropriately described in OHSU policies and procedures.
Training, communication, and advisory services:
Identify, develop, and implement training and communication outreach to the OHSU community regarding clinical enterprise integrity.
Continuous Quality Improvement:
Develop and implement a program of continuous quality improvement for the Clinical Enterprise integrity team/department.
Other duties as assigned:
Including investigations and other special projects.
Required Qualifications
Education:
Experience:
Job Related Knowledge, Skills and Abilities:
Education:
Experience:
Job Related Knowledge, Skills and Abilities:
Oregon Health & Science University values a diverse and culturally competent workforce.
We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at or