Mgr Compliance

About the position

Responsibilities

• Assist the Senior Director of Compliance Services and VP Compliance and Privacy in managing hospital compliance staff and program.
• Lead and supervise Compliance Services staff, training employees across a multi-hospital health system.
• Conduct compliance meetings to foster open communication within the organization.
• Evaluate performance and provide support to Compliance Services staff, promoting professional development.
• Ensure the accuracy and timely completion of compliance auditing, investigations, and reviews, including the Annual Compliance Work Plan.
• Work to ensure all elements of an effective compliance program are met.
• Perform a variety of compliance tasks, relying on experience and judgment to plan and accomplish goals.

Requirements

• Minimum five years of experience in compliance, audit, legal, or equivalent field.
• Bachelor’s degree or higher is required.
• Certified in Healthcare Compliance (CHC) designation required, or must be obtained within six months of hire.
• Experience in compliance-related certifications such as CPC, RHIA, CPMA, CCS, or CHIAP is preferred.
• Experience responding to or performing Medicare, Medicaid, and other governmental or regulatory audits is preferred.
• Knowledge of Medicare, Medicaid, and other regulations impacting hospitals, including documentation, coding, and billing procedures.
• Excellent verbal and written communication skills are essential.
• Ability to problem solve and perform research is required.
• Must be organized, versatile, and able to work independently.

Nice-to-haves

• RN, LPN, or other clinical degrees and licenses would be valuable.
• Additional compliance-related certifications are preferred.