• Hospital Compliance Officer

    Location US-TX-San Antonio | US-TX-El Paso
    Posted Date 3 weeks ago(10/31/2018 10:05 AM)
    Job ID
    2018-8041
    Facility
    San Antonio Regional Office
    Type
    Full-Time
    Shift Type
    Days
    Additional Location
    Lee Trevino
  • About Us

    Emerus is a nationally recognized, innovative leader in the delivery of inpatient, surgical, and diagnostic medical health care. Specializing in the identification, development and management of improved-access community medical facilities, Emerus provides cost effective, scalable growth opportunities to large-scale, national health care systems throughout the United States. 

     

    By providing operationally efficient facilities and focused alignment with current health care trends, Emerus’ community-based hospitals prioritize limited inpatient stays, efficient emergency rooms and cost effective pricing in a smaller campus setting. Based in The Woodlands, Texas, Emerus has more than 1,000 employees, with expert concentrations in over 20 different fields throughout the medical industry.

    Position Overview

    The purpose of this position is to implement, administer and oversee an effective regional compliance program to prevent illegal, unethical, or improper conduct, ensuring that Emerus complies with regulatory and legal requirements and the organization’s internal policies and procedures. The Hospital Compliance Officer will report to the Chief Compliance Officer and collaboratively work closely with the Regional Chief Executive Officer in the regions assigned to support.

    Essential Job Functions

    • Provide Compliance Program Reports to the Subsidiary Governing Board on a semi-annual basis
    • Develop report and dashboards that help management and the Board evaluate the effectiveness of the program as well as mitigate potential risks and provide an objective and independent compliance function to the organization
    • Raising and escalating, as necessary, significant compliance issues and protecting confidential information obtained in the course of professional activities unless disclosure of such information is required by law, applicable regulation, or organizational policy, or if maintaining the confidentiality of such information would create an appreciable health or safety risk
    • Schedule regular meetings with regional leadership and staff, in order to ensure the presence and use of a planned, systematic approach to identify, prioritize and assess appropriate compliance related activities
    • Identification and design of compliance program initiatives as well as the assessment of progress, by assuming an active, involved role with all hospital leaders and staff and meeting with leadership and/or staff in the hospital locations on a regular basis
    • Ensure that education and in-service training on various aspects of regulatory compliance is provided to all hospital leaders and staff
    • Use manuals and guidelines, prepare, monitor, lead, and ensure organizational compliance with applicable standards, licensing and certification requirements, and directives promulgated by the organization
    • Lead Support role in State and Federal surveys and conducting mock surveys for readiness for initial licensure or complaints as well as assist facility leadership in preparing and sustaining accreditation
    • Track corrective action plans for completion and conduct follow-up sessions with management as appropriate to foster successful completion and achieve compliance
    • Develop periodic report of auditing and monitoring activities, findings, risk levels, recommendations, status or corrective action plans, and outcomes
    • Collaborate with appropriate personnel for the development, review and implementation of compliance-related policies, procedures, educational initiatives or workflows relating to clinical, billing, coding or other business activities pertinent to the Compliance Program
    • Conduct and/or assist with investigations of reported or identified allegation of violations
    • Assist in the drafting of self-reporting disclosure letters to government agencies or managed care payors
    • Coordinate or complete, as required, regulatory compliance, accreditation, performance improvement and risk management internal audits with departments within the organization – using best practices within the field – in order to comply with standards from State, Federal and Regulatory Agencies
    • Participate in internal compliance audits and assist in interpreting audit findings, preparing and completing audit responses
    • Provide guidance and direction to personnel regarding health care laws and regulations, including but not limited to CMS CoPs, EMTALA, Anti-Kickback, Stark Law, HIPAA and NIAHO standard regulations

    Other Job Functions

    • Attend staff meetings or other company sponsored or mandated meetings as required
    • Travel to facility locations as required
    • Perform additional duties as assigned

    Basic Qualifications

    • Bachelor’s Degree in Science or Business, preferably in a healthcare related field
    • 3+ years of Hospital compliance program experience
    • CHC required or able to become certified in 6 months from hire (CHPC, a plus)
    • CPC, CPC-H, CCS or RHIT, preferred
    • Proficiency with Microsoft Office (Excel, Word, PowerPoint and Outlook)
    • Billing and Coding experience using CPT, ICD-9/ICD-10 and HCPCS codes in an Emergency Medicine environment, a plus
    • ICD-10 Training, a plus
       

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