Compliance Specialist

Under the general direction of Chief Compliance Officer or designee, the Compliance Coordinator provides support to the organization in coordinating all Federal and State compliance, privacy, and regulatory requirements including Human Subject Research. This includes research and development of current and upcoming compliance expectations and developing Renown policies and procedures. This position will coordinate any audit preparations including internal, external and Federal/State audits.

The responsibilities of the incumbent will include:

• Demonstrating strong knowledge of healthcare compliance laws and regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act, SAMHSA, FDA, and Payment Card Industry (PCI) compliance) in order to coordinate an effective Compliance Program.

• Coordinate annual Compliance Risk Assessments and Compliance Reviews.

• Examine and review departmental policies, procedures, and practices to ensure compliance with laws, regulations, and accreditation standards.

• Assist in the development and implementation of compliance policies and procedures.

• Provide notifications to certain oversight agencies when appropriate.

• Assess, improve, and streamline existing compliance programs.

• Assist in the development of new compliance programs.

• Develop compliance auditing and monitoring plans.

• Work with various departments in establishing coding audits.

• Develop and deliver compliance training programs and communications.

• Lead auditing and monitoring projects to address specific healthcare compliance risks.

• Investigate and resolve compliance issues.

• Develop compliance analysis and reporting.

• Demonstrate high levels of communication from all level of internal and external audiences.

This position does not provide patient care.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. A Bachelor’s degree in Healthcare administration or business-related field is required.

Experience:

3 years healthcare related compliance experience.

License(s):

None

Certification(s):

Must have and maintain one of the following certifications: CHC (Certified in Healthcare Compliance), CHPC (Certified in Healthcare Privacy Compliance), CHRC (Certified in Healthcare Research Compliance) CCEP (Certified Compliance and Ethics Professional), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder) required

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.