The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Initiates, coordinates, develops, implements, and disseminates policies, procedures, and standards. 2. Provides compliance direction after analysis of existing operations and operational proposals for potential compliance issues, addresses potential compliance issues with the business owners and executive team. 3. Regularly provides guidance to the Chief Compliance Officer into departmental strategy and directions. Provides ongoing and extensive proactive and reactive technical assistance and monitoring to Affiliate Compliance Officers, Privacy Officers and business leaders. 4. Directly supervises compliance team members and other staff as appropriate to ensure departmental direction is effectively executed. 5. Collaborates with various State and Federal Regulators such as OCR, HHS, OIG, CMS, MHCC on UMMS and Affiliate compliance related matters. 6. Provides direction and oversight in three or more of the following areas of operations of the Corporate Compliance Department: Compliance Auditing and Monitoring, Compliance Risk Assessment, Compliance Policies, Compliance Governance Processes, Hotline Triage and Investigations, Education, Billing Compliance, Physician Compensation and Referrals, Anti-kickback and Stark Law, Privacy, Conflicts of Interest, Business Associate Agreements, and/or Recommending organizational mitigation and remediation (i. e. disciplinary actions, refunding money, additional education). 7. Corporate Compliance Director is also involved in ongoing projects which may include, but, are not limited to: System Standardization Efforts, implementation of software applications, and/or strategic input for new service lines and technologies; Collaborating with leadership and initiating governance and compliance processes around emerging areas of compliance concerns (e. g. research, 340B, UMMS Medicaid/Medicare Health Plans). Representing compliance, providing guidance, and collaborating with organizational business leaders to implement new or modified programs that reflect multidisciplinary expertise and engagement. Develops complex guidance and initiating and executing extensive processes to ensure compliance of business initiatives and ongoing business operations Oversight of System Electronic Medical Records (EMR) initiatives (e. g. role development, internal and external access rights, documentation review, data flow monitoring) Lead and execute compliance transitions for organizational restructuring. Extensive liaison with external departments and organizations to represent compliance concerns, to achieve internal departmental initiatives, and to maximize collaboration to ensure effective outcomes (e. g. working with external auditors, Medicare administrative contractors, responding to Office of Civil Rights). Develops template on specific topics for communication to hospitals for auditing and monitoring, policy development, education, etc. read more