Compliance Officer Regional Hospitals

* Commits to the mission, vision, beliefs and consistently demonstrates our core values.

* Acts as an integral member of the compliance team, collaborating with Bryan Health Legal and Corporate Complianceteamto develop, implement, and maintain effective compliance strategies and programs.

* Advise sand educates theassignedentitiesandassociatedboardsonregulatory compliance and the seven elements of an effective compliance program, in collaboration with the Chief Legal and Compliance Officer and Risk Management and Corporate Compliance Director.

* Responsible forthe implementation,maintenance, and periodic evaluation of the compliance program for eachassignedentity to ensure compliance with federal and state regulations, accreditation standards, and healthcare laws.

This includes development and management of compliance work plans, risk assessments, auditing andmonitoringactivities,vendor compliance, annual education, compliance communications, and other program initiatives in collaboration with thecorporatecompliance team.

* Develops audit tools and establishes, oversees, and monitors annual billing, coding, documentation, and compliance audit plans by service area; conducts or coordinates audits and directs analyst activities for additional audits as needed in response to billing questions and payer audit inquiries, ensuring compliance with departmental guidelines and third-party payer requirements, including Medicare and Medicaid.

Oversees compliance with the Code of Conduct by reviewing, investigating, and managing reports of suspected misconduct, compliance concerns, and reporting line inquiries for assigned entities.

Partners with Legal, Compliance, Human Resources, and organizational leadership to ensure appropriate resolution of concerns. Reports confirmed misconduct to leadership and Human Resources for corrective or disciplinary action.

Coordinates withthelocal privacy officer to manageHIPAAprivacy concerns.

* Documents compliance risks, investigations, reports, inquiries, and corrective actions through the corporate compliance matter management system.

* Provides compliance education to the entity Boardsas neededand prepares and presents periodic reports on compliance program activities, initiatives, and significant compliance matters.

* Develop sand implements policies, guidelines, and practices related to legal, regulatory, and ethical business requirements in collaboration with the corporate compliance team.

* Ensurestimelyandaccuratedistributionofcomplianceinformationand education on topicsincludingbilling, coding, documentation, Stark Law,Fraud and Abuse Laws, the Deficit Reduction Act, and other regulatory requirements in collaboration with the corporate compliance team.

* Monitors regulatory updates, including

Office of Inspector General(OIG) workplans, Medlearn Matters publications, Medicaid manuals, and other governmental and industry resources, and disseminates actionable information in collaboration with the corporate compliance team.

* Maintains expertise in applicable federal and state laws, regulations, compliance guidance, and industry standards through ongoing professional development and routine review of regulatory resources.

* Provides education and…