Regional Compliance Director Butler and Clarion PA)

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Responsible for planning and directing the implementation of the WV University Health System (WUVHS) compliance strategy at designated facilities or a designated region. Responsible for oversight and management of a moderate sized hospital ‘system’ that includes greater than three legal entities. This oversight includes implementing the corporate code of conduct, corporate policies, corporate policies/procedures to prevent, detect, and correct violations of laws, rules, regulations, or contractual obligations, by employees, officers, or other agents of each department, within the organization.

Ensures that the entities and the region under their specific oversight maintain ongoing compliance with federal and state government rules and regulations in addition to WVUHS policies and procedures. May manage central personnel for work plan completion at other sites at the request of the Chief Compliance Officer. May supervise an individual or small team. May be assigned to coordinate activities for and/or mentor one or more local compliance directors.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in healthcare administration, business administration, or related field AND successful completion of CHC (Certified in Healthcare Compliance).OR Associates Degree in healthcare administration, business administration, or related field; 4 years of compliance related experience AND successful completion of CHC (Certified in Healthcare Compliance) certification within one (1) year of hire date.

EXPERIENCE:

1. Seven (7) years of experience in a healthcare organization including compliance, coding, and/or billing/revenue cycle knowledge.
2. Four (4) years of experience in health care management position.

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:1. CPC, COC certification through AAPC; RHIT or CCS-P certification through AHIMA.
2. CHC certification through Health Care Compliance Association.

EXPERIENCE:

1. Two (2) years supervisory experience CORE

DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Responsible for oversight and management of individual facilities and/or a region as assigned to ensure overall compliance requirements and standards are upheld for his/her areas of assignment and under his/her compliance umbrella and for whom he/she has overall compliance responsibility.
2. At the request of the Chief Compliance Officer this individual may also manage central personnel or functions at other system sites in order to achieve enterprise-wide goals and initiatives.
3. Implements system level corporate code of conduct, policies, and procedures to prevent, detect, and correct violations of laws, rules, regulations, or contractual obligations, by employees, officers, and other agents within WVUHS.
4. Develops, maintains and supports the implementation of all ongoing efforts of the Compliance Program by serving on committees, promoting compliance awareness, and supporting the compliance hotline process.
5. Conducts an annual risk assessment and based on the results and risk factors, develops a local annual work plan and contributes to the development of the system level internal audit and compliance work plans. Constantly evaluates work plans…