Coding Compliance Specialist jobs in Provo, UT

Description

JOB TITLE:                                           DIVISION:                                REPORTS TO:

Director of Compliance                    Shared Services                      Chief Compliance Officer

COMPANY:

We are people who care about people. Our company has a unique history and was founded by two grandchildren of a former Department of Energy worker. Their love and determination for their grandfather to have the best quality care for the best quality of life is what drives our company to provide care for the energy worker population.

POSITION SUMMARY:
The Director of Compliance is responsible for ensuring that the organization adheres to all relevant laws, regulations, and ethical standards in the provision of home health care services. This role involves developing, implementing, and overseeing compliance policies, procedures, and programs, as well as educating staff on compliance matters. The Director of Compliance will collaborate closely with various departments to identify and mitigate compliance risks while promoting a culture of ethical behavior and accountability.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Policy Development and Implementation:
   1. Develop, update, and maintain comprehensive compliance policies and procedures that align with applicable laws and regulations.
   2. Implement and monitor compliance programs to address potential risks and ensure adherence to standards.
2. Regulatory Compliance:
   1. Stay current with federal, state, and local regulations related to home health care services.
   2. Interpret and communicate regulatory changes to relevant stakeholders, ensuring timely adjustments to policies and practices.
   3. Support operations to help them maintain ongoing compliance with regulatory and accreditation standards and to prepare, as needed, for surveys.
3. Training and Education:
   1. Develop and deliver compliance training programs for employees, management, and contractors.
   2. Promote awareness of compliance policies and best practices throughout the organization.
4. Internal Audits and Monitoring:
   1. Conduct regular internal audits to assess compliance with established policies and procedures.
   2. Identify areas of non-compliance and collaborate with relevant departments to address issues.
   3. Track, verify, and report timely corrective action for identified issues.
5. Investigations and Reporting:
   1. Lead investigations into potential compliance violations, maintaining thorough documentation and recommending corrective actions.
   2. Prepare and submit required investigation reports internally and to regulatory agencies, as necessary.
6. Risk Assessment and Management:
   1. Collaborate with cross-functional teams to identify potential compliance risks and develop strategies to mitigate them.
   2. Provide guidance on risk management strategies to protect the organization from legal and ethical pitfalls.
7. Ethics and Integrity:
   1. Foster a culture of ethical behavior, integrity, and accountability throughout the organization.
   2. Serve as a resource for employees seeking guidance on ethical dilemmas and compliance concerns.
8. Collaboration:
   1. Work closely with other departments, such as legal, human resources, and operations, to ensure a holistic approach to compliance.
9. Continuous Improvement:
   1. Monitor the effectiveness of compliance initiatives and make recommendations for improvements.
   2. Stay informed about industry best practices and incorporate them into the organization's compliance efforts.
10. Reporting
    1. Develop compliance reports, as requested, by the Chief Compliance Officer
    2. Present and review compliance reports with executive and leadership teams, as requested.
    3. Prepare and submit reports to regulatory agencies as needed.

1. Maintain confidentiality of all office and client records per HIPAA and Privacy Act regulations.
2. Perform other duties as assigned.

OTHER DUTIES AND RESPONSIBILITIES:

This position may require traveling between locations in your personal vehicle.

SUPERVISORY RESPONSIBILITY:

This position has no supervisory responsibilities.

Qualifications

PREFERRED QUALIFICATIONS:

1. Bachelor's degree in a relevant field (or equivalent experience)
2. Minimum of 2years of experience in healthcare compliance, with a focus on home health care regulations.
3. Strong knowledge of federal, state, and local regulations pertaining to home health care services.
4. Excellent communication, leadership, and interpersonal skills.
5. Experience conducting audits, investigations, and risk assessments.
6. Ability to develop and deliver effective compliance training programs.
7. Detail-oriented with strong analytical and problem-solving abilities.
8. Proficiency in using compliance management software and tools.

1. Proficiency in Microsoft Office Suite

WORK ENVIRONMENT and PHYSICAL REQUIREMENTS:

1. Ability to sit at a computer terminal for an extended period of time.
2. While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone, keyboard, reach, stoop and kneel.
3. Specific vision abilities required by this job include close vision requirements due to computer work.
4. Regular, predictable attendance is required as business demands dictate.