Compliance Associate

St. Luke's University Health Network • Allentown, PA

10d • Hybrid

About The Position

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Network Compliance Department audits, investigates and educates about compliance related matters that include a) billing and documentation requirements, b) physician and vendor relationships and c) regulatory compliance policies and regulations. The Compliance Associate is a valuable member of the compliance team who will grow personally and professionally in our multifaceted department. The ideal candidate will have strong organizational, time management, critical thinking and problem-solving skills to manage a variety of projects in a fast-paced environment.
The Compliance Associate assists with supporting all seven elements of an effective compliance program, as defined by the Office of Inspector General (OIG), to provide a comprehensive, effective and efficient compliance program for St. Luke’s University Health Network. The Compliance Associate will also become a compliance resource and will assist the department in promoting St. Luke’s Code of Conduct and raising awareness regarding standards for ethical behavior.

Requirements

• Two years of compliance, healthcare, auditing, and/or billing and coding experience, preferably within a complex healthcare system required
• Certified in Healthcare Compliance (CHC) desired within 18 months of hire required

Nice To Haves

• Experience with compliance programs, regulatory research and/or auditing is preferred

Responsibilities

• Serve as a member of the compliance committee, create and contribute to meeting materials (e.g., handouts, graphs, minutes, etc.) and participate in compliance subcommittee meetings.
• Conduct investigations of alleged compliance incidents, develop corrective action plans for the resolution of problematic issues and track, monitor and report on all investigation outcomes.
• Research, audit and/or analyze complex data, evaluate the information, draw logical conclusions, demonstrate financial acumen and create proposed solutions to root cause issues.
• Assist with the research, investigation, auditing, review and analysis of general compliance, billing, HIPAA Privacy and other matters to ensure compliance with governmental regulations and internal policies.
• Contribute to department initiatives, such as managing the completion status of training initiatives (e.g., annual compliance training, new hire compliance training, etc.), monitoring and sharing regulatory changes, updating the compliance work plan, creating quarterly newsletter content and engaging employees during Corporate Compliance & Ethics week.
• Create technical and creative content that contributes to the department’s multifaceted educational and training program that focuses on the elements of the Compliance Program, as well as assist in ensuring that all appropriate business partners, employees and management are knowledgeable of, and comply with, pertinent federal and state standards.
• In coordination with the Network Director, Compliance, assist to enforce compliance standards through disciplinary processes and ensure that disciplinary actions for compliance matters are consistent across St. Luke’s.
• Support an effective compliance communication program for the organization, including promoting: (a) available resources for reporting compliance concerns, (b) use of the compliance hotline, (c) heightened awareness of St. Luke’s Code of Conduct and (d) understanding of new and existing compliance matters and related policies and procedures.
• Assist with the development, maintenance, and revision of policies, procedures and practices for the general compliance and operations of St. Luke’s and its related activities to prevent illegal, unethical, or improper conduct.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level