Compliance Associate

Nationwide Children's Hospital•Columbus, OH

1d•Onsite

About The Position

Assists with the implementation, continued operation, and maintenance of the Corporate Integrity Program. Oversees the organization’s compliance plan, Code of Conduct, the Compliance Hotline and other reporting mechanisms. Manages the conflict-of-interest processes and system, key policies and procedures, compliance education, and investigations.

Requirements

Juris Doctorate, required.
One year of experience in a compliance, regulatory, or legal field, required.

Nice To Haves

Healthcare compliance certification, preferred.
Experience with electronic medical records, Internal Classification of Diseases (ICD 10), HCPCS, CPT coding principles and guidelines, preferred.

Responsibilities

Assists with the maintenance, monitoring, and enforcement of the Standards of Conduct and Corporate Integrity Program.
Assists ACO and Senior Compliance Associate(s) on compliance program effectiveness initiatives.
Assists with the development, implementation, and communication of policies and procedures, changes to policy, regulations, and guidelines, and participates in development and presentation of educational materials for key topics.
Assists with maintaining channels for reporting compliance concerns, conducting investigations, and monitoring for follow up and recommendations.
Analyzes compliance concerns, questions, complaints from internal customers.
Assists ACO and Senior Compliance Associate with resolution of more complex inquiries.
Serves on key committees throughout organization in need of compliance oversight, provides guidance on potential compliance concerns, and serves as a liaison to depts with compliance related responsibilities.
Establishes and maintains working relationships with key individuals and depts.
Develops working knowledge of compliance aspects and attends appropriate educational opportunities to maintain knowledge of relevant compliance topics.
Monitors and reviews change to regulations, statutes, and governmental guidance for potential impact to organization.
Assists in maintenance of revenue cycle controls and processes to ensure appropriate billing and payment.
Assists with ensuring the timely refund of necessary paybacks.
Works with the COI Administrator to support the effective and efficient operation of the COI program including review of disclosures, investigating, and reviewing conflict concerns, and developing conflict management plans.