Compliance Associate

St. Luke’s University Health NetworkAllentown, PA
Hybrid

About The Position

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

  • Must possess hearing, seeing, speaking and reasoning senses necessary to carry out job duties.
  • Must be able to sit for long periods throughout the day, with intermittent periods of standing, walking, bending, twisting and reaching necessary to carry out duties of job.
  • Sedentary work, with occasional lifting/carrying of objects such as office supplies, files, etc. with maximum weight of ten pounds.
  • Must be able to pay close attention to details, concentrate on work and observe work of others.
  • Two years of compliance, healthcare, auditing, and/or billing and coding experience, preferably within a complex healthcare system required
  • Experience with compliance programs, regulatory research and/or auditing is preferred
  • Certified in Healthcare Compliance (CHC) desired within 18 months of hire required

Nice To Haves

  • Bachelor’s Degree in a healthcare, business, finance or other related field 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.
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