Compliance Liaison Specialist

Corewell HealthSouthfield, MI
8dOnsite

About The Position

Responsible for creating, facilitating, and maintaining positive relationships between client groups and the Compliance department to support and sustain an effective compliance program. With oversight, acts as a resource to leaders/team members regarding policy and regulatory issues, monitoring and auditing activities, corrective action guidance, and education assistance. Educates team members and leadership regarding regulatory and policy changes. Provides ongoing consultations to support leaders with day-to-day compliance. With oversight, facilitates projects and collaboration with additional compliance functional areas as needed.

Requirements

  • Bachelor's Degree or equivalent in business, health care operations, nursing or other related area, or equivalent combination of education and experience
  • 2 years of relevant skills, knowledge, abilities in health care operations and/or compliance experience desired

Nice To Haves

  • Education of clinical and non-clinical staff including Medical Staff and mid-level providers
  • Conducting investigations, performing interviews and summarizing results and findings
  • CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association within 1 year after hire
  • Or CRT-Professional Coder - AAPC American Academy of Professional Coders within 1 year after hire
  • Or CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association within 1 year after hire
  • Or CRT-Fraud Examiner (CFE) - ACFE Association of Certified Fraud Examiners within 1 year after hire
  • Or CRT-Internal Auditor, Certified (CIA) - IIA Institute of Internal Auditors within 1 year after hire
  • Or CRT-IRB Professional, Certified (CIP) - within 1 year after hire
  • Or CRT-Healthcare Privacy Compliance, Certified (CHPC) - within 1 year after hire
  • Or CRT-Healthcare Research Compliance, Certified (CHRC) - CCB Compliance Certified Board SHHG Org Integrity and Compliance within 1 year after hire
  • Or CRT-Healthcare Research Compliance, Certified (CHRC) - HCCA Health Care Compliance Association SHHG Org Integrity and Compliance within 1 year after hire

Responsibilities

  • Establishes and maintains effective, collaborative working relationships with delegated client groups including but not limited to team members, leaders, and executives.
  • Provides exceptional customer service; facilitates effective communications to promote team member and leadership engagement.
  • With oversight, deploys systematic processes and partners with the Compliance Centers of Expertise (COEs) as needed in the development and deployment of projects and initiatives.
  • Collaborates with leaders in building a strong culture of accountability; works with leaders to resolve more routine situations and provides recommendations to leadership for appropriate follow up action.
  • Collaborates with the Compliance COEs as needed to ensure consistency in daily practice.
  • Coordinates, advises, and partners with organizational departments on matters relating to various regulatory agency compliance initiatives and regulations.
  • Conducts or supports audits and investigations of compliance help line calls, privacy incidents, employee complaints, or other compliance contacts or reports; performs necessary research, documents findings, and follows up with applicable parties through complete resolution.
  • Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and correct non-compliance, illegal activities, and potential or actual fraud, waste, or abuse.
  • From time to time, performs investigations at the direction of legal counsel following appropriate attorney-client privilege guidelines.
  • Maintains knowledge of laws and regulations impacting health care delivery and coverage. Applies laws and regulations in daily situations while educating others through various means including formal training.
  • Performs related assessments to assure compliance.
  • Performs or supports the performance of related assessments to assure compliance to laws, regulations and policies and procedures.
  • Provides support to operational compliance committees.
  • Works with operational leaders and Compliance COEs to develop and monitor internal controls including corrective action in response to investigations and audits to detect and/or prevent illegal, unethical, or improper conduct by team members, agents, affiliated providers, or others within the health system.

Benefits

  • Comprehensive benefits package to meet your financial, health, and work/life balance goals.
  • Learn more here .
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance, pet insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status
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