Compliance Manager

Care Synergy•Denver, CO

1d•$95,908 - $108,472•Onsite

About The Position

Join Care Synergy and be part of a mission driven organization dedicated to supporting, sustaining, empowering, and growing nonprofit healthcare organizations serving communities across Colorado. Care Synergy brings together seven Affiliates and multiple healthcare service lines, creating a collaborative enterprise where shared expertise and resources strengthen the organizations providing care in our communities. This role offers the opportunity to make an impact across a complex healthcare organization while helping our Affiliates maintain strong compliance, documentation, and health information management practices. Care Synergy has an immediate opening for a Compliance Manager.

Requirements

Associate or bachelor’s degree in Health Information Management (HIM) or a related healthcare field.
Five to seven years of management or supervisory experience in a clinical or hospital setting.
Experience with healthcare regulatory compliance, documentation auditing, survey readiness, or reimbursement related record review.
Hospice experience is strongly preferred. Experience in home health or the Program of All Inclusive Care for the Elderly (PACE) is also valuable.
Working knowledge of CMS requirements and healthcare regulatory standards applicable to assigned service lines.
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification preferred.
Valid Colorado driver’s license and proof of automobile insurance in accordance with applicable state requirements.

Nice To Haves

Commitment to the mission and values of Care Synergy and its Affiliates.
Ability to lead a complex health information management function across multiple organizations and healthcare service lines.
Strong working knowledge of hospice regulatory requirements, including CMS Conditions of Participation, clinical documentation requirements, and healthcare reimbursement compliance.
Strong knowledge of health information management practices, patient rights, privacy requirements, documentation standards, and applicable federal and state healthcare regulations.
Ability to assess documentation and operational practices, identify compliance risk, recognize trends, and work collaboratively with leaders to develop practical solutions.
Strong organizational and interpersonal skills with the ability to build effective working relationships across clinical, medical, operational, quality, compliance, finance, and leadership teams.
Ability to communicate complex regulatory and HIM requirements clearly and effectively, both verbally and in writing.
Strong attention to detail with the ability to balance Enterprise standards with Affiliate and service line needs.
Sound critical thinking, judgment, and problem-solving skills with the ability to appropriately escalate significant compliance concerns.
Ability to lead through regulatory, operational, and organizational change.
Demonstrated ability to maintain confidentiality of protected health information (PHI) and appropriate professional boundaries.
Knowledge of medical terminology and proficiency with health information systems and computer applications.
Commitment to ongoing professional development and continuing education.

Responsibilities

Leads the HIM function, establishing consistent health information management practices across Care Synergy and its Affiliates.
Supports hospice compliance by monitoring and interpreting federal and state requirements, CMS Conditions of Participation, and other requirements affecting operations, documentation, and reimbursement.
Partners with Affiliate leaders and Finance to identify HIM, documentation, regulatory, and performance improvement needs and resolve health information systems, workflow, transcription, and data flow issues.
Manages and develops HIM team members, including training, daily operations, work assignments, performance expectations, and budget adherence.
Oversees patient information and data flow across clinical, admissions, finance, and other functions, ensuring timely and effective documentation and processing.
Monitors hospice documentation requirements, including eligibility, certifications and recertifications, plans of care, physician orders, and required signatures, partnering with clinical and medical leadership to address gaps.
Participates in Quality Assessment and Performance Improvement (QAPI) initiatives, clinical record and utilization reviews, and other committees as required.
Develops and oversees auditing and monitoring activities to identify documentation, regulatory, reimbursement, and process risks. Tracks trends, escalates material concerns, and partners with leaders on corrective action and improvement.
Oversees the compilation, analysis, and reporting of health information data and statistical information requested by management, regulatory agencies, and external organizations reviewing records for audit or reimbursement purposes, including Additional Documentation Requests (ADRs) and Centers for Medicare & Medicaid Services (CMS) requirements.
Monitors regulatory and CMS guidance changes and partners with Compliance, Quality, clinical, and operational leaders to assess impact and support required changes.
Adheres to HIPAA requirements: patient record privacy, release of information, storage, retrieval, retention, destruction, disclosure, and security practices.
Establishes documented process standards and provides training and guidance to team members and leaders on HIM, privacy, and applicable regulatory requirements.
Oversees timely and appropriate coding and partners with operational leaders to address outstanding orders and documentation deficiencies that may affect compliance or reimbursement.
Develops and maintains HIM and applicable compliance policies, procedures, standards, and workflows supporting hospice, home health, PACE, and other service lines.
Identifies opportunities to strengthen and standardize HIM and compliance practices across Affiliates while accounting for service line specific requirements.
Serves as a resource to leaders and team members on HIM, documentation, privacy, and assigned compliance matters, escalating complex clinical, legal, or regulatory issues as appropriate.
Performs other duties and responsibilities as assigned.

Benefits

Employer pays over 90% of employee medical premium in some plans
Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
Extensive Paid Time Off (PTO/Vacation Pay): 17 days in the first year for FT team members
Seven Paid Holidays with an additional Floating Holiday
403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
Company-Paid Life and AD&D Insurance
Career & Logo wear
Education Reimbursement Program
Clinical Career Ladders
Certification Pay
Generous Discover-a-Star Team Member Referral Program
Team Member Service Awards
Early Wage Access
Legal and Identity Protection
Robust Leadership Development Training Programs