Compliance Officer - ELP

Texas Tech University•El Paso, TX

2d•Onsite

About The Position

The Compliance Officer provides expertise in compliance oversight and testing, and promotes adherence to regulatory requirements and ethical standards related to coding, billing, electronic medical records and documentation, and patient care. The position partners with business units to identify risks and improve compliance policies and procedures; monitors regulatory sources and industry communications; maintains relationships with government agencies; and serves as a liaison during regulatory site visits. The role coordinates corrective action plans, advises executives on significant compliance matters, exercises independent judgment with minimal supervision, and investigates concerns related to patient care and billing. The Compliance Officer develops and delivers regulatory education and training to university stakeholders, communicates regulatory and industry changes, reviews and proposes revisions to compliance policies, and develops initiatives and plans for emerging requirements. The role works with clinical departments to implement CMS rules, authors policies and procedures, and monitors government publications for regulatory updates. The position is onsite at Texas Tech Health El Paso; remote and hybrid work are not available.

Requirements

Bachelor’s degree in a related field.
Certification in healthcare compliance (CHC).
Three years of experience in a compliance department.
Extensive knowledge of regulatory requirements and compliance challenges.
Extensive knowledge of CMS rules.
Thorough understanding of the dynamic healthcare regulatory and compliance environment and ability to analyze complex healthcare compliance requirements.
Proficiency in public speaking and business presentations.

Nice To Haves

Master’s degree in a related field; additional job-related education may substitute for required experience on a year-for-year basis.
Five years of job-related experience as a compliance professional.
Current Healthcare Privacy Compliance (CHPC) certification.
Prior experience conducting audits in an academic medical or health sciences center.
Prior experience conducting risk assessments.
Academic experience.
Master’s degree or JD.
State or national conference presentation experience.
Research compliance experience.
Prior clinical experience.

Responsibilities

Provide expertise in compliance oversight and testing, including adherence to regulatory requirements and ethical standards related to coding, billing, electronic medical records and documentation, and patient care.
Partner with business units to identify key risks and drive the development, documentation, and improvement or revision of compliance policies and procedures.
Identify risks using Federal and State work plans, industry communications, fraud alerts, regulatory agencies, and data mining software applications.
Maintain effective working relationships with government agencies and serve as liaison for regulatory site visits.
Coordinate implementation and compliance with corrective action plans.
Advise executives in developing functional strategies on matters of significance.
Exercise independent judgment and decision-making on complex issues and work under minimal supervision.
Research and investigate internal and external customer concerns regarding patient care and associated billing.
Conduct training and education for leadership, faculty, and staff, and communicate regulatory and industry changes.
In collaboration with or at the direction of the Vice President of Compliance, review compliance policies and procedures and propose revisions as needed.
Develop initiatives and compliance plans for emerging regulatory requirements.
Work with clinical departments to implement CMS rule requirements into their operations.
Author policies and procedures based on regulatory requirements and create and provide related education to university stakeholders.
Provide in-person and remote training sessions for university stakeholders.
Review government publications for new and changing regulatory requirements.
Demonstrate activity within professional organizations and remain current with required licensure, certifications, and mandatory training.
Adhere to institutional policies, procedures, and practices, including Regents Rules, TTUS, and HSCEP OPs.
Demonstrate Texas Tech Health El Paso’s Values and serve as a Values leader who promotes and encourages staff across the institution.
Perform other duties as assigned.