Compliance Officer, Vanderbilt University Hospital

Vanderbilt University Medical Center•Nashville, TN

1d•Onsite

About The Position

Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, is a global crossroads of teaching, discovery, and patient care. VUMC is committed to an environment where individuals can thrive, their expertise is valued, knowledge expanded, and abilities challenged. The mission of Vanderbilt is to advance health and wellness through preeminent programs in patient care, education, and research. The Compliance Officer works directly with Medical Center assigned entity leadership teams to prevent and detect potential regulatory compliance problems. This role partners with leadership to increase overall efficiency and effectiveness of clinical, financial, and administrative operations. The Compliance Officer is responsible for the oversight of and guidance related to federal and state regulatory and payment requirements, as well as private contracting issues relevant to the prevention and/or detection of fraud, waste, and abuse by the assigned entity and its employees and agents.

Requirements

Relevant Work Experience: 5 years
Education: Master's

Responsibilities

Represent the compliance function in advice to Medical Center leadership and process improvement analysis
Maintain extensive and current knowledge of health care compliance in the areas of Medical Center contracting, processes, systems, documentation and billing
Coordinate groups and functions to develop and maintain effective and clear policy and procedure applicable throughout the entity assigned
Review and recommend controls and processes implemented by employees and systems to verify appropriate operations
Lead investigations into allegations of errors or process improprieties within the entity
Serve as a liaison between external regulatory auditors and reviewers and the assigned entity
Facilitate communication between the assigned entity employees and other functions of OCCI, such as education and auditing & monitoring, to minimize regulatory risk and maximize clinical, financial and administrative efficiency