Compliance Specialist-Corporate Compliance

University of Maryland Faculty Physicians • Baltimore, MD

7d

About The Position

The Compliance Specialist, working under the direction of the Associate Director of Regulatory Compliance, performs activities in support of the integration of the Compliance Program throughout the organization. This individual supports the department’s initiatives to raise awareness about the organization’s Compliance Program through the application of core compliance elements including but not limited to; education and training, detecting and preventing potential compliance violations, investigating reported concerns, evaluating conflict of interest, ongoing review and interpretation of laws and regulations, developing policy and procedures. In addition, the collaboration with legal counsel, providers and practice association representatives will be essential to the success of the compliance program initiatives. ESSENTIAL FUNCTIONS Remains informed of new and/or revised laws and regulations to determine necessary changes in policies and procedures, and organizational processes. Develops compliance education and training materials. Manages training content, methods and materials for effectiveness and modifies, as necessary. Conducts periodic analysis of training test result data to identify areas of weakness in compliance awareness. Ensures required training is completed timely and satisfactorily for staff and Participates in the bi-weekly new employee orientation. Presenting information on the fundamentals of healthcare compliance to newly hired employees. Develops and implements effective policies and procedures, and best practice guidelines designed to address operational processes in compliance with applicable laws and regulations. Periodic review of the organization’s Compliance Plan in light of changes in laws and regulations in the health care compliance industry and revises, as necessary. Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties as assigned. Specific duties and responsibilities may vary based upon departmental needs.

Requirements

• Bachelor's degree in healthcare related field; or equivalent education and work experience may be considered
• Minimum of 3/5 years of related work experience in healthcare compliance, regulatory affairs and/or legal affairs, internal audit, coding, and billing.
• Must have CPC or CCS-P coding certification
• Experience with review and interpretation of healthcare federal and state laws and regulations.

Nice To Haves

• Prefer experience within a compliance department supporting a multi-physician group practice plan in an academic medical center setting
• Certificate in Healthcare Compliance strongly preferred.
• Certification in Healthcare Compliance (CHC) must be attained within first year of employment

Responsibilities

• Remains informed of new and/or revised laws and regulations to determine necessary changes in policies and procedures, and organizational processes.
• Develops compliance education and training materials.
• Manages training content, methods and materials for effectiveness and modifies, as necessary.
• Conducts periodic analysis of training test result data to identify areas of weakness in compliance awareness.
• Ensures required training is completed timely and satisfactorily for staff and Participates in the bi-weekly new employee orientation.
• Presenting information on the fundamentals of healthcare compliance to newly hired employees.
• Develops and implements effective policies and procedures, and best practice guidelines designed to address operational processes in compliance with applicable laws and regulations.
• Periodic review of the organization’s Compliance Plan in light of changes in laws and regulations in the health care compliance industry and revises, as necessary.
• Prepares agenda topics and presents information on regulatory and healthcare compliance updates to the compliance liaisons quarterly.

Benefits

• University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://www.umfpi.org/jobs/summary-employee-benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees