Healthcare Compliance Manager

The US Oncology Network•St. Paul, MN

21h•Onsite

About The Position

At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients.

Requirements

High School diploma or equivalent required.
Minimum seven years of related work experience in healthcare management, business/office reimbursement, compliance/regulatory affairs and/or quality improvement initiatives.
Minimum three years experience in a physician group setting required.
Thorough, in-depth understanding of HIPAA privacy and security regulations at the national and local levels, Medicare Parts A and B, CPT 4, ICD 9, and HCPCS coding, and local carrier processes and initiatives.
Certification strongly preferred.

Nice To Haves

Bachelors degree in Business Administration, Finance, Health Care Administration or related degree preferred.
Outpatient, oncology experience preferred but not required.
Prior privacy officer experience strongly preferred.
Experience with risk, safety, or quality management a plus.

Responsibilities

Coordinates, executes, and oversees the implementation and monitoring of the US Oncology (USON) Compliance/HIPAA program at the practice level.
Assists in the development, implementation, and monitoring of USON policies and procedures as it relates to compliance/HIPAA.
Serves as the Privacy Officer at the practice level.
Modifies procedures to meet state specific rules and regulations as well as makes necessary modifications to closely align the USON policies and procedures with the individual field group or site practice policies and procedures.
Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Oversees the monitoring and implementation of the Code of Ethics and Business Standards at the practice level as it relates to policies, procedures and regulations.
Creates and maintains practice-level compliance and regulatory policies and procedures.
Performs risk assessments and risk management activities, monitors physician and employee compliance accountability.
Facilitates internal compliance audits and oversees external audit procedure.
Oversees training of providers and clinical staff in correct medical coding procedures as outlined by federal and state reimbursement guidelines.
Responsible for hiring, training, and supervising qualified staff members.
Responsible for reporting/tracking possible privacy violations and working with site/area management to develop correction action plans if appropriate.
Responsible for understanding and acting on all HIPAA and healthcare compliance-related changes.
Acts as the Privacy Officer for the practice and leads the Compliance committee.
Responsible for auditing documents to ensure that billed services were documented as provided and that the documentation itself meets the guidelines as outlined by federal and state regulations.
Identifies potential areas of compliance vulnerability and risk and provides guidance to practice leadership.
Responsible for notification to senior management of current compliance initiatives, implementation activities, and requests for policy changes.
Trains (initial and recurring) of all employees to ensure understanding and adherence to HIPAA privacy regulations. Assists with field training as needed during initial training phase.

Benefits

Medical
Dental
Vision
Life Insurance
Generous Paid Time Off (PTO)
Free Short-term and Long-term Disability Coverage
401k plan with company contribution
Wellness program that rewards you practicing a healthy lifestyle
Tuition Reimbursement
Employee Assistance Program and Discount Program to some of your favorite retailers
Free Parking
Career Growth and Development
Supportive Team and Resources