Regional Compliance Consultant

Billings Clinic•Billings, MT

5d•Onsite

About The Position

The Regional Compliance Consultant serves as the primary point of contact for compliance consulting activities for Billings Clinic affiliates in assigned compliance areas, which may include auditing, monitoring, patient privacy, information security, billing, coding, research, policy and procedure oversight, and the overall compliance program. The consultant researches applicable regulations, laws, and guidelines; implements compliance plans; develops policies and training; and conducts audits, training, and orientation. The role works closely with regional Compliance Officers, Privacy Officers, and Information Security Officers to support adherence to compliance guidelines and identify and address high-risk areas. The consultant is accountable for the quality of services and compliance deliverables under the Managed Services Agreement. The role supports affiliate compliance programs through policy guidance, risk identification, corrective action planning, committee participation, audit planning and coordination, investigations, reporting, and education. It also manages compliance-related projects and documentation, supports external audits and investigations, tracks complaints and follow-up, and helps improve regional compliance consulting services. The consultant serves as a technology resource for compliance information systems, coordinating with affiliates and software vendors to plan, implement, evaluate, and support software solutions. This is a full-time, exempt day-shift position based at the Billings Clinic Main Campus. The listed starting wage is $33.66–$42.07, depending on experience (DOE).

Requirements

Bachelor’s degree.
Three years of successful compliance-related work experience.
Nationally recognized certification in a related field (for example, CHC, RHIA, RHIT, or CHPC) within two years of hire, or an equivalent combination of education and experience relating to the role’s tasks, knowledge, skills, and abilities.
Any required license or certification must be current and in good standing.

Nice To Haves

One year of experience specific to Billings Clinic.

Responsibilities

Support and model behaviors consistent with the mission and philosophy of Billings Clinic and the elements of its Compliance Program.
Participate in developing, maintaining, communicating, interpreting, educating on, and overseeing policies, procedures, and protocols; provide guidance on policy compliance.
Serve as an advocate and resource for regional affiliates, assess compliance program concerns with leadership, and assist with operational issues and recommendations.
Participate in developing, implementing, reviewing, and evaluating affiliate compliance programs and initiatives to identify risks and address corrective actions.
Communicate compliance reporting systems, concerns, questions, metrics, issues, and developments to assigned areas and regional leadership and committees.
Provide consulting support for affiliate audit planning and enterprise risk management; monitor compliance program effectiveness and internal controls.
Arrange and coordinate internal audits; document findings, conclusions, recommendations, corrective actions, and areas of risk; report results to regional leadership and the Compliance Officer.
Ensure identified instances of non-compliance are investigated and corrective action plans are developed and carried out by affiliate compliance professionals; report non-compliance to regional operations leadership.
Manage projects to deliver compliance work within established timeframes and budgets, and contribute to continual improvement of regional compliance consulting services.
Document consulting efforts and progress, including processes intended to improve service quality and reduce vulnerability to illegal, unethical, or improper conduct, fraud, abuse, and waste.
Collaborate with regional teams and affiliate partners to ensure allegations of non-compliance are investigated and addressed promptly; act as a resource and liaison for external audits, reviews, and investigations.
Work with regional leadership, the Chief Compliance Officer, and Legal Counsel on reporting non-compliance to external agencies or regulatory entities when appropriate.
Coordinate with regional and affiliate Human Resources on ethical workforce standards, including minimum standards for background and reference checks; support responses to non-compliant behavior.
Maintain knowledge of compliance issues, laws, regulations, and trends; participate in developing and coordinating compliance education and training and in assessing training needs.
Establish and administer processes to document and track complaints, actions taken, and follow-up; use technology and efficient workflows for documentation.
Serve as the primary technology resource for compliance information systems, including Compliance 360 modules, Protenus, and PolicyStat; coordinate software planning, implementation, evaluation, and support with affiliates and vendors.
Research and resolve compliance information system functionality or integration problems; recommend enhancements and coordinate implementation of vendor fixes.
Use performance improvement principles and operational excellence tools to assess and improve quality in assigned areas.
Maintain professional knowledge and an outside network of colleagues; meet mandatory organizational, departmental, environmental, employee, and patient safety requirements.
Perform other duties or special projects as assigned or needed.