Regional Compliance Director - (Butler and Clarion PA)

WVU Medicine•Wheeling, IL

3d•Onsite

About The Position

Responsible for planning and directing the implementation of the WV University Health System (WUVHS) compliance strategy at designated facilities or a designated region. Responsible for oversight and management of a moderate sized hospital ‘system’ that includes greater than three legal entities. This oversight includes implementing the corporate code of conduct, corporate policies, corporate policies/procedures to prevent, detect, and correct violations of laws, rules, regulations, or contractual obligations, by employees, officers, or other agents of each department, within the organization. Ensures that the entities and the region under their specific oversight maintain ongoing compliance with federal and state government rules and regulations in addition to WVUHS policies and procedures. May manage central personnel for work plan completion at other sites at the request of the Chief Compliance Officer. May supervise an individual or small team. May be assigned to coordinate activities for and/or mentor one or more local compliance directors.

Requirements

Bachelor’s degree in healthcare administration, business administration, or related field AND successful completion of CHC (Certified in Healthcare Compliance).
Associates Degree in healthcare administration, business administration, or related field; 4 years of compliance related experience AND successful completion of CHC (Certified in Healthcare Compliance) certification within one (1) year of hire date.
Seven (7) years of experience in a healthcare organization including compliance, coding, and/or billing/revenue cycle knowledge.
Four (4) years of experience in health care management position.
Excellent organizational and time management skills.
Outstanding verbal and written communication skills.
Ability to utilize electronic medical record and billing systems.

Nice To Haves

CPC, COC certification through AAPC; RHIT or CCS-P certification through AHIMA.
CHC certification through Health Care Compliance Association.
Two (2) years supervisory experience
Excellent presentation skills preferred.

Responsibilities

Responsible for oversight and management of individual facilities and/or a region as assigned to ensure overall compliance requirements and standards are upheld for his/her areas of assignment and under his/her compliance umbrella and for whom he/she has overall compliance responsibility.
At the request of the Chief Compliance Officer this individual may also manage central personnel or functions at other system sites in order to achieve enterprise-wide goals and initiatives.
Implements system level corporate code of conduct, policies, and procedures to prevent, detect, and correct violations of laws, rules, regulations, or contractual obligations, by employees, officers, and other agents within WVUHS.
Develops, maintains and supports the implementation of all ongoing efforts of the Compliance Program by serving on committees, promoting compliance awareness, and supporting the compliance hotline process.
Conducts an annual risk assessment and based on the results and risk factors, develops a local annual work plan and contributes to the development of the system level internal audit and compliance work plans. Constantly evaluates work plans and makes revisions as needed as determined by the industry and/or internal needs.
Coordinates the process of auditing and monitoring associated with the compliance work plan. Presents completed reports to the respective management team and monitors associated corrective action plans.
Coordinates initial and ongoing compliance training (code of conduct, fraud, waste and abuse, conflict of interest, etc.) and educational efforts on compliance for all levels of the organization, including the Board of Trustees, executives, managers, employees and professional staff.
Develops and maintains a routine reporting process to the Board of Directors, Compliance Committee, and senior leadership with timely and relevant information on the status of programs, internal audits, and periodic risk assessments on compliance issues.
Coordinates and provides assistance to the WVUHS Chief Compliance Officer in compliance matters. Upon request of WVUHS Chief Compliance Officer, shall do the following, act as coordinator with any outside counsel in regard to any compliance issues and review any contracts regarding compliance.
Pursues education and training opportunities to assure compliance with current laws, rules and regulations by participating in professional education activities, obtaining and maintaining relevant certifications, and networking with industry peers.
May coordinate activities with external auditors at the request of the CCO.
May be responsible for developing and maintaining budgetary activities for specific areas of oversight.
Responsible for completion of employee evaluations, development plans, maintenance of personnel files, etc.