AVP, Compliance

Full Time
Valhalla, NY
Posted
Job description

Job Details:

Job Summary:

The Assistant Vice President, Compliance reports to the Compliance Officer and is responsible for assisting in the implementation of the elements of the Compliance Program by providing oversight and monitoring of matters relating to statutory and regulatory compliance requirements. This position promotes communication and guidance to Administration regarding compliance matters, provides assistance and training to hospital staff regarding the objectives of the Compliance Program, and provides support in day-to-day operations for the network.

Responsibilities:

· Communicates with and provides guidance to senior management regarding compliance matters; Provides regular updates to Compliance Officer regarding compliance matters. · Reviews to Compliance and HIPAA policies and suggests appropriate revisions. · Prepares annual revisions of the Compliance Manual and Code of Conduct. · Reviews proposed and new legislation and regulations and reports findings and suggestions to Compliance Officer. · Provides compliance education and training for new employees and new residents. · Provides mandatory annual staff education and periodic staff in-service trainings. · Prepares training materials and learning packets for the Compliance Program. · Responds to staff questions concerning regulatory compliance requirements. · Assists with the revision and/or development of policies and procedures relating to compliance issues. · Responds to allegations of violations of HIPAA privacy regulations, including conducting appropriate investigations and completing summary reports. · Investigates allegations of compliance violations, prepares necessary reports, and maintains required investigation logs. · Assists in the supervision of the investigational activities of federal, state and local enforcement authorities. · Oversees staff in daily preparation of reports and data relating to compliance activities. · Monitors and responds to Compliance Helpline operations. · Collaborates with General Counsel, Risk Management, Internal Audit, as necessary, regarding compliance issues. · Participates in the drafting, negotiating and revision of hospital contracts in accordance with legal concepts and insurance and risk management requirements, as necessary. · May participate in the development and implementation of hospital strategic goals. · Oversees compliance auditing for acute care hospitals and physician practices. Qualifications/Requirements:

Experience:

Five years of experience in a hospital or health care organization where the primary function of the position was compliance or regulatory management, required. Two plus years of experience in Medical Records or HIM (Health Information Management), required.

Education:

Bachelor's Degree required

Licenses / Certifications:

Certificiation in Healthcare Compliance (CHC), must be completed within 90 days of hire. Certification in Healthcare Privacy Compliance (CHPC), preferred

About Us:

NorthEast Provider Solutions Inc.

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