Compliance Consultant

PRIMARY PURPOSE

Supports the Compliance and Integrity Department with the facilitation and administration of compliance activities related to the operation of the Compliance and Integrity Program. Performs reviews research data analysis and investigations tracks and analyzes compliance activities and prepares compliance and regulatory educational materials.

Major Responsibilities

• Contributes to the development maintenance and updating of an annual compliance work plan related to Compliance Program risks.
• Conducts and/or leads Enterprise focused/systemic compliance reviews investigations and other compliance activities including design and documentation of the review/investigatory methodology.
• Assists in creating education and communication material for internal and external audiences on compliance issues.
• Performs data collection for investigations and potential compliance issues and for other compliance activities such as risk assessments surveys etc. Uses analytical review computer analytics and statistical sampling techniques to identify compliance concerns.
• Collaborates with various departments to obtain information needed in conducting reviews risk assessments and investigations and performs tracking and followup to ensure all information has been received. Prepares reports of audits reviews and investigations. Facilitates and/or assists in the design of corrective action in departments throughout the organization to promote compliant practices and processes.
• Partners with leadership to establish ongoing compliance monitoring and followup activities to ensure corrective action plans have been implemented and maintained.
• Prepares reports for operational leaders and compliance committees regarding the compliance review activities and actions taken and creates reports for regulatory agencies as directed.
• Performs research related to regulatory requirements.
• Completes special compliance related projects as needed.

MINIMUM JOB REQUIREMENTS

Education

Bachelors degree (or equivalent knowledge) in Health Care Administration Medical Coding Health Information Management or health related field

Certification / Registration / License

n/a

Work Experience

Typically requires 5 years of experience in a health care environment with knowledge of health care regulatory requirements and medical coding and billing experience

Knowledge / Skills / Abilities

• Working knowledge of compliance related regulations.
• Strong computer problemsolving and analytical skills including ability to perform data mining to identify aberrant pattens that may be indicative of compliance issues or trends.
• Highly motivated team oriented professional and trustworthy with strong skills in personal diplomacy.
• Presentation and writing skills to prepare and organize media for delivery of reports and education to physicians leadership and teammates.
• Demonstrated ability to handle sensitive communications with leadership physicians management and legal counsel.
• Strong organizational and time management skills.
• Proficiency in Microsoft Office Suite software. Demonstrated ability to prepare spreadsheets and presentation materials.

PHYSICAL REQUIREMENTS AND WORKING CONDITIONS

This position may require travel therefore will be exposed to weather and road conditions

Operates all equipment necessary to perform the job

Exposed to a normal office environment

PREFERRED JOB REQUIREMENTS

Certification / License

CCS CCSP CPC CHC or CRCR

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and wellbeing programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:

Compensation

Annual Base Pay: $83824.00$125736.00

• Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training
• Premium pay such as shift on call and more based on a teammates job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical dental vision life and Short and LongTerm Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

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DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other jobrelated instructions and perform any other jobrelated duties requested by their leaders.