Compliance and Integrity Manager - Integrity & Compliance - FT - Day

stormontvail; Topeka (KS); On-site; USD 90,000 - 130,000; Full time

Job summary

Stormont Vail Health in Topeka, KS is seeking a Manager of Integrity and Compliance to lead the enterprise-wide compliance program. You will design, implement, and govern policies, procedures, and training across the organization to assure regulatory adherence and reduce risk.

The role partners with executives and operational leaders to sustain a culture of compliance and ethical practice. The position requires directing program initiatives, monitoring performance, and guiding dozens of

Qualifications

• 3 years healthcare compliance experience required.
• 2 years experience with incident/investigation required.
• Audits/quality control in compliance environment preferred.
• HIPAA, False Claims Act, Stark laws familiarity preferred.

Responsibilities

• Develop, implement, and maintain corporate compliance policies across Stormont Vail Health.
• Orient and train leaders to ensure compliance with policies and applicable laws.
• Supervise training on CMS billing/coding, Stark, Anti-kickback, HIPAA and related laws.
• Review investigations of non-compliance and implement corrective actions.
• Design and implement compliance programs and education initiatives.
• Develop and manage program budgets for cost-efficient operation.
• Monitor program performance indicators and prepare reports.
• Ensure audits and assessments maintain compliance with federal and state rules.

Skills

Regulatory knowledge

Team player

Attention to detail

Education

Bachelor's degree in business or related field

Job description

Position Status

Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Exempt

A Brief Overview

The Manager, Integrity and Compliance has responsibility for the daily direction, development, technical and operational leadership of programs within Stormont Vail Health's Compliance and Integrity program across the enterprise. The Manager will lead the organization's Integrity and Compliance Program including the design, development and implementation of initiatives, strategies and procedures to assure regulatory compliance, operational efficiency, cost effectiveness and reduction of risk. Additionally, the Manager will develop, implement and manage policies, processes, procedures and educational programs to drive overall compliance with applicable laws, regulations, rules and accreditation requirements, including but not limited to coding, billing and medical record documentation, code of conduct and ethics. This position will partner with subject matter experts and operational leadership to ensure a shared understanding of and consistent compliance with rules, regulations, policies and practices that apply to employees across the organization, as well as effective implementation of SVH's policies, procedures and strategies to strengthen and provide corporate compliance. The Manager assists the leaders of assigned areas with oversight of the organization's Program. The Manager is expected to function through an objective process of monitoring, reviewing, and evaluating compliance issues/concerns as well as developing and implementing the necessary procedures for preventing them. The Manager also indirectly assists and guides dozens of directors and managers in their roles in support of the Program. By serving as an independent and objective agent to these individuals, the Manager is able to monitor, review, evaluate, and resolve compliance questions and concerns and address applicable rules and regulations. The Manager regularly reports to the Stormont-Vail HealthCare, Inc. leaders as well as other system-wide councils, committees or governing bodies as necessary.

Education Qualifications

Bachelor's Degree Business Administration, Business Law or related field. Required

Experience Qualifications

• 3 years Healthcare experience as a compliance officer, manager or related position. Required
• 2 years Experience with incident or event investigation. Required
• Experience with audits/quality control in a compliance, coding and billing environment. Preferred
• Management experience specific to compliance programs, billing and coding auditing, HIPAA, False Claims Act, Stark laws, etc. Preferred

Skills and Abilities

• Knowledge of state and federal regulatory requirements, laws and concepts, and OIG-DHHS seven elements for an effective compliance program. (Required proficiency)
• Goal-oriented, organized team player. (Required proficiency)
• Accurate and precise attention to detail. (Required proficiency)

Licenses and Certifications

Drivers License - DMV Current Valid Driver's License and Clean MVR with 3-year baseline and annual MVR review. Required

What you will do

• Develop, implement and maintain corporate compliance policies and practices used across Stormont Vail Health. Orient and train leaders to assure compliance with Stormont Vail Health's policies and procedures related to the compliance program and applicable law, rules, regulations and policies to promote a culture of compliance.
• Supervise compliance training in laws such as CMS billing and coding requirements, Stark, Anti-kickback, HIPAA, and related state laws to inform employees of the applicable ethical and legal standards. Assist HIPAA Privacy Officer in carrying out their responsibilities.
• Review and investigate allegations of non-compliance and violations of laws, regulations, rules and policies and implement corrective actions as warranted and necessary.
• Define, design and implement policies, processes and educational programs, as well as partner in collaborative projects to propose, design and implement solutions/programs/protocols aimed at maintaining and promoting a culture of compliance and integrity.
• Develop, implement and manage program budget(s) to support effective financial planning, expense management and cost efficient program management.
• Monitor and take steps to assure the cost effective management of the compliance program providing oversight and direction to team members, conducting program assessments, monitoring program performance indicators and results.
• Prepare, analyze and distribute performance data and reports related to performance of internal program operations against industry benchmarks, comparative data and established performance targets; develop and implement plans of correction or improvement in order to address findings.
• Ensure that compliance audits, reviews and assessments are conducted to maintain compliance with federal, stat