Compliance Coordinator

Rochester Regional Health; City of Rochester (NY); Remote; USD 85,000 - 120,000; Full time

Job summary

Rochester Regional Health seeks a Compliance Auditor to minimize organizational risk by conducting corporate compliance audits, investigations and training across all affiliates. The role guides system administration and RGHS management to ensure adherence to laws, regulations, and contract obligations while acting as a subject-matter expert for the EMR.

The position requires professionalism, strong communication, and the ability to manage confidential information.

Qualifications

• Ensures compliance with local, state and federal laws and regulations.
• Strong governance and risk management capabilities across affiliates.
• Experience guiding physicians, staff and management in interpretation of rules.

Responsibilities

• Abides by Ethical Coding standards per AHIMA.
• Manages projects independently, prepares governmental disclosures and facilitates external audits.
• Coordinates audits to assess payer regulations and contract obligations across RGHS entities.

Skills

Ethical Coding

Project management

Analytical skills

Communication skills

Training skills

Tools

EMR Systems

Job description

Position Summary

Minimizes risk to the organization by conducting Corporate Compliance audits, investigations and training throughout all affiliates. Guides system administration and RGHS management to ensure compliance with local, state and federal laws and regulations; in addition to contract obligations. Acts as subject matter expert for building and continually optimizing the system’s EMR. Work is often confidential and sensitive; therefore requires a high level of professionalism and strong communication skills. Requires a high degree of mental and visual acuity as attention to detail, critical thinking and decision making is required. Errors greatly impact the hospital’s compliance risk, including legal fines, loss of revenue and statistics. Strong analytical skills, project management experience, and training skills to guide Physicians, staff and system Management in interpretation of rules and regulations are essential.

Position Summary

Minimizes risk to the organization by conducting Corporate Compliance audits, investigations and training throughout all affiliates. Guides system administration and RGHS management to ensure compliance with local, state and federal laws and regulations; in addition to contract obligations. Acts as subject matter expert for building and continually optimizing the system’s EMR. Work is often confidential and sensitive; therefore requires a high level of professionalism and strong communication skills. Requires a high degree of mental and visual acuity as attention to detail, critical thinking and decision making is required. Errors greatly impact the hospital’s compliance risk, including legal fines, loss of revenue and statistics. Strong analytical skills, project management experience, and training skills to guide Physicians, staff and system Management in interpretation of rules and regulations are essential.

Position Summary

Minimizes risk to the organization by conducting Corporate Compliance audits, investigations and training throughout all affiliates. Guides system administration and RGHS management to ensure compliance with local, state and federal laws and regulations; in addition to contract obligations. Acts as subject matter expert for building and continually optimizing the system’s EMR. Work is often confidential and sensitive; therefore requires a high level of professionalism and strong communication skills. Requires a high degree of mental and visual acuity as attention to detail, critical thinking and decision making is required. Errors greatly impact the hospital’s compliance risk, including legal fines, loss of revenue and statistics. Strong analytical skills, project management experience, and training skills to guide Physicians, staff and system Management in interpretation of rules and regulations are essential.

Status: Full-Time

Department: Compliance

Location: Remote

Schedule: Monday-Friday, 8:00am - 4:30pm

Key Responsibilities

• Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association.
• Manages projects independently, prepares governmental disclosures and facilitates external audits by regulatory agencies while working with RGHS Administration and Management.
• Coordinates and conducts audits to assess compliance with payer regulations and contract obligations. Audits include, but not limited to revenue cycle (Clinical documentation, EMR work flows, registration, coding, charging, billing, payments and denials), financial statements, payments and attestations; grants, RGHS employees and