Implement the AdventHealth Corporate Responsibility Program for the designated entities, with oversight from, and reporting to, the Corporate Office.
Lead the day-to-day operations of the corporate responsibility function for the designated entities, including the handling of compliance and privacy matters, and providing oversight of the regional Corporate Responsibility program and its team members and affiliates.
Serve as chairperson for the Regional Corporate Responsibility Steering Committee(s) for the assigned designated entities.
Participate in regular update meetings with, and communicate on, corporate responsibility matters to regional senior and corporate office leadership.
Provide and/or implement training and education on company policies and requisite regulatory compliance matters to ensure consistency across the region and adherence to all state and federal laws.
Conduct on-going risk assessment and monitoring of regional activities to identify and address regulatory risks in the areas of healthcare compliance and privacy.
Investigate and respond to identified and/or reported areas of concern including issues reported via the corporate responsibility hotline related.
Serve as a subject matter expert supporting staff and leaders on areas of regulatory healthcare compliance including, but not limited to: general compliance, privacy, conflicts of interest, physician contracting, billing/coding, and regulatory matters.
Implement the AdventHealth Corporate Responsibility Monitoring & Auditing Plan for the assigned region and coordinate submission of information to the Corporate Office.
Facilitate other internal and external audits which may be needed and coordinate with AdventHealth Corporate Responsibility corporate office.
Implement and oversee corrective actions when necessary for mitigation of risk in the assigned Region.
Participate in the AdventHealth contract review process and provide corporate responsibility review for regional contracts when applicable.
Participate in regular meetings with the Corporate Responsibility department and corporate offices.
Present to regional designated entity(s) boards of directors on corporate responsibility education and activities.
Attend local leadership meetings within the region.
Provide oversight, leadership, and mentoring of Corporate Responsibility staff/team members if assigned to designated entities.
Other responsibilities as assigned.
What You Will Need:
Bachelor’s degree in relevant field
Minimum five years health care compliance experience.
Certification in Health Care Compliance or certification eligible, and certification obtained within first year
KNOWLEDGE AND SKILLS REQUIRED:
Strong working knowledge of compliance and healthcare software/technologies including compliance and ethics report tools, privacy monitoring software, conflict of interest tools and electronic medical records.
Strong oral and written communication skills.
Strong knowledge of healthcare compliance and regulations including: the Office of Inspector General (OIG) Compliance Guidance, the Federal False Claims Act, the Federal Anti-kickback Statute, Stark Law and HIPAA.
Knowledge of Medicare and third-party payer coding and billing regulations.
Strong working knowledge and experience using word and excel platforms.
Strong ability to assess, interpret and report data.
Basic database management and administration, such as excel.
Organizational and planning skills as well as the ability to handle multiple tasks simultaneously
Ability to operate successfully in a constantly changing, fast-paced environment
Ability to maintain a high level of confidentiality.
The Regional Corporate Responsibility Officer is responsible for the day-to-day operations of the corporate responsibility compliance functions and implementing the AdventHealth Corporate Responsibility Program (Program), for the designated hospitals. Job responsibilities include oversight and implementation of the compliance and privacy policies, trainings, audits and investigation activities for the various business lines within the Region, as well as risk assessment identification and mitigation for the Region. The responsibilities require periodic visits to the AdventHealth Corporate Office for training as well as travel to the facilities within the Region. The Regional Corporate Responsibility Officer reports to a member of the AdventHealth Corporate Responsibility leadership team and is supported by the company-wide Program.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.