What are the responsibilities and job description for the Compliance Consultant, Privacy position at Advocate Aurora?
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 follow-up 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 reporting. Performs follow-up 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.
Licensure, Registration, and/or Certification Required:
None required.
Education Required:
Bachelor's Degree (or equivalent knowledge) in Health Care Administration, Medical Coding, Health Information Management or health related field
Experience Required:
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 Required:
Working knowledge of compliance related regulations.
Strong computer, problem-solving and analytical skills, including ability to perform data mining to identify aberrant patterns 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.
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 job-related instructions and perform any other job-related duties requested by their leaders.
Salary : $1,000 - $1,000,000
