Compliance Technician

Compliance Technician

Department: Quality, Compliance & Privacy

Program: Quality, Compliance & Privacy

Reports to: Compliance and Privacy Manager

Supervises: N/A

Employment Status: Full-Time

FLSA Status: Non-Exempt

Schedule: 40 Hours/52 Weeks

Preference: TERO Ordinance 2017-01, P.L. 93-638

Job Summary

At the direction of the Compliance and Privacy Manager, the Compliance Technician is responsible for supporting Tribal compliance with mandated audits, surveys, and to help investigate and resolve compliance-related grievances and incident reports. In addition, the Compliance Technician shall help ensure that staff are familiar with the compliance and grievance processes.

Essential Functions

• Assists Compliance and Privacy Manager with gathering, preparing, and reviewing internal and external audit materials
• Assists with auditing internal billing, documentation, and/or organizational processes and provides findings and feedback to involved departments and relevant leadership as needed
• Utilizes responses from surveys, complaints, and suggestions to provide a data-focused framework for implementing change in alignment with Kenaitze Indian Tribe's Mission, Vision, and Values. Reports and educates clinics/programs regarding changes in standards and/or performance below standards
• Communicates obstacles to the Compliance & Privacy Manager in a timely manner
• Seeks out additional learning opportunities to continue to develop technical and professional skills
• Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

• Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met

Physical Requirements

• Stand or Sit (Stationary position)
• Walk (Move, Traverse)
• Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)
• Climb (stairs/ladders) or balance (Ascend/Descend, Work atop, Traverse)
• Stoop, kneel, crouch or crawl (Position self (to), Move)
• Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)
• See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)
• Taste/Smell (Detect, Distinguish, Determine)
• Pushing or Pulling
• Repetitive Motion

OSHA Categories

• Category III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid

Travel

• Local
• In-State
• Out-of-State

Qualifications

Education

• Associate's Degree in a Healthcare or Business related field, or a combination of education and experience may be substituted for a degree

Experience

• One (1) year experience in healthcare, revenue cycle, compliance, operations, law, quality assurance, or data management

Preferred

• Knowledge and experience working with cultural diversities
• Knowledge of coding and billing practices in healthcare
• Knowledge of auditing practices in a healthcare field
• Knowledge of Medicaid and National healthcare compliance regulations and practices
• Knowledge of healthcare compliance and quality assurance practices and principles
• Working knowledge of complaints and grievance processes

License/Certification

• Must have a valid Alaska State driver's license and must remain insurable under the Tribe's policy or obtain within 90 days of hire

Special Skills

• Proven ability to work on several projects simultaneously and under tight schedules
• Strong oral and written communications skills
• Strong data management skills
• Experience with standard business documents (e.g. contract language, grants)Proficiency with Microsoft Suite, or obtain within 90 days
• Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and others
• Ability to work independently as well as collaboratively
• Experience with the use of Survey Monkey or survey development

This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.

*Memorandum of Understanding: Serves as documented evidence that the Kenaitze Indian Tribe has expressed the ineligibility of an employee to operate motor vehicles owned, leased or rented by the Kenaitze Indian Tribe, or to operate a personal vehicle on behalf of the Kenaitze Indian Tribe.