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Compliance Associate

Company: St. Luke's University Health Network
Location: Allentown
Posted on: January 12, 2021

Job Description:

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Network Compliance Department audits, investigates and educates about compliance related matters that include a) billing and documentation requirements, b) physician and vendor relationships and c) regulatory compliance policies and regulations. The Compliance Associate is a valuable member of the compliance team who will grow personally and professionally in our multifaceted department. The ideal candidate will have strong organizational, time management, critical thinking and problem-solving skills to manage a variety of projects in a fast-paced environment. The Compliance Associate assists with supporting all seven elements of an effective compliance program, as defined by the Office of Inspector General (OIG), to provide a comprehensive, effective and efficient compliance program for St. Luke's University Health Network. The Compliance Associate will also become a compliance resource and will assist the department in promoting St. Luke's Code of Conduct and raising awareness regarding standards for ethical behavior.JOB DUTIES AND RESPONSIBILITIES* Serve as a member of the compliance committee, create and contribute to meeting materials (e.g., handouts, graphs, minutes, etc.) and participate in compliance subcommittee meetings.* Conduct investigations of alleged compliance incidents, develop corrective action plans for the resolution of problematic issues and track, monitor and report on all investigation outcomes.* Research, audit and/or analyze complex data, evaluate the information, draw logical conclusions, demonstrate financial acumen and create proposed solutions to root cause issues.* Assist with the research, investigation, auditing, review and analysis of general compliance, billing, HIPAA Privacy and other matters to ensure compliance with governmental regulations and internal policies. * Contribute to department initiatives, such as managing the completion status of training initiatives (e.g., annual compliance training, new hire compliance training, etc.), monitoring and sharing regulatory changes, updating the compliance work plan, creating quarterly newsletter content and engaging employees during Corporate Compliance & Ethics week.* Create technical and creative content that contributes to the department's multifaceted educational and training program that focuses on the elements of the Compliance Program, as well as assist in ensuring that all appropriate business partners, employees and management are knowledgeable of, and comply with, pertinent federal and state standards.* Support an effective compliance communication program for the organization.* Assist with the development, maintenance, and revision of policies, procedures and practices for the general compliance and operations of St. Luke's and its related activities to prevent illegal, unethical or improper conduct.* Obtain a clear knowledge and understanding of federal and state regulations, such as Centers for Medicare and Medicaid Services (CMS), False Claims Act, Stark Law, Anti-Kickback Statute, Civil Monetary Penalties Law, Fraud, Waste, and Abuse and HIPAA.* Maintain confidentiality and proper sharing of information of all materials handled within the Network/Entity. * Motivated self-starter with demonstrated attention to detail and strong personal accountability who demonstrates strong analytical, critical thinking and problem-solving skills and has the ability to function with limited assistance within a fast-paced, dynamic and growing environment.* Ability to manage multiple projects and duties while delivering accurate, concise, timely, exceptional and thorough work products that require no more than minor revisions. * Exceptional communication, writing and interpersonal skills to professionally and effectively interface with individuals at all levels of the organization, as well as multidisciplinary teams, patients and external agencies. * Excellent computer skills (e.g., Internet, Microsoft Office, Epic). Advanced Excel skills are desired. PHYSICAL AND SENSORY REQUIREMENTS: Must possess hearing, seeing, speaking and reasoning senses necessary to carry out job duties. Must be able to sit for long periods throughout the day, with intermittent periods of standing, walking, bending, twisting and reaching necessary to carry out duties of job. Sedentary work, with occasional lifting/carrying of objects such as office supplies, files, etc. with maximum weight of ten pounds. Must be able to pay close attention to details, concentrate on work and observe work of others.EDUCATION:Minimum of Bachelor's degree from an accredited college or university, preferably in a healthcare, business or finance related field, is required.TRAINING AND EXPERIENCE:Minimum of two (2) years of compliance, healthcare, auditing, and/or billing and coding experience, preferably within a complex healthcare system, is required. Experience with compliance programs, regulatory research and/or auditing is preferred. Certified in Healthcare Compliance (CHC) desired within 18 months of hire. Please complete your application using your full legal name and--current home address. Be sure to--include--employment history for--the past seven (7) years, including your present employer. Additionally, you are--encouraged to upload a current resume, including all work history, education, and/or certifications and--licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!St. Luke's University Health Network is an Equal Opportunity Employer.

Keywords: St. Luke's University Health Network, Allentown , Compliance Associate, Other , Allentown, Pennsylvania

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