Sr Compliance Officer

The Sr. Compliance Officer is responsible for promoting compliance with all relevant regulatory and legal standards and UH policies governing assigned entities'/operational areas' work and business processes.

What You Will Do

• For the assigned entities/operational areas, implement and monitor the organization-wide Compliance and Ethics program and assure integration of the UH Code of Conduct and related policies into all relevant activities, under the direction and oversight of the Director and/or Manager and the Chief Compliance Officer, including:
  * Assumes the leadership of promoting compliance and ethics and adherence to UH, entity and other policies and procedures.
  * Keep apprised of compliance and regulatory industry developments, including but not limited to, OIG guidance and annual work plans, advisory opinions, CMS updates, significant billing and coding updates, Stark Law and Anti-Kickback Statute updates. Assist in the dissemination of such updates to appropriate individuals within the assigned entities.
  * Function as the assigned entities' HIPAA Privacy Officer.
  * Chair and coordinate meetings of the assigned entities' Compliance Committee.
  * Develop and implement assigned entities/operational areas' compliance activities with the oversight and direction of the UH Compliance and Ethics Department. This includes periodic assessment of compliance related controls, measurement criteria and monitoring activities.
  * Identify areas of potential compliance risk and take appropriate measures to resolve that risk.
  * Facilitate environment of open communication allowing employees to report compliance concerns, questions or problems without the fear of retaliation.
  * Evaluate the assigned entities/operational areas' compliance program activities and institutes changes/revisions necessary to reflect current laws, regulations and best practices.
  * Prepares an annual compliance work plan for each assigned entity, supportive and consistent with the UH annual compliance work plan, which outlines (according to the compliance risk areas) each assigned entity's specific compliance activities and initiatives.
  * Ensure that each assigned entity's operating departments/operational areas have internal controls, monitoring and specialized auditing procedures in place for consistent compliance processes.
  * Coordinate and integrate activities and analyses, as appropriate, into assigned entities' quality and risk management program.
  * Review each assigned entity's management responses to UH Internal Audit reports that pertain to compliance-related matters.
• For the assigned entities, investigate and document all reported compliance issues, including:
  * Communicate reported issues as appropriate to the Director or Manager of Privacy and Compliance Operations, the Director or Manager of Compliance and/or the Chief Compliance Officer.
  * Respond and investigate, in a timely manner, all reported questions and compliance issues, including but not limited to reports received through the UH Compliance Hotline that pertain to the assigned entities.
  * Maintain documentation, including updating the Compliance Database, of all investigations, corrective actions, and supporting compliance activities.
  * In conjunction with the Compliance and Ethics Department, identify trends in compliance issues and utilize information to design or re-design systems, policies and procedures and training/education to enhance consistent compliance. Update entity and Market leadership respectively on entity or Market trends in compliance issues (including investigations and guidance request) and use information to design or re-design systems, policies and procedures and training/education to enhance consistent compliance.
• For the assigned Market and entities, educate personnel about the UH Compliance and Ethics program, including:
  * Periodically assess assigned entities' overall education needs and identify departments and/or employees who require specialized training to enhance compliance.
  * Assist the Compliance and Ethics Department in the development of education and training materials, including articles for newsletters and other communications relating to compliance program activities.
  * Facilitate training and education to all assigned entities' employees relative to the UH Compliance and Ethics Program and each employee's compliance responsibilities.
• Ensure integration and compliance of individual assigned entities/operational areas' activities with UH policies and procedures, including:
  * Attend and participate in Compliance and Ethics departmental meetings.
  * Participate in relevant system activities and processes.
  * Identify opportunities for enhancing compliance.
• Ensure compliance with HIPAA, HITECH, Ohio law relating to confidentiality of health information, and UH policies relating to Protected Health Information, including:
  * Assist in compliance/privacy investigations, including detailed data analysis and reporting.
  * Investigate compliance and privacy issues, analyze findings, make and oversee implementation of appropriate recommendations.
  * Ensure adequate monitoring processes are in place so that access, use and disclosure of protected health information (PHI) comply with legal requirements and UH policies and procedures.
  * Perform compliance training and coaching as requested or indicated.

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.