Audit And Compliance Manager And Hipaa Privacy Officer

The Audit and Compliance Manager and HIPAA Privacy Officer is responsible to conduct internal, financial and compliance audits and review internal control functions to identify, assess, and evaluate financial, compliance, operational, strategic, and informational system risks and processes. Audits vendors to ensure compliance with regulatory requirements. Investigates potential compliance violations, educates staff, prepares reports, assists with the creation and oversight of compliance initiatives, and updates policies and procedures. In addition, the individual will provide assistance to the Chief Legal Officer & Chief Compliance Officer in compliance and legal functions and act as the Healthcare System's HIPAA Privacy Officer. Supports mission to provide the highest quality care by complying with regulatory guidelines, meeting facility standards, and obtaining appropriate certification.

JOB DUTIES / RESPONSIBILITIES

1.Develops and implements annual internal audit and compliance plans.

2.Conducts internal, financial and compliance audits and reviews internal control functions to identify, assess and evaluate financial, compliance, operational, strategic and information system risks and processes. Audits outside vendors, as needed.

3.Acts as the healthcare system's HIPAA Privacy Officer, serves as a resource to the system regarding patient privacy and information access requests or questions under HIPAA.

4.Conducts program and HIPAA privacy risk assessments, to identify areas in need of remediation and/or more extensive auditing.

5.Monitors compliance hotline and promptly investigates potential compliance violations including conducting risk assessments for potential breaches of protected health information and following up, as needed.

6.Develops and ensures delivery of corporate compliance, privacy and security training and orientation programs for all employees, volunteers and other persons associated with the system.

7.Oversees system-wide exclusion screening process.

8.Responds to, or oversees responses to all compliance-related inquiries.

9.Develops, implements, promotes and maintains compliance and privacy policies and procedures.

10. Completes or assists with annual compliance program assessment and OMIG certifications.

11. Assists with the creation and oversight of a wide range of compliance initiatives.

12. Participates in outside healthcare compliance and privacy organizations to stay abreast of privacy and corporate compliance developments and best practices within the industry.

13. Reports quarterly to the Audit and Compliance Committee of the Board of Directors and to Senior Management, as needed.

14. Provides assistance to the Chief Legal Officer and Chief Compliance Officer in compliance and legal functions.

Formal education required:

Bachelor's Degree required. Advanced degree and/or certification in a related field strongly preferred.

Preferred certifications include CHC, CHPC, CCEP, CIA, CRMA and CFE.

Previous experience required:

A minimum of 3-5 years background or familiarity with health care compliance; billing, coding, accounting and audit experience in a health care setting (preferably long-term care or home care experience)