Phys Compliance Coord - Compliance - Miamisburg - Ft/Days

Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Campus Overview

Kettering Health Miamisburg

• Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.

• Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.

• The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.

• Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.

• 142 bed facility

• Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.

• In 2020, KH Miamisburg received an "A" from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.

• Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.

• KH Miamisburg received several awards from Healthgrades:

• Outstanding Patient Experience Award (2017-2019)

• America's 100 Best Hospitals for Prostate Surgery Award (2020)

• Joint Replacement Excellence Award (2020)

Department Overview

Corporate Integrity seeks to enhance and protect Kettering Health ("KH") organizational value by providing compliance education, audits, and resources for key regulations impacting operations and implementation of an effective compliance program.

The Senior Physician Compliance Coordinator:

• Supports the Manager Physician Compliance in the coordinaton of reviews of physician financial arrangement contracts.

• Compiles compensation, fair market value and commercial reasonableness information to prepare Provider Contract Committee approval requests.

• Performs periodic review of existing contracts to consider ongoing compliance.

• Ensures all documentation is complete, appropriately retained and accessible as needed.

• Interacts with all levels of the organization and develops and maintains collaborative relationships with stakeholders.

• Performs other duties as assigned.

Responsibilities & Requirements

Responsibilities:

• Leads and coordinates the preparation and analysis of new and amended provider contract proposals, to include: Preparing background data to support the request

o Analysis of both Fair Market Value and Commercial Reasonableness, along with any other provider or service line specific considerations

o Follow up with internal stakeholders and/or external resources for additional questions or documentation needed

o Completion of proposal analysis for review by Manager Physician compliance and Provider Contract Committee

• Trains and supports hospital facility personnel, as needed, to promote proper processing and approval of physician payments.

• Represents Corporate Integrity on organizational project teams or as otherwise assigned.

• Acquires a good understanding of Kettering Health's strategies, operations and the healthcare industry.

• Keeps abreast and highly proficient in regulations related to physician compensation.

• Develops and maintains business process acumen.

• Demonstrates high levels of proficiency with IT tools and data analysis/reporting skills. · Is attentive to detail and executes assignments using effective project management skills. · Learns and acclimates quickly in new situations, handles a degree of ambiguity, thinks critically to solve problems. · Adapts to changing work environments, including independent/remote and collaborative/on site work. · Strives for excellence in written and verbal communications skills. · Exhibits curiosity and spirit of continual learning and improvement. · Accepts responsibility for actions and seeks out constructive criticism. · Respectfully interacts and collaborates with Network and Operations stakeholders. · Appropriately maintains confidentiality. · Commits to KH mission and values.

Preferred Qualifications

Requirements:

• Bachelors degree in Accounting or Finance or other business discipline.

• 6+ years of accounting, finance or other business discipline experience required.

• Healthcare experience required.

• Experience with physician compensation desired.

• Experience with Microsoft and data analysis and reporting tools is strongly preferred.

MBA preferred