Compliance Analyst II

Compliance And Hipaa Privacy Program Manager

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

The Opportunity :

This position assists in the development, implementation, maintenance, and oversight of the organization's policies, procedures, guidelines, and investigations pertaining to the Compliance and HIPAA Privacy and Security Programs.

Job Competencies :

Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective. Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It's "All for One and One for All." Accountability - Accepts personal responsibility and / or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it. Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently. Developing Trust - Gains others' confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges. Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.

Essential Job Functions :

Customer Obsession : Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas : Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence : Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

Investigates and coordinates responses to internal and external inquiries / investigations for potential breaches of PHI or other violations of the HIPAA Privacy and HIPAA Security Rule.

Enter and update all reported concerns, questions, and incidents regarding HIPAA matters in the Compliance Department incident management system and compile statistical and status reports, as requested.

Communicates effectively, both written and verbal, to department leadership, associates, and clients regarding concerns, incidents, and investigations involving confidentiality, HIPAA, and Privacy as appropriate.

Provides support to departments in correcting compliance issues and completion of required disciplinary actions with associates involved in HIPAA policy violations.

Provides guidance and support of all organizational HIPAA Privacy programs and applications, to ensure compliance with regulatory requirements and best practices.

Assists Chief Privacy Officer and Chief Compliance Officer to establish an internal privacy, security audit, and risk assessment program, to proactively identify breaches and weaknesses in privacy, security, and compliance safeguards.

Collaborates with appropriate team members or departments on revisions to Compliance policies and ensures educational dissemination of new or revised policies across the organization.

Assists in the development and completion of the mandatory annual and new employee orientation of Compliance, HIPAA Privacy and Security education, for all Team Members and associates and select Vendors.

Maintains current knowledge of Federal and State Compliance, HIPAA, Privacy, and Security regulations and assures communication of changes to Chief Compliance Officer and Chief Privacy Officer and all Team Members, as appropriate and relevant.

Assists with updates and maintain system administrator level access for Policy Management Systems, Compliance and Privacy Incident Management Systems, and other systems as assigned by the Chief Compliance Officer and Chief Privacy Officer.

Provides oversight and assistance with assigned Sanction Checks for associates and vendors.

Provides oversight and assistance with review and verification of all Conflict of Interest Statements for the organization as directed by the Chief Compliance Officer.

Experience We Love :

1 to 3 years of previous experience in a similar role

Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing

Prior compliance experience

Outstanding analytical, reporting, and communication skills

EPIC, Cerner, etc. solution knowledge preferable; Preferred coding and / or audit experience in Coding

Coding certification

Minimum Education :

Associates degree or equivalent experience

Required Certifications :

CHC (Certified in Healthcare Compliance) or CHPC (Certified in Healthcare Privacy Compliance) or other approved job relevant certification.