Compliance Associate Job in Stamford, Connecticut

JOB SUMMARY / GENERAL DESCRIPTION:

Assists the Stamford Health System Compliance Officer in the oversight of the organization’s corporate compliance program. Ensure smooth operation of Compliance office including all areas of the compliance program specifically, training and education, policy development and revisions, complaint investigation, ongoing auditing and monitoring.  Assist Compliance Officer and Compliance Manager in preparing reports for the Compliance Committee, Conflict of Interest Oversight Committee and Audit Committee of the Board and the SHS Board of Directors and other committees as directed.

MAJOR ACCOUNTABILITIES/CRITICAL RESPONSIBILITIES:

Manage relationship with third-party billing and coding auditors including scheduling, providing claims data and system access;
Receive, investigate and report on compliance complaints and hotline reports;
Perform education for new and existing employees on compliance risk issues and the organization’s compliance program and develop training materials to address recognized compliance risks;
Stay current regarding compliance risk issues in the nonprofit health care arena and recommend changes as appropriate;
Develop audit procedures of internal operations to ensure that documentation, controls and processes are appropriate and aligned with established policies and procedures and regulatory guidelines;
Monitor the implementation of corrective action plans in response to detected deficiencies; follow up and monitor findings and recommendations to ensure that results are compliant;
Analyze and report on internal compliance trends and audit results;
Prepare written documentation such as policies, procedures and other written communication to support ongoing activities of the Compliance program;
draft agendas, presentations, reports and minutes of various committees of the organization;
Assist with the administration of and trouble-shooting for the organization’s conflict of interest management database;
Establish and maintain relationships with high risk departments and SHMG practice managers;
Assist with the annual risk assessment process for the organization and development of the compliance audit work plan;
Develop content for and publish newsletter on compliance-related issues;
Review governmental websites regarding Medicare and Medicaid regulations and billing protocols and send out weekly notification to affected departments in the organization.

COMPETENCIES AND WORK EXPERIENCE REQUIREMENTS:

Minimum 3 years experience in a compliance function, preferably in a healthcare or regulatory setting;
Experience with Medicare and/or Medicaid standards preferred;
Ability to compile objective data and independently produce written reports;
Ability to analyze audit results, claims, billing or other data to identify deficiencies and develop corrective action plans;
Competent in managing and organizing large volumes of data;
Manage time and other resources to meet established goals within the agreed upon time frames;
Effective in taking action without being asked (taking initiative);
Ability to work independently with attention to detail;
Demonstrated interpersonal/verbal and written communication skills.

EDUCATION REQUIREMENTS (INCLUDE LICENSE, REGISTRATION, CERTIFICATION):

Bachelor’s degree or equivalent
Master’s degree preferred
Certification such as CFE, CCEP preferred
 CPC certification or equivalent helpful

To Apply: https://www.stamfordhealth.org/careers/job-search/                Job Tracking Code 01-20-474