Manager Corporate Compliance - Hospital Billing, Coding, & Third Party
Baylor Scott & White Health
**JOB SUMMARY**
**HYBRID position located in Dallas, TX. Scheduled in office on average one week out of the year and as needed. Situations may arise that would require working onsite on short notice.**
Baylor Scott & White Health (BSWH) is committed to the operation of an effective compliance program. The Corporate Compliance Manager works under the direction of the HBCRC Director to manage ongoing activities related to the development, implementation, maintenance of the hospital billing functions.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Position Overview:
Collaborate with the BSWH HBCRC Director acting as the technical expert on laws, regulations, and guidance related to compliance risk areas.
Key Responsibilities:
Audit Plan Design and Implementation:
+ Assist in designing and implementing the annual audit plan for the BSWH Compliance Program.
+ Manage workflow and compliance audit processes to ensure timely completion in line with regulatory requirements and the Corporate Compliance audit plan.
+ Provide written reports on auditing activities, including identifying and assessing risks, planning and conducting compliance reviews, compiling review documents, and reporting findings.
+ Develop recommendations including corrective action plans, regulatory guidance, and education.
Investigation Response:
+ Assist in responding to federal, state, and internal investigations.
+ Oversee project direction for timelines and regulatory compliance, maintain project documentation, government correspondence, and project databases.
Staff Development:
+ Develop and retain staff, provide performance feedback, and take corrective actions.
+ Act as a technical resource, provide project direction and oversight, and evaluate project status.
+ Complete annual staff evaluations, monitor goal progress, and offer mentoring, training, and career development opportunities aligned with BSWH Talent Management paths.
+ Review and update procedures, recommend policy updates, and develop new policies as needed.
+ Maintain current knowledge of government laws, guidance, and regulations.
+ Communicate regulatory changes to pertinent individuals and assist in process modifications to ensure compliance.
Third-Party and Joint Venture Compliance:
+ Address 3 rd Party risks
Collaboration and Ethics:
+ Establish collaborative partnerships with key management to address business ethics and compliance issues.
+ Implement leading-edge principles and practices.
+ Performs other duties as assigned.
**KEY SUCCESS FACTORS**
+ Healthcare experience required.
+ Management experience required.
+ Excellent knowledge of corporate compliance and business ethics programs, and other healthcare regulatory requirements, interview and investigation skills.
+ Mastery of computer skills including word processing, spreadsheets, and databases along with proficient writing skills, preparation of formal presentations and reports, and the ability to communicate clearly and concisely (both oral and written) are also required
**BENEFITS**
+ Our competitive benefits package includes the following
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
+ Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Bachelor's
- EXPERIENCE - 5 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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