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Compliance Program Analyst

Date: Feb 21, 2021

Location: Indianapolis, US, 46202

Organization: HHC

Division:Eskenazi Health  

Sub-Division: Hospital  

Req ID:  7202 

 

Schedule: Full Time 

Shift: Days 

 

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.

 

FLSA Status

Exempt

Job Role Summary

The Compliance Program Analyst is a valuable team member of the Office of Corporate Compliance, providing expertise and analysis in response to external audits, self-audits, processes and functions to ensure compliance with federal and state laws. This role includes assessing risks, identifying trends, developing and executing appropriate tests of controls, presenting results and recommendations for improvements to management, and drafting audit reports.

Essential Functions and Responsibilities

•    Expertise with audit processes and functions to ensure compliance with federal and state laws. This includes assessing risks, identifying trends, developing and executing appropriate tests of controls, presenting results and recommendations for improvements to management, and drafting audit reports.
•    Supports implementation of the risk assessment plan, and ensures timely follow up and completion of activities included in the plan including external audits, internal audits, ongoing monitoring, special projects, education and training.
•    Collaborates with revenue cycle and finance to review coding and billing areas of risk, generating reports to the department area reviewed.
•    Develops education and training to department under review as well as physician groups that explains gap areas identified and clarifies the regulations pertaining to the specific services provided.
•    Prepares audit reports summarizing findings with recommendations for improvement and corrective actions where identified.
•    Monitors corrective action plans initiated as a result of an audit or special project, assisting the department with implementation of the corrective action plan and providing guidance as needed.
•    Stays current with changes in CMS documentation and reimbursement policies to assist with the development of audit plans for both scheduled and unscheduled audits and investigations.
•    Evaluates the effectiveness of policies and procedures and the effectiveness of internal controls.
•    Assists with government investigations, including efforts to conduct interviews and review relevant documents.
 

Job Requirements

•    Bachelor’s degree preferred, or five years of relevant experience in audit of health care services.
•    Five years of legal, regulatory, or compliance experience; direct experience within a public agency or healthcare setting strongly desired.
•    Health Care Compliance certification desired but not required. 
 

Knowledge, Skills & Abilities

•    Excellent verbal and written communication skills and attention to detail.
•    Strong analytical skills. Able to effectively assess risk, identify the root cause of issues, and identify operational gaps and/or inefficiencies.
•    Self-starter with the strong research, problem solving and project management skills. 
•    A dynamic personality with the ability to work effectively as part of a team, or independently as an individual contributor, demonstrating a continuous commitment to improvement. 
•    Strong work ethic with attention to detail.  Ability to work on multiple projects with competing demands and timelines.
•    Skilled in using a computer with Microsoft Word, Excel, Access, and other compliance/business software to prepare reports, memos, summaries and analyses.
 

 

 

Accredited by The Joint Commission and named one of the nation’s 150 best places to work by Becker’s Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America’s best midsize employers’ Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care – Center of Excellence in Women’s Health, just to name a few.

 

 

 


Nearest Major Market: Indianapolis