Compliance Officer and General Counsel Duties: Identifies billing compliance issues; develops and implements policies, systems, and procedures to assure compliance. Leads and participates in billing audit process and procedures. Monitors work plans, processes and policies to ensure is meeting its regulatory requirements. Keeps all stakeholders informed regarding compliance matters, including routine reports to the Board of Directors. Personally leads, manages and is involved with compliance solutions. Manages and administers ethics hotline, including the investigation and resolution of allegations of noncompliance. Leads the Compliance Department, including direct supervision of Compliance and Privacy program elements handled by Compliance staff. Regularly participates in Committee meetings, including presentations on Compliance topics. Conducts and/or facilitates compliance training and education through a variety of methods. Participates on Employee Relations Committee, including participation in employee corrective actions involving policy or regulatory violations. Provides legal advice to and assists with governance and Risk Management matters. Serves as resource and sounding board for physician leaders with issues they encounter day to day related to external and internal stakeholders. Prepares and/or reviews a wide variety of contracts.
Requirements: A law degree and significant experience in the healthcare compliance field, as well as a license to practice law in the State of Oregon. Requires excellent project management and leadership skills. A solid history of building strong business practices to support the compliance processes within a corporate environment is needed. A thorough knowledge of relevant healthcare state and federal laws as it relates to HIPAA and billing compliance, in particular, is an absolute. A strong work history within a medium/large corporate environment as a Compliance Officer is a requirement. Working experience and a highly developed knowledge of current payer reimbursement methods is essential.
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