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Compliance Officer-Clinical and Regulatory

We Are Hiring

Compliance Officer, Clinical and Regulatory - Compliance Corporate - Full-Time,Day-VIRTUAL

Why Join Ascension?

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.
 
Ascension includes approximately 156,000 associates and 34,000 aligned providers. The national health system operates more than 2,600 sites of care – including 151 hospitals and more than 50 senior living facilities – in 21 states and the District of Columbia, while providing a variety of services including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension’s own group purchasing organization.

What You Will Do

As an Associate with Ascension System Office-MO, you will have the opportunity to:
 
Lead, direct, guide and assist on compliance matters for areas of responsibility related to the organization. Responsible on an enterprise-wide basis for supporting Chief Compliance Officer and managing key designated aspects of the compliance program.
 
Clinical & Regulatory Compliance Officer
  • Leads a centralized team to assist with clinical and regulatory matters across the organization overseeing clinical compliance with federal and state laws, rules and regulations (i.e., EMTALA, CLIA, 340B, scope of practice, etc.)
  • Possesses a strong acute care background with working knowledge of other healthcare service lines (e.g., laboratory, home health, hospice, etc.) and key related risk areas
  • Partners with Revenue Cycle Leadership on coding and billing inquiries and compliance concerns
  • Works closely with contracted revenue cycle vendor to ensure ongoing compliance with applicable federal and state laws
  • Provides direction on auditing and monitoring activities to ensure ongoing compliance with applicable laws and regulatory and accreditation standards (and any necessary corrective action plans)
  • Identifies and provides guidance regarding policy gaps or needed policy improvements
  • Provides direction and guidance concerning internally identified potential overpayments and closely collaborates with the Investigations & Incidents Compliance Officer to the extent any formal investigation is warranted
  • Provides compliance guidance for payor and reimbursement inquiries and concerns
  • Partners with legal counsel on allegations and inquiries regarding Stark Law and Anti-Kickback Statute allegations (potentially resulting in the submission of false claims)
  • Direct reports include, among others, Sr. Director of Physician Regulatory Compliance, Sr. Director of Post Acute and Ambulatory Compliance, and Director of Diversified Services (Non-Clinical)
  • Assists with training and educational needs to improve organizational awareness and understanding of applicable requirements
  • Collaborates with Ascension operational and clinical leadership on new payment models and clinical delivery systems as Ascension continues to diversify
  • Serves as a compliance thought leader attending operational meetings, as needed

What You Will Need

Licenses/Certifications/Registration:
  • Required Credential(s):
    • None required.
Education:
  • Diploma 
    • Bachelor's degree required Master's degree preferred
Work Experience:
  • 7 years of experience required. 10 years of experience preferred. 5 years of leadership or management experience preferred.

Equal Employment Opportunity

Ascension is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:
 
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (link to E-verify site) 

Job ID: 385108
Category: Legal
Ministry: Ascension
Location: St Louis, MO

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