Compliance Manager(Job Number: 25537-154488)
Work Location: United States-Tennessee-Brentwood-Nashville Physician Service Center
Job Type: Directors & Managers
Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future.
As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting.
Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.
Job Summary – The Compliance Manager is responsible for assisting the Compliance Director and Assistant Director in managing all compliance related activities and initiatives within the Physician Service Center (PSC). The Manager guides the staff in their day-to-day responsibilities, including mentoring and training the staff as needed. Proficient in facilitation and interpersonal communication, the manager also consistently demonstrates skills in organization, prioritization, professionalism, and coaching others.
Supervisor – Assistant Director, Compliance
Supervises – Compliance Analyst
Duties (included but not limited to)
Assist with the review, analysis and response to questions and issues received in the PSC Ethics and Compliance Mailbox and escalate issues as needed
Assist with the verbiage and front facing of the frequently asked questions “FAQ” Compliance Repository and assist with the creation and maintenance of an Online Compliance Resource Center
Manage the PSC Ethics and Compliance SharePoint Team Room
Assists the Compliance Director and Assistant Director with completion of periodic reviews, audits and other requirements outlined in the ECO Functional Standards
Manage the preparation of documentation requested for internal and external audits as needed and submitted to Compliance Director/Assistant Director for final review and submission
Performs research and analysis on HCA Corporate coding and billing guidance and federal payer rules, regulations and transmittals and communicates requirements to operational areas
Review and analyze Privacy Log issues for both accuracy and completeness and submit for Compliance Director/Assistant Director review and closure. Ensure timeliness of reporting requirements
Review and analyze Compliance General Issues Log for both accuracy and completeness and submit for Compliance Director/Assistant Director review and closure
Review and analyze Patient Concerns, Risk Management/Quality of Care incidents for both accuracy and completeness and submit for Compliance Director/Assistant Director review and closure
Collaborates with operational department managers to resolve compliance or regulatory concerns and escalate as needed
Manage Compliance Work Flow database changes and development of new workflows
Manage Compliance related education presentations and venues as requested
Determine staff hours, number of personnel, and resources required for efficiency
Screen, interview, and hire new employees
Evaluate staff performance and recommend appropriate merit increases and promotions
Counsel staff regarding disciplinary and performance issues
Mentor staff for career development
Ensure training needs are met
Conduct regular staff meetings
Occasional travel may be required
Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
Other duties as assigned
Knowledge, Skills, and Abilities
Technical Expertise – understanding of Healthcare Compliance and Privacy, Revenue Cycle, Health Information Management, Medical Coding and Billing
Organization - proactively prioritizes needs and effectively manages resources
Communication - communicates clearly and concisely, verbally and in writing, including utilizing proper punctuation and correct spelling; able to communicate with staff, Parallon Management, and Division and Group Executives.
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills - able to work effectively with other employees, patients, and external parties
PC skills - demonstrates proficiency in Microsoft Office applications and others as required
Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
Tactical execution - oversees the development, deployment, and direction of complex programs and processes
Tactical Expertise - proficient in accounts receivables (A/R) management including process, policy, regulatory requirements and technology with a significant emphasis on understanding of regulatory requirements, code of conduct and other HCA compliance policies.
Project Management - assesses work activities and allocates resources appropriately
Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, and systems
Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes; able to work quickly and accurately in a fast-paced environment while managing multiple demands; able to work both independently and collaboratively as a team player; demonstrates adaptability, analytical and problem solving skills, and attention to detail; and able to perform basic mathematical calculations, balance and reconcile figures, and transcribe accurately
Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements.
Minimum three years’ experience in related area preferred with two of these years being healthcare management experience or completion of the Parallon Manager Trainee Program.
CHC, RHIA, RHIT, CPC preferred but not required.
Physical Demands / Working Conditions– Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.
OSHA Category– The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.