This site uses cookies. To find out more, see our Cookies Policy

Compliance Manager in Brentwood at Parallon

Date Posted: 1/13/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain 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 revenue cycle services.

Compliance Manager

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.