Job Description
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The Compliance Analyst II works closely with the Compliance and Internal Audit Team to support the mission of the Ensemble Compliance Program through the execution of compliance investigations and resulting corrective actions. • Investigates and coordinates responses to internal and external inquiries/investigations for potential breaches and actual violations of the Ensemble Compliance Program.
• Enters and updates all reported concerns, questions, and incidents regarding compliance matters in the Compliance Department incident management system and compiles statistical and status reports, as requested. • Communicates effectively, both written and verbal, to department leadership, associates, and clients regarding concerns, incidents, and investigations as appropriate. • Provides support to departments in correcting compliance issues and completion of required disciplinary actions with associates involved in compliance program policy violations.
• Provides guidance and support of all organizational compliance programs and applications to ensure compliance with regulatory requirements and best practices. • Serves as subject matter expert in assigned areas within revenue cycle. • Assists with answering questions, training, and education of new hires and with completing ad hoc requests and responding to escalations as assigned by direct supervisor. • Assists Vice President, Compliance and Chief Compliance Officer to perform an internal risk assessment to proactively identify weaknesses in compliance safeguards.
• Collaborates with appropriate team members or departments on revisions to Compliance policies and ensures educational dissemination of new or revised policies across the organization. • Maintains current knowledge of Federal and State Compliance, and payer-specific regulations and policies pertaining to documentation, coding, and billing. • Assists with updates and maintains system administrator level access for Policy Management Systems, Compliance and Privacy Incident Management Systems, and other systems as assigned by the Chief Compliance Officer and Chief Privacy Officer.
• Effectively communicates compliance concerns to Compliance leadership and operational leaders to provide timely notification to business unit management of statutory, regulatory, or policy changes. Qualifications • 3 to 5 years of previous experience • Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing • Prior compliance experience • Outstanding analytical, reporting, and communication skills • EPIC, Cerner, etc. solution knowledge preferable • Preferred coding and/or audit experience in Coding • Coding certification Requirements • Bachelor’s Degree or Equivalent Experience • Required Certifications: CHC (Certified in Healthcare Compliance) or other approved job relevant certification Benefits • Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career
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