layiq

/la·yiq/adjective

worthy; deserving; fitting; suitable.

A role, opportunity, or path that merits attention, time, and pursuit.

LAYIQ - Compliance and Integrity Manager - Integrity & Compliance - FT - Day at Stormont-Vail HealthCare

Develop, implement and maintain corporate compliance policies and practices used across Stormont Vail Health. Orient and train leaders to assure compliance with Stormont Vail Health’s policies and procedures related to the compliance program and applicable law, rules, regulations and policies to promote a culture of compliance.
Supervise compliance training in laws such as CMS billing and coding requirements, Stark, Anti-kickback, HIPAA, and related state laws to inform employees of the applicable ethical and legal standards. Assist HIPAA Privacy Officer in carrying out their responsibilities.
Review and investigate allegations of non-compliance and violations of laws, regulations, rules and policies and implement corrective actions as warranted and necessary.
Define, design and implement policies, processes and educational programs, as well as partner in collaborative projects to propose, design and implement solutions/programs/protocols aimed at maintaining and promoting a culture of compliance and integrity.
Develop, implement and manage program budget(s) to support effective financial planning, expense management and cost efficient program management.
Monitor and take steps to assure the cost effective management of the compliance program providing oversight and direction to team members, conducting program assessments, monitoring program performance indicators and results.
Prepare, analyze and distribute performance data and reports related to performance of internal program operations against industry benchmarks, comparative data and established performance targets; develop and implement plans of correction or improvement in order to address findings.
Ensure that compliance audits, reviews and assessments are conducted to maintain compliance with federal, state and accreditation regulatory requirements including but not limited to CMS, DOJ, OIG, Kansas Department of Health and Environment, Joint Commission, etc.
Travel to Stormont Vail Health worksites and other locations, as necessary, to carry out the responsibilities of the role and promote positive engagement in the compliance program across the enterprise.
Conduct detailed and comprehensive risk assessments, perform analysis and develop recommendations for organizational action to mitigate, manage and eliminate organizational risks of potential non-compliance.
Organize, plan and lead the development and implementation of an organization-wide compliance program, including establishment of annual goals and performance targets as well as tracking completion and evaluating effectiveness of activities intended to achieve compliance objectives, reduce risk and promote and enhance a culture of compliance across the organization.
Develop, implement and manage the organization’s internal system of auditing coding and billing submissions to ensure such are accurate, timely, appropriately documented and meet all regulatory requirements in support of payment and implementing education and corrective measures where and if warranted.
Maintain current knowledge of trends and practices and remain apprised of industry standards, technology developments and regulatory changes to incorporate best practices into the Stormont Vail Health programs and processes to continuously improve and promote compliance across the organization.
Take steps to enhance organizational learning and to enhance compliance knowledge and adherence to applicable requirements, presenting information to all levels of the organization from the Governing Body to frontline staff.
Establish and implement practices and processes that effectively and accurately determine the facts related to reports and allegations of non-compliance based on witness interviews, site inspections, review of audio/video recordings/documents and collection of other evidence.
Monitor and proactively assess the impact of legislative, regulatory or case law changes that have the potential to impact the compliance program and recommend/implement approved program changes to support program continuity and adaptation to new program requirements. Carry out due diligence on new healthcare businesses before they are acquired and design effective integration plan.
Travel Requirements
10%
Required for All Jobs
Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned
Patient Facing Options
Position is Not Patient Facing
Remote Work Guidelines
Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
Stable access to electricity and a minimum of 25mb upload and internet speed.
Dedicate full attention to the job duties and communication with others during working hours.
Adhere to break and attendance schedules agreed upon with supervisor.
Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability
On-Site; No Remote
Scope
Has Supervisory Responsibility
Has Budget Responsibility
Physical Demands
Balancing: Rarely less than 1 hour
Carrying: Rarely less than 1 hour
Climbing (Stairs): Rarely less than 1 hour
Driving (Automatic): Rarely less than 1 hour
Eye/Hand/Foot Coordination: Frequently 3-5 Hours
Feeling: Rarely less than 1 hour
Grasping (Fine Motor): Occasionally 1-3 Hours
Grasping (Gross Hand): Rarely less than 1 hour
Handling: Occasionally 1-3 Hours
Hearing: Frequently 3-5 Hours
Kneeling: Rarely less than 1 hour
Lifting: Occasionally 1-3 Hours up to 10 lbs
Pulling: Occasionally 1-3 Hours up to 10 lbs
Pushing: Occasionally 1-3 Hours up to 10 lbs
Reaching (Forward): Rarely less than 1 hour up to 10 lbs
Reaching (Overhead): Rarely less than 1 hour up to 10 lbs
Repetitive Motions: Occasionally 1-3 Hours
Sitting: Frequently 3-5 Hours
Standing: Occasionally 1-3 Hours
Talking: Frequently 3-5 Hours
Walking: Occasionally 1-3 Hours
Working Conditions
Infectious Diseases: Rarely less than 1 hour
Noise/Sounds: Rarely less than 1 hour
Other Atmospheric Conditions: Rarely less than 1 hour
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Compliance and Integrity Manager - Integrity & Compliance - FT - Day

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