Director of Compliance Insight Health Corp.
Center for Diagnostic Imaging (CDI), headquartered in Minneapolis, Minnesota for more than three decades, partnered with Insight Imaging in 2012 to create one of the nation?s largest radiology providers for fixed site and mobile diagnostic imaging and interventional services. Together we have 116 retail imaging centers, 128 mobile units and operate in more than thirty states. Our organization will serve nearly a million patients in 2013, offering a wide range of screening, diagnostic and interventional procedures that complement each community?s needs, in collaboration with radiologists, healthcare providers, hospitals and health systems.
The Director of Compliance oversees the Corporate Compliance Program in coordination with the General Counsel, functioning as an independent and objective body that reviews and evaluates compliance issues/concerns within the organization. In coordination with the office of the General Counsel, the position ensures the Board of Directors, management and associates are in compliance with the rules and regulations of regulatory agencies, that company policies and procedures are being followed, and that behavior in the organization meets the company?s Standards of Conduct.
Develop, implement and maintain the day-to-day operations of the Compliance Program and Code of (Ethical) Conduct.
Responsible for running the monthly Compliance Committee meetings, managing the agenda and making the necessary appointments to sub-committees and workgroups.
Attend each subcommittee/workgroup meeting and advise on issues; and
Keep critical issues moving to completion in the relevant subcommittees/workgroups.
Draft, review and revise critical policies and procedures related to regulatory and ethical concerns of the company in a manner that reflects the operations of the company.
Prepare action plan related to yearly compliance objectives of the company, including necessary annual reviews.
Review, create, execute and update (as necessary) on training programs related to compliance initiatives (i.e. role based HIPAA/HITECH training, AKB training for business office, conflict of interest), in coordination with other departments.
Legal compliance training for all associates
Ethics training for all associates, including Code of Conduct and Associate Handbook provisions (handing out Handbook is not enough)
Established specialized training in response to compliance issues identified (i.e. billing office training on Medicare applications, re-training for staff after HIPAA incident).
Establish and implement (with General Counsel), board training necessary for the board to be able to understand industry risks.
Receive, manage and investigate complaints directly from associates, through the compliance AlertLine, Human Resources and other departments related to employment, regulatory and ethics concerns.
Investigate reported events in a timely and efficient manner (assuring that each incident is followed up and closed in an effective manner)
Identify and remediate on conditions before compliance issues present
Acts as an independent reviewer and evaluator to ensure that compliance issues/concerns within the company are being appropriately evaluated, investigated and resolved.
Maintain a working knowledge of relevant regulatory issues for our industry, including federal and state laws and regulations, relevant ethics issues, physician and other professional ethics codes and conflict resolution techniques.
Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify industry/company trends.
Annual conflict of interest evaluation ? CDI and MSC
Answer and advise on ethical and legal questions (in consultation with General Counsel) related to National Practitioner Database Reporting (malpractice claims), ABA/state code of ethic conduct, state reporting guidelines
Administer, review and memorialize review of annual database reporting (OIG/GAS/state)
Administer, review and develop action plans (as necessary) for annual Medicare application compliance.
Provide guidance on billing questions, Medicare carrier appeals, and other government health program payment and enrollment criteria
Conduct, evaluate and review (with General Counsel) , yearly regulatory risk assessment of the company?s compliance with relevant state and federal regulatory provisions (Stark, Anti-kickback, federal HIPAA/HITECH, and state privacy/security provisions), and recommend action steps to address highest risk areas.
Report on the effectiveness and operation of the compliance and ethics programs, including compliance with the standard of the Federal Sentence Guidelines, U.S. Office of the Inspector General Model Compliance Guidances, and related CMS programs.
Reporting should be evidenced-based and objective enough for the senior management team and Board of Directors to understand the risks and vulnerabilities
Development definitive and objective action plans for addressing these risk/vulnerable areas.
Demonstrated leadership ability
Ability to communicate effectively orally and in writing.
Ability to work independently and in a team environment
Ability to work in a fast-paced environment and meet established deadlines with a sense of urgency
Ability to be flexible in schedule and adaptable to constant change
Ability to effectively handle and prioritize multiple tasks, frequent interruptions, and details with accuracy
Ability to maintain regular attendance and on-time arrival to work as scheduled
Ability to convey complex subject matter clearly and engagingly
Ability to effectively use strong analytical and problem-solving skills
Ability to influence across the organization and work effectively with all levels of management and staff
Ability to prioritize, work independently, and manage simultaneous assignments
Ability to deliver high quality customer service to external and internal customers by communicating with knowledge and compassion
Ability to resolve service recovery issues and understand when to escalate to next level
Skill in organizing and prioritizing of work, and following assignments through to completion
Familiarity with healthcare laws, regulations, and standards.
Familiarity with operational, financial, quality assurance, and human resource procedures and regulations
Working understanding of coding and reimbursement systems, risk management, and performance improvement.
Knowledge of and adherence to company policies and protocols
Knowledge of and adherence to HIPAA and safety guidelines
Knowledge of intermediate level computer skills
Bachelor?s degree required; master?s degree or law degree preferred.
Certified compliance profession by CCEP or SCCE is desired.
Minimum of five (5) years of experience in a healthcare organization and/or compliance role
We are committed to quality, advanced imaging services, subspecialty radiologists and thoughtful, patient-centered care. Looking to the future, we know that our associates are the key to our company?s growth and success. No matter the individual role, each one of our associates excels in applying their talents and ideas to meet organizational goals.
If you?re a person who is motivated to go above and beyond, inspired by working with the best and compelled to do the right thing, our organization is the right choice for you.
CDI is an equal opportunity employer; applicants are considered without discrimination with regard to race, color, religion, sex, national origin, age, disability or other statuses protected by state, local or other applicable laws. This policy extends to all aspects of employment, including recruitment and hiring.
CDI and its associates have an employment relationship, which is known as employment-at-will. This means that either CDI or an associate has the right to terminate the employment relationship at any time, for any reason with or without cause or prior notice.
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