at Cook County Government in Chicago, Illinois, United States
Job Description
Job Posting:May 24, 2024, 3:38:50 PMClosing Date:Jun 7, 2024, 11:59:00 PMFull-time
A.M.
P.M.
Posting Salary:COMPETITIVE SALARY
Organization:Health and Hospital Systems
Job Summary
The Compliance Analyst reflects the mission and vision of Cook County Health (CCH). The incumbent adheres to the organization's Code of Conduct and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all regulatory and accreditation standards. The Compliance Analyst within the Office of Corporate Compliance supports compliance initiatives and activities of the System Compliance Program. The Compliance Analyst supports and assists the Compliance Officer in identifying and assessing areas of compliance risk for Cook County Health.
This position is exempt from Career Service under the CCH Personnel Rules.
Typical Duties
Ensures that the internal controls are capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct by employees, agents, affiliated providers, or others working within CCH. (Internal mechanisms include but are not limited to compliance hot line, compliance emails, and the compliance tracker)
Identifies areas of potential compliance risk by coordinating data identification, auditing, and analysis to identify any instances of non-compliance.
Evaluates instances of non-compliance with further investigation, oversees follow-up, resolutions to investigations, and other issues generated by the Compliance Program including development of corrective action plans, as needed.
Coordinates as appropriate with outside legal counsel; conducts, authorizes, and oversees investigations of matters that merit attorney/client privilege under the Compliance Program.
Coordinates and prepares compliance related information for performance improvement education for employees, management and medical staff.
Tracks all issues referred to the Compliance Office through the mechanisms designed for the Compliance Program.
Under department management guidance and instruction, assists with gathering and recording departmental measurements to clearly and efficiently monitor the activity of the Office of Corporate Compliance and institutional compliance, including, monthly activity reports to determine department activity levels and quarterly and annual reports.
Develops, evaluates, and implements an annual review of an update to the Compliance Plan.
Maintains a consistently high level of service.
Develops, coordinates, and/or oversees internal and external compliance audit procedures for the purpose of monitoring and detecting any misconduct or non-compliance. If any misconduct or non-compliance is detected, recommends a solution, and follows-up to ensure that the recommendations have been implemented; gathers relevant information, seeks information that identifies underlying issues or problems, organizes information, relates information from different sources to draw logical conclusions, recognizes trends, identifies cause-and-effect relationships, coordinates an appropriate response plan to problem resolution, works with others in resolving problems, follows-up to ensure resolution is complete/corrective action measures taken, determines appropriate levels of dissemination of information
Monitors system that enables employees to report any non-compliance without fear of retribution; ensures that the reporting system is adequately capturing allegations of non compliance and that they are investigated and responded to promptly.
Maintains a working knowledge of relevant issues, laws and regulations.
Completes all duties and responsibilities as assigned within the Office of Corporate Compliance.
Prioritizes work with minimal supervision and uses time effectively. Exhibits a high degree of follow-through despite frequent interruptions. Works in a fast-paced environment, which requires handling multiple tasks at once.
Performs other duties assigned by the Compliance Officer, including developing appropriate agendas, reports, and information as directed.
Minimum Qualifications
Bachelor's Degree from an accredited college or university
Two (2) years of experience in healthcare compliance, healthcare operations, billing, coding, and/or documentation auditing in a healthcare organization
Current experience in one of the following: a hospital or large multi-specialty clinic; or a consulting or law firm specializing in healthcare; or a governmental agency focused on healthcare; or an insurance company working in healthcare claims or compliance
Prior experience in data analysis, researching and summarizing laws, regulations and/or policies
Preferred Qualifications
Masters' Degree in Health Care Management or related field
Certification in Healthcare Compliance (CHC)
Active professional... For full info follow application link.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
