Compliance & Privacy Specialist - Compliance Concentration
Company: Yale-New Haven Health
Location: New Haven
Posted on: June 6, 2021
To be part of our organization, every employee should understand
and share in the YNHHS Vision, support our Mission, and live our
Values. These values - integrity, patient-centered, respect,
accountability, and compassion - must guide what we do, as
individuals and professionals, every day.
The Compliance Specialist develops and performs various risk
assessment and audit activities to assure compliance with federal
and state laws, regulations, and priorities of the Office of
Privacy and Corporate Compliance. The Compliance Specialist assists
the System Compliance Officers in developing, implementing, and
maintaining an effective and comprehensive corporate compliance and
privacy program for the Delivery Networks, consistent with
regulatory, contractual, and ethical requirements; Yale New Haven
Health System policies; and industry practices.
- Assists System Compliance Officers in the development of an
annual Work Plan and reporting performance indicators to measure
the effectiveness of the compliance and privacy program at
- Assists in the planning and implementation of compliance and
privacy education and training programs for all personnel. Assists
the System Compliance Offiers in the preparation of training
materials and leads training sessions at the various Delivery
- Conducts investigations related to general compliance,
complaints, concerns regarding billing issues, revenue cycle
questions and privacy, as well as patient privacy concerns.
Recommends appropriate response and follow up keeping the System
Compliance Officer updated as necessary. Institutes appropriate
follow-up actions. Utilizes results of incidents to develop
monitoring programs and remediation plans.
- Review, update, and develop compliance and privacy program
policies and procedures to prepare for the policy approval process.
Develop monitoring activities to assess compliance with
- Assists System Compliance Officers with responses to internal
and external inquiries and requests for information.
- Coordinates and develops special projects related to the Office
of Privacy and Corporate Compliance priorities and requests by the
System Compliance Offiers.
- Coordinates and develops special projects for the OPCC as
requested by the System Compliance Officers.
- Participates in committees and task forces, representing the
Office of Privacy and Corporate Compliance.
- Maintain current awareness of compliance and privacy laws and
industry developments pertaining to compliance and privacy.
Distributes information that reflects the work of the OPCC and that
are useful for the employees, physicians and vendors throughout the
delivery networks of the YNHHS system.
- Handles all corporate compliance and privacy matters with
sensitivity and maintains strict confidentiality of all work
material and activities.
- Under the direction of the System Compliance Officers, supports
all activities associated with the OPCC Program activities.
Performs operational audits to investigate and monitor compliance
with federal and state laws, regulations, and System and Delivery
Network policies. Works closely with leadership in all areas to
assure that corrective actions and changes are implemented, with
the goal of continuous improvement.
- Performs risk assessments and assists System Compliance
Officers in developing auditing, monitoring, and oversight
processes related to identified risks. Prepares for and perform
reviews assessing compliance with program related regulations.
- Under the direction of the System Compliance Officersprepares
reports, related analyses, and makes recommendations to assist
management in ensuring compliance and improving internal
- Participates in the development of the OPCC Annual Work Plan by
completing assigned work and work plan items and conducting at
least one quarterly audit related to compliance and/or
- Works closely with staff to maintain open communications with
the compliance and privacy program. Interfaces directly with
Delivery Network employees and serves as a resource for addressing
concerns about compliance, privacy and ethical questions.
Bachelor's degree in business, health care, or a related field.
Master's degree preferred. Certification in healthcare compliance,
auditing or related field desired. Ten years of work experience
combined with active pursuit of a bachelor's degree will meet this
Minimum of five years experience in billing compliance, general
compliance, privacy, health information management, finance,
healthcare administration, or a related field.
CHC, CHPC and/or CPC preferred,
General knowledge of healthcare compliance issues. General
knowledge of governmental regulations, including documentation and
third party billing requirements and regulations. General knowledge
of ICD-9 and CPT-4 coding. Attention to detail, effective report
writing and presentation skills a must. Skilled at using Microsoft
Word, Excel and PowerPoint. Aptitude for and interest in learning
additional software and database programs. Project management
skills. Experience interacting with physicians, department heads,
and senior staff members of a hospital or health system. Experience
communicating with regulatory and outside agencies is desirable.
Team player and self-starter, capable of taking projects from
conception to implementation. High level of integrity and
YNHHS Requisition ID
Keywords: Yale-New Haven Health, New Haven , Compliance & Privacy Specialist - Compliance Concentration, Other , New Haven, Connecticut
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