Providence Health & Services Principal Compliance Specialist for Physician Services Compliance in Burbank, California

Description:

Providence Saint Joseph Health is calling a Principal Compliance Specialist for Physician Services Compliance to PSJH in Renton, WA, Portland, OR, or Southern, CA.

We are seeking a Principal Compliance Specialist for Physician Services Compliance to be responsible for supporting the physician compliance functions of the department with emphasis on the collection, analysis, and presentation of compliance metrics related to physicians and their staff across PSJH. The senior compliance specialist will also support project activities of the department and represent physician compliance as needed with other departments of RIS. This position requires a high level of ability to work independently, analyze data, problem solve, and implement programs throughout the system.

In this position you will have the following responsibilities:

  • Collecting, maintaining, preparing and updating performance metrics of the department relevant to activities of the department for presentation to executive leadership.

  • Conducting and completing compliance reviews and investigations as requested.

  • Reviewing documents, including department or organization transactions and provide guidance to mitigate the legal and regulatory risk and support organizational strategy.

  • Serving as a lead collaborator with internal departments and external vendors on compliance issues.

  • Serving as a key resource for compliance questions related to physician practices.

  • Assisting with identifying and developing compliance solutions (i.e. reports, tools) to enhance the compliance program and mitigate organizational risk.

Qualifications:

Required qualifications for this position include:

  • 5 years’ direct relevant experience in a health care setting, preferably in a multi-physician practice with emphasis on billing, coding and understanding of HIPAA rules and regulations affecting management of PHI.

  • Demonstrated expertise in use of Excel, MS Word, PowerPoint, Publisher and Vizio.

Preferred qualifications for this position include:

  • Bachelor’s Degree - May accept relevant experience in lieu of formal education.

About the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Support Services

Location: Washington-Renton

Other Location(s): Oregon-Portland, California-Burbank, California-Irvine

Req ID: 198531