UVA Health · 1 month ago
Sr. Compliance and Privacy Analyst
Virginia, United States
Full-time
Onsite
Mid, Senior Level
$95K/yr - $95K/yr
5+ years expUVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. The Senior Compliance & Privacy Analyst identifies and triages compliance issues, conducts investigations, and ensures compliance with regulatory requirements while providing guidance to management and staff.
Health CareHospitalMedical
Responsibilities
Identifies, researches and analyzes compliance and regulatory risk
Researches and collects all data points relevant to the issue being investigated
Triages and assigns investigation to self and/or fellow team members
Using advanced knowledge of federal, state and local regulations, analyzes the actual and/or potential compliance risk to patients and the organization
Demonstrates expertise in effectively interviewing witnesses
Makes a determination of risk based upon discretion, judgement and regulatory analysis
Comprehensively documents all aspects of the investigation; communicates determination to all stakeholders and involved parties
Oversees corrective action plans and strategies to mitigate the compliance risk
Reports and communicates findings to federal agencies as appropriate
Applies highly proficient and specialized skills to adapt and meet complex and non-routine situations
Creates complex documents, spreadsheets and advanced graphics
Partners with CISO and HIT Information Security team on HIPAA related matters
Responsible to perform complex coding, documentation and billing compliance reviews per the Corporate Compliance and Privacy Office Project schedule
Trends data for patterns of compliance and risk, reports opportunities for improvement and communicates trends to the Chief Corporate Compliance and Privacy Officer and management
Develops and implements projects to meet organizational and Office goals
Utilizes internal and external resources in an efficient and cost-effective manner
Serves as the primary point-of-contact for projects
Follows through on committed actions in a timely manner
Identify and differentiate risks and opportunities based on the interpretation of Federal and State regulations as applied to billing compliance and privacy
Reviews and considers all relevant regulations, stakeholders and system implications when making decisions and offering recommendations
Uses multiple resources to obtain, decipher, interpret and apply regulatory guidance and effectively communicates the guidance to wide variety of audiences
Fosters an environment of continuous improvement, best practices and quality outcomes
Coordinate several ongoing projects with frequently changing priorities and deadlines
Ensure compliance with applicable compliance and privacy laws and regulatory requirements
Readily maintains a comprehensive knowledge base and understanding of coding rules and guidelines to facilitate verbal and written communications with management, staff and physicians during documentation and coding auditing and monitoring projects
Continuously monitors project findings to ensure compliance. Prepares written reports that are comprehensive, accurate, easy to follow, and timely
Prepares written responses to regulatory agencies in a timely manner for review by the Chief Corporate Compliance and Privacy Officer
Recommends Medical Center and health system policy and procedure changes based on regulatory changes
Conducts and documents privacy and compliance investigations and audits per the Corporate Compliance and Privacy Office fiscal year project plan and needs
Develop effective networks through ongoing communications with members of the management, staff, physicians, patients, families, and industry colleagues while representing the health system in a positive manner
Provides guidance and education to all staff on hospital billing compliance
Collaborates with appropriate individuals, leaders and departments when conducting compliance and privacy auditing, monitoring, and educational projects
Proposes innovative compliant solutions by collaboratively working with others
Builds relationships with people whose assistance, cooperation, and support may be needed recognizing their concerns and perspectives
Develops, maintains, and appropriately accesses a network of contacts within and outside of the health system
Serves as a resource to management, staff and physicians on medical necessity, coding guidelines, and hospital related billing laws and regulations
Appropriately adapts to competing demands, shifting priorities, changing regulations, and organizational constraints
ORGANIZATIONAL DUTIES:
Communicates appropriately using good interpersonal skills
Positive, professional demeanor is projected through verbal and non-verbal communications. Information for patients and staff is delivered in a manner that is supportive, timely and understandable. Interpersonal conflicts are resolved using appropriate methods and organizational resources, including but not limited to Employee Relations Services and Faculty Employee Assistance Program. Diverse perspectives are acknowledged; language and behaviors are modeled that build inclusiveness in the work environment. Ideas and suggestions are clearly communicated. Clarification of communication is requested when appropriate
Serves, manages and supports internal and external customers
Privacy is maintained at all times for patient and employee information. Actions are initiated to meet or exceed customer/co-workers expectations in delivering service by implementing the I Make the Difference philosophy (Ownership begins with me; Greet customers by making eye contact and smiling; Provide positive, professional and prompt responses, e.g. helping visitors find their way; Close every interaction with – Is there anything else I can do for you?). Appropriate resources throughout the Organization are used consistently to meet customer needs. Relationships with staff in other work areas are fostered to meet internal and external customer needs. Positive working relationships with peers, management and customers are maintained at all times. Organizational Mission and Values of Accountability, Stewardship, Professionalism, Integrity, Respect and Excellence are evident in behaviors
Participates in performance improvement activities
Participation in Performance Improvement activities and initiatives is on-going. Initiative is demonstrated to proactively diagnose and resolve problems. Change is met with positive, supportive behavior
Participates as a team member and is accountable for own work responsibilities
Time off is scheduled to avoid disrupting workflow. Help is offered to others to solve problems and complete tasks to facilitate communication and positive team dynamics. Productive work habits are consistently displayed. Accountability for actions and decisions is demonstrated in daily work. Feedback is solicited and accepted in a positive manner. Constructive input is offered to support the work unit
Qualification
Required
Bachelor's Degree or Equivalent Education and Experience in hospital and/or academic medical center compliance and privacy related field
5 years of experience in a compliance and privacy related field or 3 years of experience in performing complex compliance inpatient coding reviews
Coding certification through the AHIMA or AAPC as a CCS, CCS-P, CCA, CPC or CPC-H is required; if not, employee must obtain certification in one of the listed exams within 6 months of hire
Preferred
Healthcare compliance certification through the HCCA is preferred; if not, employee should obtain this certification within 12 months of hire
Benefits
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
Health Saving Plans, and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
Company
UVA Health
UVA Health is a healthcare center that provides home healthcare, dentistry, and palliative care services.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$0.1MKey Investors
Virginia Innovation Partnership Corporation
2025-01-14Grant· $0.1M
Leadership Team
Erik Shannon
CEO UVA Community Health
K. Craig Kent
Chief Executive Officer
Recent News
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