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Compliance Analyst

Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Location:  Support I 
Requisition #:  79841

 

MANDATORY COVID-19 VACCINATION: In accordance with Centers for Medicare & Medicaid Services (CMS) rules, Children's requires all employees to be fully vaccinated or receive an approved exemption.

JOB SUMMARY

Plans and coordinates operational activities to assist with compliance of governmental regulations and Children’s policies. Conducts internal monitoring activities pursuant to the corporate compliance program to review specific functional areas of compliance with applicable regulations, policies, procedures and compliance program requirements. Coordinates compliance projects to promote the system’s compliance program and strategy.  

EDUCATION

  • Bachelor’s Degree in Business, Healthcare, or related field required

CERTIFICATION SUMMARY

  • No professional certifications required

EXPERIENCE*

  • 3 years experience in a legal, regulatory, and/or healthcare environment with direct experience in understanding and implementing government regulations

PREFERRED QUALIFICATIONS*

  • Demonstrated presentation skills preferred

KNOWLEDGE SKILLS & ABILITIES*

  • Strong working knowledge of compliance, auditing, and monitoring techniques
  • Ability to research and analyze regulatory issues that may arise in the Compliance Office
  •  Knowledge and understanding of Federal, State, and healthcare laws and regulations related to compliance issues
  •  Excellent written and verbal communications skills
  • Proficiency in Microsoft Word, Excel, PowerPoint, and Access
  • Must be organized, capable of prioritizing and managing multiple, unrelated tasks and projects simultaneously
  • Strong sense of accountability
  • Demonstrated customer service skills, including service recovery and problem solving

JOB RESPONSIBILITIES*

1.    Supports development and execution of annual auditing and monitoring plans based on identified risk areas to promote adherence to applicable regulations, policies, procedures, and compliance program requirements.
2.    Tracks corrective action plans for completion and conducts follow-up with management.
3.    Facilitates resolution of complaints, concerns, appeals, and grievances relative to compliance issues by answering calls and working with appropriate departments.
4.    Maintains files on each concern and its resolution in the Compliance Office.
5.    Assists with responses to inquiries by governmental agencies and other payors.
6.    Collaborates with appropriate personnel for the development, review, and implementation of compliance-related policies, procedures, educational initiatives or workflows relating to clinical, billing, coding, or other activities pertinent to the Compliance Program.
7.    Conducts and/or assists with investigations of reported or identified allegations of violations.
8.    Conducts and/or assists in special projects to promote the system's compliance program and strategy.
9.    Develops, analyzes, inputs, and maintains the Compliance Office database.
10.    Assists with the annual Conflict of Interest survey for the IRS Form 990.
11.    Maintains Metrics for Compliance Scorecard
12.    Confirms that Children’s employees are reviewed monthly to determine whether any employee’s name appears on one or more of the Government Watch Lists.
13.    Assists with preparation and operation of the Audit & Compliance Committee, the Risk & Compliance Committee, the Overpayment Committee and other Compliance Committees as assigned.
14.    Assists with the filing and tracking of Disclosure statements filed with the Department of Community Health.
15.    Other duties as assigned by the General Counsel, Chief Compliance Officer or the Director of Compliance.
 

SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.

 

Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

 

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification.  They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS*

Bending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)
Climbing - Occasionally (activity or condition exists up to 1/3 of time)
Lifting - Occasionally (activity or condition exists up to 1/3 of time)
Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)
Sitting - Frequently (activity or condition exists from 1/3 to 2/3 of time)
Standing - Occasionally (activity or condition exists up to 1/3 of time)
Walking - Occasionally (activity or condition exists up to 1/3 of time)
Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance
Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.

WORKING CONDITIONS*

No potential for exposure to blood and body fluids

 

About Us:

Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials.  We offer a comprehensive compensation and benefit package that supports our mission, vision and values.  We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of making kids better today and healthier tomorrow. 

Have questions about the recruitment process?  Check out What to Expect.

Address:  1575 Northeast Expressway, Bldg 1, Atlanta, GA  30329
Function:  Legal/Compliance - Legal


Nearest Major Market: Atlanta

Job Segment: Medicaid, Medicare, Database, Pediatric, Public Health, Healthcare, Technology