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Director of Compliance and Privacy

Company: Mercy Hospital Iowa City
Location: Iowa City
Posted on: November 22, 2022

Job Description:

The Mercy Iowa City Director of Compliance and Privacy is responsible for providing leadership, direction and support in the development and implementation of the Integrity & Compliance, Privacy Program, an ethics and compliance program for Mercy Iowa City Hospital and Mercy Services. The position ensures the Program meets recognized standards for effective health care compliance programs as established by regulatory authorities._Starting salary is determined based upon factors that may include years of relevant experience, education, applicable certifications/licensure, and internal equity._*Job Duties** Knows, understands, incorporates, and demonstrates the mission, vision, and values of Mercy Iowa City in leadership behaviors, practices, and decisions.* Provides leadership and direction in the development and implementation of Integrity & Compliance, Privacy Program ensuring the program is designed and administered to meet recognized standards for effective health care compliance programs such as CMS and DHHS-OIG. Customizes systems, resources and tools provided by MercyOne, as appropriate, for the operations of Mercy Iowa City.* Is responsible for the operation of the Mercy Iowa City Integrity & Compliance, Privacy Program.* Continually assesses the Integrity & Compliance, Privacy Program to ensure it meets standards for effective health care compliance programs as established by federal regulators. Maintains appropriate files and records to document the effectiveness of the Integrity & Compliance, Privacy Program activities.* Works in partnership with MercyOne to establish policies and procedures to address areas of significant legal, regulatory, or other compliance risks impacting operations.* Ensures periodic risk assessments are performed to identify and assess potential areas of legal, regulatory, and business ethics risks impacting operations.* Maintains a working knowledge of applicable Federal, State, and local laws/regulations; the Mercy Iowa City Compliance Program, Code of Conduct; as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.* Provides leadership to Mercy Iowa City in accordance with policies and program standards. Serves as a resource to Mercy Iowa City colleague's, medical staff and others on compliance related topics and issues.* Ensures standards of conduct and policies and procedures are established to support the operations of the Integrity & Compliance, Privacy Program. Utilizes MercyOne Standards of Conduct, tools and templates and modifies, as appropriate, to meet the operating needs of Mercy Iowa City.* Evaluates the ethics and compliance training needs of colleagues and physicians and develops plans for the delivery of effective training programs to support the Integrity & Compliance, Privacy Program.* Oversees the distribution of the Code of Conduct and the establishment of appropriate orientation and training programs on the Code of Conduct for colleagues, medical staff, and others.* Works in partnership with management teams to ensure colleagues, medical staff, and board members participate in ongoing training and education programs in support of the Integrity & Compliance, Privacy Program.* Promotes continuous awareness and understanding of the Integrity & Compliance, Privacy Program, the Code of Conduct, and commitment to follow all laws and regulations through ongoing communication and awareness activities with colleagues, medical staff, and others.* Ensures there are established procedures in place to prevent the employment, credentialing or contracting with individuals or companies that are debarred or otherwise excluded from participation in federal health care programs.* Maintains a reporting system (e.g., hotline called the Integrity Line) that provides colleagues, physicians and others the opportunity to report issues and concerns, including potential violations of laws and regulations, without fear of retaliation or harassment. Ensures the reporting system is effectively communicated within Mercy Iowa City.* Ensures the timely investigation and follow-up on issues reported through the Integrity Line or through other means.* Develops and implements a plan for periodic auditing and monitoring as identified by the annual risk assessment. Works cooperatively with MercyOne as well as Executive Leaders in developing Integrity & Compliance, Privacy Program priorities including consideration of current regulatory compliance focus areas of CMS, DOJ, and DHHS-OIG.* Manages in collaboration with designated counsel, in responding to audits and investigations conducted by federal and state agencies and contractors related to Medicare, Medicaid and other federal and state health care programs and laws and regulations relating to protecting the privacy and security of patient information.* Establish processes to oversee and monitor corrective actions taken in response to compliance matters identified through internal and external audits, regulatory investigations, and internal monitoring activities.* Coordinate with Human Resources in the establishment of policies and procedures in areas such as background checks, screening for eligibility to participate in federal and state health care programs, and disciplinary actions for violations of the Code of Conduct and/or policies.* Assist in response to regulatory investigations or other matters identified through the Integrity & Compliance, Privacy Program. Communicates timely with leaders, legal counsel, and MercyOne concerning significant legal and regulatory matters, including investigations conducted by the Department of Justice, Department of Health and Human Services Office of Inspector General, states attorney general and others.* Ensures Chief Executive Officer and other Executive Leaders are timely informed of significant activities of the Integrity & Compliance, Privacy Program, including the status of investigations, audits or other issues requiring senior management attention and support for corrective actions.* Performs other related duties as assigned.Job Requirements:*Qualifications** Bachelor's degree in Hospital Administration, Finance, Law, Accounting, Health Information Management, Nursing, and or Business.* Minimum of five (5) years' related experience in a health care setting.* Certification in Compliance and Privacy (Health Care Compliance Association) required within one year of hire.* Minimum of five (5) years' experience in health care Compliance/Privacy.* Leadership experience in Compliance/Privacy is preferred.* Must possess a strong working knowledge and understanding of the health care industry regulatory environment, particularly laws and regulations pertaining to participation in the Medicare and Medicaid programs, fraud and abuse laws, and regulatory compliance programs.* Excellent written and verbal communication skills. Must be effective in presenting information to different audiences including senior management, governance, medical staff, and colleagues.Job Type: Full-timePay: From $86,112.00 per yearBenefits:* 401(k)* 401(k) matching* Dental insurance* Disability insurance* Employee assistance program* Employee discount* Flexible schedule* Flexible spending account* Health insurance* Health savings account* Life insurance* Paid time off* Retirement plan* Tuition reimbursement* Vision insuranceSchedule:* Monday to FridayWork Location: One location

Keywords: Mercy Hospital Iowa City, Iowa City , Director of Compliance and Privacy, Executive , Iowa City, Iowa

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