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Emory Healthcare · 1 day ago

Compliance & Audit Partner

Atlanta, GA

Full-time

Hybrid

Senior Level

5+ years exp

Emory Healthcare is seeking a Compliance & Audit Partner to support systemwide compliance and education initiatives. This role involves ensuring adherence to relevant laws and regulations in healthcare, providing educational support, and fostering a culture of compliance within the organization.

Health CareMedical

Responsibilities

Support the OCP by addressing all relevant laws, regulations, and industry standards

This includes staying informed about changes in healthcare regulations and industry standards and update training accordingly

Formulate, review, and revise compliance policies and SOPs, as directed

Participate in enterprise compliance risk assessment

Investigate compliance matters reported via the Emory Trust Line and the EHC Compliance office

Work to ensure timely resolution of Compliance issues and facilitates communication of compliance related matters

Development governance-level reporting and metrics for the EHC Compliance Office, including but not limited to dashboards, board reporting, weekly, monthly, and annual compliance & ethics reporting

Work with Senior Compliance and Privacy Office leadership as well as other key clinical and operational leaders on compliance matters

Ensure that policies and procedures are effectively communicated and enforced throughout the organization

Develop and delivery of compliance training programs for providers and other stakeholders to ensure accurate and compliant coding, with an emphasis on Evaluation and Management (E/M) services, procedural coding, and clinical documentation improvement

Participate in provider orientation to ensure coding and documentation expectations are clearly communicated

Collaborates with compliance auditors and revenue cycle teams to identify trends, address deficiencies to ensure compliance within the organization

Monitor regulatory changes from CMS, AMA, and other authorities; update educational materials accordingly

Track and report on education effectiveness and compliance risks

Participate in specialty and high-risk internal audits and reviews to assess compliance with policies and procedures

Participate in compliance risk assessments, monitoring, tracking and trending

Investigate potential compliance violations and report findings to appropriate authorities

Collaborate with other departments and stakeholders to promote compliance throughout the organization

Serve as an additional point of contact for compliance-related questions and concerns

Ensure that policies and procedures are effectively communicated and enforced throughout the organization

Qualification

Healthcare complianceMedical codingCompliance trainingCertified in Healthcare ComplianceHIPAAProblem-solving skillsInterpersonal skillsAttention to detail