Job Summary

The Compliance Consultant is responsible for working with Compliance leaders to:

• Ensure Novant Health and its affiliates compliance with state and federal regulatory requirements (including, but not limited to Medicare, Medicaid, and Tricare);
• Interpret regulations and identify compliance requirements;
• Audit, monitor, and investigate compliance with applicable regulations;
• Analyze and apply applicable regulations to different questions, projects, or inquiries presented to the Compliance team;
• Support operational staff by identifying likely risks, and recommending monitoring protocols and efficient, effective internal controls that support business goals;
• Support workforce education about compliance requirements;
• Review or draft policy language to reflect compliance and business-driven changes;
• Oversee compliance projects, including planning and training other team members assigned to projects.

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

Qualifications

• Education: Bachelors Degree, Required. Masters Degree, Preferred. (MBA, MHA, JD, other Masters Degree in relevant field), Preferred.
• Experience: Minimum 1 year healthcare industry, Required. Minimum 1 year healthcare compliance or related audit experience, Preferred.
• Licensure / Certification / Registration: CHC, RHIA, RHIT, CPC, CCS, RN, LPN, CNA, CMA, MT(ASCP), RRT, RCP, Rpham, JD, Preferred.
• Additional Skills (Required):
• The Compliance Consultant has:
  • Limited to basic knowledge, skills, and abilities regarding accounting standards and financial statement analysis;
  • Basic to intermediate knowledge, skills, and abilities regarding legal standards and internal controls;
  • Basic to intermediate knowledge, skills, and abilities regarding analytical skills, listening, interviewing, writing, and presenting;
  • Basic to intermediate knowledge, skills, and abilities regarding clinical documentation, coding, and billing;
  • Basic to advanced knowledge, skills, and abilities regarding researching regulations and standards, reimbursement protocols, understanding operations as they interface with the area of expertise, and compliance program requirements;
  • Basic to intermediate proficiency with Microsoft applications, and other applications required for area of expertise, including data and evidence analysis; and Ability to drive/travel to multiple locations/facilities as needed.

Job Opening ID

47534

• Education: Bachelors Degree, Required. Masters Degree, Preferred. (MBA, MHA, JD, other Masters Degree in relevant field), Preferred.
• Experience: Minimum 1 year healthcare industry, Required. Minimum 1 year healthcare compliance or related audit experience, Preferred.
• Licensure / Certification / Registration: CHC, RHIA, RHIT, CPC, CCS, RN, LPN, CNA, CMA, MT(ASCP), RRT, RCP, Rpham, JD, Preferred.
• Additional Skills (Required):
• The Compliance Consultant has:
  • Limited to basic knowledge, skills, and abilities regarding accounting standards and financial statement analysis;
  • Basic to intermediate knowledge, skills, and abilities regarding legal standards and internal controls;
  • Basic to intermediate knowledge, skills, and abilities regarding analytical skills, listening, interviewing, writing, and presenting;
  • Basic to intermediate knowledge, skills, and abilities regarding clinical documentation, coding, and billing;
  • Basic to advanced knowledge, skills, and abilities regarding researching regulations and standards, reimbursement protocols, understanding operations as they interface with the area of expertise, and compliance program requirements;
  • Basic to intermediate proficiency with Microsoft applications, and other applications required for area of expertise, including data and evidence analysis; and Ability to drive/travel to multiple locations/facilities as needed.

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".