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Compliance Analyst / UMMS @ Linthicum, MD

University of Maryland Medical System Linthicum Heights Full-Time
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What You Will Do:

Under the supervision of the Director of Compliance, the analyst will manage, develop, implement and monitor policies, procedures, processes, training, corrective action plans and overall operations to ensure compliance with federal and state laws and regulations affecting the Medical System and its Affiliates. Additionally, the Analyst will work collectively with Affiliate management and other personnel to ensure that compliance initiatives are implemented at all UMMS affiliates. For assigned components, individuals will be responsible for leading efforts implementing, monitoring and tracking Compliance Program elements and providing direction and guidance to affiliate personnel for adherence to industry regulations, system policies, Federal Sentencing Guidelines, CMS Conditions of Participation, Conditions of Payment and State specific requirements.

Manages all aspects in one or more subject-matter areas of Compliance operations and works directly with Corporate Compliance Directors to implement specific components of the annual Compliance Plan. Specific Compliance subject matter areas include:

A. HIPAA Privacy and Security

1. HIPAA Privacy and Security and serves as Liaison to Hospital Privacy Officers

a. Prepares required HIPAA breach reporting for reporting submission and enters into current government reporting system as required after review by Compliance Director.

b. Develops related HIPAA Privacy, IT and Security policies and collaborates with IS&T with implementation across the System.

c. Leads Corporate Compliance and Hospital Privacy Officer Committee Roundtable meetings.

d. Identifies and provides related HIPAA Privacy and Security education and training opportunities.

e. Collaborates with Hospital Privacy Officers and HIM staff to investigate, mitigate and resolve HIPAA Privacy related incidents.

B.. Compliance Program Metrics

1. Manages validation of Compliance Program Metrics, identifies gaps and develops and reports aggregated data by Affiliate. Develops management and committee reports based on aggregated System data.

a. Collects documentation from Hospital Compliance Officers quarterly and annually regarding their Compliance Program Metrics and assists in determining documentation is appropriate, reviews for statistical accuracy, meets standards, requests more information if required, and ensures it is complete.

b. Works collaboratively with Hospital Compliance Officers in understanding and continually monitoring the metrics, identifying educational gaps and develops process and training tools to close those gaps.

c. Completes required metrics summary chart and highlights overview for management presentation

d. Prepares corporate compliance summaries of project research into electronic formats for meetings and presentations

e. Validates data as requested and makes recommendations to improve the accuracy of the data. Presents ideas for modifications and additions to the metrics to make the Compliance Program more robust or measure compliance outcomes.



What You Need to Be Successful:

1. Bachelor’s degree in business administration or healthcare or a relevant field would be required.

2. Two (2) or more years of experience in a business, professional or health care environment, including one (1) year experience in a Compliance, Internal Audit, Billing, Coding, Education and Training, Case Investigations, Research or equivalent related fields is required.

Experience with data analysis tools and techniques are preferred.

Knowledge, Skills and Abilities

1. PC literate with intermediate proficiency in Microsoft Office Suite, Visio, Internet and data analysis tools and techniques.

2. Effective verbal, written and interpersonal skills to communicate with colleagues, patients and/or visitors to establish strong working relationships.

3. Strong problem solving and decision-making skills.

4. Strong analytical skills.

5. Ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team.


We are an Equal Opportunity/Affirmative Action employer.  All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
 

Skills required

Finance
Accounting
Research
Reports
Due Diligence
Investigation
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The University of Maryland Medical System (UMMS) was created in 1984 when the state-owned University Hospital became a private, nonprofit organization. It has evolved into a multi-hospital system with academic, community and specialty service missions reaching every part of the state and beyond.

UMMS is a national and regional referral center for trauma, cancer care, neurocare, cardiac care, women's and children's health and physical rehabilitation. It also has one of the world's largest kidney transplant programs, as well as scores of other programs that improve the physical and mental health of thousands of people daily.

The Medical System generates nearly $3.5 billion in economic activity in Maryland. It has 15,000 employees, approximately 2,300 licensed beds, 115,000 annual patient admissions and gross patient revenues of $2 billion.

Member Hospitals

The hospitals and health systems that comprise UMMS are:

    University of Maryland Medical Center- One of the nation's oldest teaching hospitals, this 816-bed facility -- located in downtown Baltimore -- is home to the University of Maryland Marlene and Stewart Greenebaum Cancer Center, the R Adams Cowley Shock Trauma Center, the University of Maryland Children's Hospital and the University of Maryland Division of Transplantation.

    University of Maryland Medical Center Midtown Campus - This 208-bed teaching hospital offers a full spectrum of health care for more than 110,000 people annually. University of Maryland Medical Center Midtown Campus has been providing superior and accessible community health care in West Baltimore and Midtown for more than a century.

    Mt. Washington Pediatric Hospital - This 102-bed pediatric and rehabilitation hospital, located in northwest Baltimore, provides specialty medical care to infants and children with complex medical needs.

   UM Baltimore Washington Medical Center - This 319-bed community hospital, located between Baltimore and Annapolis in Anne Arundel County, offers a wide variety of services and was recently named a "Top 100" hospital for intensive care outcomes by Thomson Reuters.

    UM Charles Regional Medical Center - Located in La Plata, Maryland, this 110-bed community hospital, along with an Ambulatory Surgery Center and OB/GYN Centers in Waldorf and La Plata, serve patients in Charles County and the surrounding areas of southern Maryland.

    UM Rehabilitation and Orthopaedics Institute - This 141-bed facility (formerly Kernan Hospital), located in Woodlawn, is the state's largest rehabilitation and orthopaedic hospital serving both adults and children. It also houses the University of Maryland Complementary Medicine Program.

   UM St. Joseph Medical Center - This 232-bed nonprofit, regional medical center, located in Towson, Md., became a part of the University of Maryland Medical System on December 1, 2012. It features institutes for heart, cancer and orthopaedic care, and offers a full range of clinical diagnostic and treatment services.

   UM Shore Regional Health - Shore Health System became UM Shore Regional Health on July 1, 2013, and consists of the following facilities: UM Shore Medical Center at Chestertown; UM Shore Medical Center at Dorchester and UM Shore Medical Center at Easton, as well as the UM Shore Emergency Center at Queenstown.

   Upper Chesapeake Health System - In July 2009, UMMS announced a strategic affiliation with Upper Chesapeake Health System that is expected to lead to a full merger. Upper Chesapeake Health includes Upper Chesapeake Medical Center in Bel Air and Harford Memorial Hospital in Havre de Grace. The leading health care system and largest private employer in Harford County, Upper Chesapeake Health offers a broad range of healthcare services, technology, and facilities to the residents of northeastern Maryland.

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