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Regional Corporate Responsibility Officer West Florida
Location: Sebring, Florida
Internal Number: 22006320
Location Address: 4421 Sun N Lake Blvd, Sebring, FL 33872
All the benefits and perks you need for you and your family:
Benefits from Day One
Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
The role you’ll contribute:
The Regional Corporate Responsibility Officer is responsible for the day-to-day operations of the corporate responsibility functions and implementing the AdventHealth Corporate Responsibility Program (Program) for the designated physician practices and other ancillary services in the West Florida Division/ Heartland Region (the Region), which includes Polk, Highlands and Hardee counties Job responsibilities include oversight and implementation of the compliance and privacy policies, trainings, audits and investigation activities for the various business lines within the Region, as well as risk assessment identification and mitigation for the Region. The responsibilities require periodic visits to the AdventHealth Corporate Office for training as well as travel to the physician practice groups within the Region. The Regional Corporate Responsibility Officer reports to a member of the AdventHealth Corporate Responsibility leadership team and is supported by the company-wide program.
The value you’ll bring to the team:
Implement the AdventHealth Corporate Responsibility Program for the designated physician practices, with oversight from, and reporting to, the Corporate Office.
Lead the day-to-day operations of the corporate responsibility function for the designated practices, including the handling of compliance and privacy matters, and providing oversight of the Regional Corporate Responsibility program.
Serve as chairperson for the Regional Corporate Responsibility Steering Committee(s) for the assigned entities.
Participate in regular update meetings with, and communicate on, corporate responsibility matters to Regional senior and corporate office leadership.
Provide and/or implement training and education on company policies and requisite regulatory compliance matters to ensure consistency across the Region and adherence to state and federal laws.
Conduct on-going risk assessment and monitoring of Regional activities to identify and address regulatory risks in the areas of healthcare compliance and privacy.
Investigate and respond to identified and/or reported areas of concern including issues reported via the corporate responsibility hotline related.
Serve as a subject matter expert supporting staff and leaders on areas of regulatory healthcare compliance including, but not limited to: general compliance, privacy, conflicts of interest, physician contracting, billing/coding, and regulatory matters.
Implement the AdventHealth Work Plan for the assigned Regional practices and coordinate submission of information to the Corporate Office.
Facilitate other internal and external audits which may be needed and coordinate with AdventHealth Corporate Responsibility corporate office.
Support the implementation and oversight of corrective actions when necessary for mitigation of risk in the assigned Region.
Participate in the AdventHealth contract review process and provide corporate responsibility review for Regional contracts when applicable.
Participate in regular meetings with the Corporate Responsibility department and corporate offices.
Present to Regional designated entity(s) boards of directors on corporate responsibility education and activities.
The expertise and experiences you’ll need to succeed:
Bachelor’s degree in relevant field
Minimum five years health care compliance experience
Certification in Health Care Compliance or certification eligible, and certification obtained within first year
Strong knowledge of healthcare compliance and regulations including: the Office of Inspector General (OIG) Compliance Guidance, the Federal False Claims Act, the Federal Anti-kickback Statute, Stark Law and HIPAA.
Knowledge of Medicare and third-party payer coding and billing regulations.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.