Texas Health Resources Director Compliance and Privacy-Texas Health Physicians Group in Dallas, Texas
Texas Health Physicians Group (THPG) seeks to hire a Director of Compliance and Privacy
Location: Dallas, TX
• Monday through Friday, 8am-5pm
ORGANIZATION AND OVERSIGHT - COMPLIANCE AND PRIVACY PROGRAMS: Oversee, lead and administer the THPG Compliance and Privacy Programs in alignment with THR policies. Report on a regular basis to the THR Chief Compliance Officer and the THPG Board on program effectiveness including progress and efforts to reduce vulnerability to fraud, waste and abuse. Continually improve THPG programs in light of organization needs and consistent with laws and regulations that impact THPG business operations. Develop and oversee THPG annual compliance/privacy work plan. Implement written policies, procedures an standards of conduct. Establish and chair THPG Compliance and Privacy Committees.
COMPLIANCE/PRIVACY AUDITS AND MONITORING: Develop, coordinate and oversee annual internal compliance review and monitoring work plan including processes and controls to provide compliance with legal requirements and THPG standards. Coordinate external audits such as recovery audit contractors for governmental agencies and/or commercial payer audits. Analyze data, implement benchmarking and publish dashboards for key compliance and privacy risk areas.
COMPLIANCE/PRIVACY PROGRAM COMMUNICATION AND TRAINING: Develop and coordinate multifaceted educational and training programs for THPG employees that focus on the elements of the compliance and HIPAA privacy programs and seek to ensure that employees and management are knowledgeable of and comply with federal and state laws and regulations including Medicare/Medicaid program requirements. See that pro active THPG provider education is provided in response to identified risk areas such as coding, billing, documentation and HIPAA privacy /information security requirements. Develop effective lines of communication and awareness within THPG of the Compliance and Privacy Programs.
INVESTIGATE AND RESOLVE QUESTIONS/CONCERNS: Facilitate internal reporting processes including the THR Compliance Hotline and open lines of communication for reporting of questions or concerns by employees, contractors, patients or others. Serve as an internal consultant to THPG management and key operations personnel regarding compliance and privacy questions. Serve as the key contact in responding to government investigations or queries such as Office of Civil Rights (Privacy), Office of Inspector General or other governmental agencies. Respond promptly to detected offenses, develop corrective action and report finding to THPG Board and Management. Make reports to governmental agencies when appropriate via established channels.
CODING COMPLIANCE: Develop and coordinate coding programs and coding strategy for THPG. Provide oversight of the coding audit team. Provide and/or implement physician documentation and coding education plans
DEPARTMENT MANAGEMENT: Supervise and direct work activities of compliance department staff. Develop and manage annual THPG compliance department budgets.
Bachelor’s degree required
5 years experience in compliance program management, including compliance with federal and state regulations related to coding, documentation, billing practices, Medicare/Medicaid and privacy.
Coding expertise as demonstrated by previous performance and oversight of audits against policies governing physician billing and coding practices; monitoring of physician documentation and coding compliance; training and education.
Experience working with regulatory agencies and developing practices to identity and evaluate areas of risk and respond to potential violations of regulations and policies
Prior supervisory/management experience required
Prior compliance officer experience required
Knowledge of Medicare/Medicaid and healthcare industry regulatory requirements applicable to a large multi-specialty physician organization. Knowledge of revenue cycle. Skilled in continuous improvement approaches, change management and ability to manage and lead projects at all levels. Excellent written and verbal skills. Ability to manage conflict and facilitate resolutions. Ability to effectively communicate, work and collaborate with physician Leadership, practice management, revenue cycle, finance and operations. Demonstrate sound judgment and critical thinking skills.
License and Certifications
CHC - Certified in Healthcare Compliance preferred upon hire, Or, CHC - Certified in Healthcare Compliance required within 12 months after hire
CPCO - Certified Professional Compliance Officer preferred upon hire. Or, CPCO - Certified Professional Compliance Officer required within 12 months after hire
At Texas Health Physicians Group we take seriously our mission to improve the health of those in our community. THPG includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex.
THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work.
As part of the Texas Health family, we employ over 24,000 employees and are among the areas top five largest employers. Come be a part of our exceptional team as we continue to provide outstanding care and deliver award winning results. You belong here
Why Texas Health Resources?
Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.
Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals.
At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.
Texas Health Highlights:
Fortune 100 Best Companies to Work For® 2021 (#7) (7 th year in a row)
Fortune's list of Best Workplaces in Health Care (#1)
Employees’ Choice “Best Places to Work” by Glassdoor (2018 and 2019)
Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.