Compliance Analyst jobs in Pueblo, CO

Description

Valley-Wide Health Systems, Inc. (Valley-Wide) welcomes and is committed to all patients and populations within our large multi-county service area throughout southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we provide premier primary and preventive care you can trust at our 34 service sites strategically located throughout multiple rural counties. 

At Valley-Wide Health Systems, our Compliance and Risk Analyst is a key player in safeguarding our organization’s integrity and stability. You’ll be at the forefront of identifying and mitigating risks, ensuring adherence to regulatory standards, and shaping our compliance strategy. With a collaborative environment and ample opportunities for professional growth, this role offers both a challenging and rewarding career path.

Essential duties and responsibilities:

Step I:

• Risk management activities including risk assessments, root cause analysis and investigations
• Work with the Compliance and Risk team to establish and maintain an audit plan for all departments.
• Auditing departments to ensure compliance with policies, guidelines, rules and regulations set forth by Valley-Wide and governing entities.
• Perform focused, scheduled and non-scheduled audits, root cause analysis and investigations as needed due to compliance, risk, infection or safety concerns or due to patient complaints, adverse events or HIPAA concerns.
• Assist in patient complaint, adverse event resolution and reporting
• Provide written and verbal reports of audits, root cause analysis results and investigations to compliance, providers, department heads, Executive Leadership Team as needed.
• Maintain a database of all audit and other risk management activities and updates
• Assist Infection Control Nurse as needed.
• Maintains a high customer service standard. 
• Assist in training staff on Compliance, Risk Management, Safety and Infection control topics.
• Participates in professional development activities and maintains professional affiliations.
• Must be able to demonstrate strict confidentiality
• Engage in continuous knowledge development regarding sector’s rules, regulations, best practices, tools, techniques and performance standards.
• Must have a valid Driver’s License.
• Travel required
• Performs other duties and responsibilities as required.

Step II (in addition to Step I duties & responsibilities):

• Plan and lead risk management committee meetings as assigned.
• Will serve as a resource to internal departments to research and resolve integrity issues.
• Identifies and tracks trends by analyzing incident reports, complaints, adverse events, HIPAA concerns and other risk events.
• Identify and recommend policy, guideline updates to improve investigative outcomes and performance. 
• Will exercise independent judgement and discretion in using available resources to identify relevant evidence supporting allegations. 
• Assist ICN/Safety with inspections, data entry and drills

Step III (in addition to Step II duties & responsibilities):

• Assist the compliance and risk team with research, contracting and other compliance tasks as assigned.
• Work with department heads to develop and implement internal controls to mitigate risk.
• Assist in identifying and maintaining standards required by regulatory agencies such as AAAHC, CMS, FTCA, etc.
• Independently complete and document inspections and drills at the direction of ICN/Safety.
• Oversee reports and projects
• Represent Valley-Wide on community boards
• Represent Valley-Wide at healthcare forums as needed.
• Research and prepare memos on various health care topics as needed

Requirements:

• High School Diploma required
• Knowledge of the healthcare industry, compliance, coding or auditing preferred.  Experience in basic accounting principles, operation and clinical processes, medical claims billing, documentation and/or coding strongly desired. 
• Knowledge of healthcare compliance requirements, healthcare regulations and processes.
• Strong oral and written communication skills.
• Able to maintain strong working relationships with other staff and partners.
• Able to manage and navigate multiple priorities simultaneously
• Able to work flexible hours to include early mornings, evenings and weekends to accomplish assigned activities.
• Basic computer skills and experience with relevant software programs. Must have basic knowledge of Microsoft Office Products
• Experience with an Electronic Health Record program
• Strong critical thinking supported by analytical and problem-solving abilities
• Good interpersonal and organization skills
• Excellent written and oral communication skills, knowledge of business, and presentation skills.

Benefits:

• FREE Health Insurance (Other healthcare coverage plan options available)
• MASA – Employer paid Air Ambulance Coverage
• Employer paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave:
  • Vacation – 10 days accrued/year
  • Sick – 12 days accrued/year
  • Holidays – 8 days/year 2 Floating 

Visit our website at https://valley-widehealth.org/careers/ for more information. 
 
Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer: We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. 
Employee Rights Under the Family and Medical Leave Act (FMLA)