COMPLIANCE ANALYST - CORPORATE COMPLIANCE

The Compliance Analyst reflects the mission and vision of Cook County Health (CCH). The incumbent adheres to the organization's Code of Conduct and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all regulatory and accreditation standards. The Compliance Analyst within the Office of Corporate Compliance supports compliance initiatives and activities of the System Compliance Program. The Compliance Analyst supports and assists the Compliance Officer in identifying and assessing areas of compliance risk for Cook County Health.

This position is exempt from Career Service under the CCH Personnel Rules.

Typical Duties

• Ensures that the internal controls are capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct by employees, agents, affiliated providers, or others working within CCH. (Internal mechanisms include but are not limited to compliance hot line, compliance emails, and the compliance tracker)
• Identifies areas of potential compliance risk by coordinating data identification, auditing, and analysis to identify any instances of non-compliance.
• Evaluates instances of non-compliance with further investigation, oversees follow-up, resolutions to investigations, and other issues generated by the Compliance Program including development of corrective action plans, as needed.
• Coordinates as appropriate with outside legal counsel; conducts, authorizes, and oversees investigations of matters that merit attorney/client privilege under the Compliance Program.
• Coordinates and prepares compliance related information for performance improvement education for employees, management and medical staff.
• Tracks all issues referred to the Compliance Office through the mechanisms designed for the Compliance Program.
• Under department management guidance and instruction, assists with gathering and recording departmental measurements to clearly and efficiently monitor the activity of the Office of Corporate Compliance and institutional compliance, including, monthly activity reports to determine department activity levels and quarterly and annual reports.
• Develops, evaluates, and implements an annual review of an update to the Compliance Plan.
• Maintains a consistently high level of service.

• Develops, coordinates, and/or oversees internal and external compliance audit procedures for the purpose of monitoring and detecting any misconduct or non-compliance. If any misconduct or non-compliance is detected, recommends a solution, and follows-up to ensure that the recommendations have been implemented; gathers relevant information, seeks information that identifies underlying issues or problems, organizes information, relates information from different sources to draw logical conclusions, recognizes trends, identifies cause-and-effect relationships, coordinates an appropriate response plan to problem resolution, works with others in resolving problems, follows-up to ensure resolution is complete/corrective action measures taken, determines appropriate levels of dissemination of information
• Monitors system that enables employees to report any non-compliance without fear of retribution; ensures that the reporting system is adequately capturing allegations of non-compliance and that they are investigated and responded to promptly.
• Maintains a working knowledge of relevant issues, laws and regulations.
• Completes all duties and responsibilities as assigned within the Office of Corporate Compliance.
• Prioritizes work with minimal supervision and uses time effectively. Exhibits a high degree of follow-through despite frequent interruptions. Works in a fast-paced environment, which requires handling multiple tasks at once.
• Performs other duties assigned by the Compliance Officer, including developing appropriate agendas, reports, and information as directed.

Minimum Qualifications

• Bachelor’s Degree from an accredited college or university
• Two (2) years of experience in healthcare compliance, healthcare operations, billing, coding, and/or documentation auditing in a healthcare organization
• Current experience in one of the following: a hospital or large multi-specialty clinic; or a consulting or law firm specializing in healthcare; or a governmental agency focused on healthcare; or an insurance company working in healthcare claims or compliance
• Prior experience in data analysis, researching and summarizing laws, regulations and/or policies

Preferred Qualifications

• Masters’ Degree in Health Care Management or related field
• Certification in Healthcare Compliance (CHC)
• Active professional registration/certification as a Registered Nurse (RN), Registered Health Information Administrator (RHIA), Certified Public Accountant (CPA), Certified Fraud Examiner (CFE), Master of Laws (LLM) in Health Law, or other recognized healthcare registration/certification
• Military, Federal or State Government/political experience related to healthcare (e.g. Centers for Medicare and Medicaid (CMS) and/or the Illinois Department of Healthcare and Family Services (HFS))
• Proficiency in data analysis and report development
• Knowledge of coding, billing, medical records and documentation

Knowledge, Skills, Abilities and Other Characteristics

• Strong interpersonal skills
• Strong analytical skills in facilitating collection and dissemination of regulatory requirements
• Strong interpersonal, negotiation, and diplomacy skills, with a high comfort level in dealing with senior management, field management and advisors
• Exceptional written and oral communication skills are necessary for success in this position
• Meticulous organization skills
• Consistent and reliable in level of output with focus on accuracy and thoroughness
• Demonstrate initiative, attention to detail, multitasking ability, organizational skills and effective prioritization of workflow
• Ability to listen effectively
• Strong comfort level making presentations to groups and individuals
• Ability to prioritize work with minimal supervision and use time effectively; requires high degree of follow-through despite frequent interruptions
• Ability to work in a fast-paced environment, which requires handling multiple tasks at once

VETERAN PREFERENCEPLEASE READ
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.
• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, “Are you a Military Veteran?”
• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR A copy of a valid State ID Card or Driver’s License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.If items are not attached, you will not be eligible for Veteran Preference VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER’S LICENSE AT TIME OF INTERVIEW.

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage
• Basic Term Life Insurance
• Pension Plan
• Deferred Compensation Program
• Paid Holidays, Vacation, and Sick Time
• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/

MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

• Degrees awarded outside of the United States with the exception of those awarded in one of the United States’ territories and Canada must be credentialed by an approved U. S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents bust be presented at time of interview.

• Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

• CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment orhiring upon or because of any political reason or factor.

COOK COUNTY HEALTH & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYMENT