Program Director of Compliance and Privacy
Plano, TX US
Area of Interest:
Texas Health Plano
Are you interested in being the next Program Director of Compiance and Privacy at Texas Health Plano? If you satisfy the below requirements and are interested, please apply today!
Bachelors Degree required
5-10 years of experience in increasingly responsible positions in a multi-hospital environment
including experience in compliance and health information privacy regulations, policies and
processes. Understanding of revenue cycle and reimbursement for federally funded programs
and private payers required.
ORGANIZATION AND OVERSIGHT:
Oversee, lead and administer the hospital compliance and privacy programs consistent with THR policies. Serve as Chair for Entity Compliance Committee and Privacy Committee for assigned entities.
COMMUNICATION AND TRAINING:
Communicate the importance of compliance and compliance program to senior management, the hospital Board of Trustees, the entity compliance committee, and hospital employees. Increase knowledge of the relationship between services provided to patients, medical record documentation, reimbursement, and audit liability, and other pertinent compliance topics. Develop and/or implement education programs addressing compliance and privacy. Work in cooperation with Central Business Office and the THR Billing Compliance Committee on matters related to the hospital Chargemaster, billing and/or charging matters. Maintain specific knowledge and skills
related to the THR Code of Business Ethics necessary to answering questions and providing guidance to hospital personnel on business ethics questions or concerns. Work in coordination with the THR Privacy Officer as needed to carry out privacy initiatives and activities. Lead hospital department leaders and staff in coordination of efforts
pertaining to audits and/or compliance-related matters and topics. Motivate staff to use a variety of mediums and facilitate an atmosphere of teamwork and common goal achievement.
POLICIES, PROCEDURES, AND STANDARDS:
Oversee the application of THR System Compliance policies. Oversee the application of THR Privacy Program policies taking appropriate steps to mitigate damage from breach of privacy policies and practices, when necessary. Identify and assess areas of compliance and privacy-related risk and related internal controls for these risk areas.
MONITORING, AUDITING AND ENFORCEMENT:
Oversee entity compliance and privacy monitoring and auditing activities and coordinate as needed with THR System Compliance staff. Communicate audit/monitoring findings. Monitor the day-to-day activities of the hospitals to further its compliance objectives. Conduct and oversee investigations as appropriate. Coordinate investigations with legal counsel and THR System Compliance Officer for major violations of law or policy. Oversee and follow-up, as applicable, implement corrective actions to investigations and other issues generated by the compliance and privacy programs.