Senior Ethics and Compliance Analyst - WORK AT HOME - OHIO | Ohiohealth Job

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

This position is primarily responsible for assisting the Ethics and Compliance Program in satisfying the seven essential elements of an effective compliance program, including: (1) assisting the compliance officer, compliance committee, compliance directors, and/or compliance managers as needed; (2) developing, reviewing, and/or revising compliance policies and procedures, including standards of conduct; (3) assisting with the development and maintenance of open lines of communication; (4) developing, delivering, and/or managing the delivery of appropriate specialized and general compliance training and education; (5) responding to detected offenses; (6) managing internal monitoring and auditing activities; and (7) assisting with the enforcement of disciplinary standards.

Responsibilities And Duties:

Minimum Qualifications:

Bachelor's Degree (Required)AHIMA - American Health Information Management Association - American Health Information Management Association, CCSP - Cisco Certified Security Professional - CISCO - Computer Information System Company, CPC - CPC Certified Professional Coder - AAPC American Academy of Professional Coders, RHIA - Registered Health Information Administrator - American Health Information Management Association, RHIT - Registered Health Information Technician - American Health Information Management Association

Additional Job Description:

• degree
• Certification in one of the following is required or must be obtained within one year of hire: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified in Healthcare Research Compliance (CHRC), or Certified in Healthcare Compliance-Fellow (CHC-F) by the Health Care Compliance Association.
• Years of experience: 7 to 10 years

SPECIALIZED KNOWLEDGE
Degree with five years of direct and/or related experience.

Business writing, editing, publishing, and drafting reports, policies and procedures, articles, and/or white papers.

Supports implementation, tracking, and ongoing compliance with regulatory agreement requirements, including reportable events, training obligations, disclosure requirements, certification processes, and annual reporting activities.

Partners with Legal, Internal Audit, Privacy, Revenue Cycle, Human Resources, Clinical Operations, Finance, and operational leaders to support compliance risk mitigation and ethical decision-making.

Monitors changes in health care laws, regulations, enforcement guidance, and industry standards, including requirements related to Medicare, Medicaid, billing, coding, referral relationships, conflicts of interest, HIPAA, Stark Law, the Anti-Kickback Statute, and OIG guidance.

Analyzes compliance data, audit results, hotline reports, investigation trends, and operational metrics to identify risk areas, emerging issues, and opportunities for improvement.

Prepares clear, accurate, and timely reports, dashboards, summaries, and supporting documentation for compliance leadership, committees, governing bodies, and external reviewers, as needed.

Conducts investigations, including issue intake, fact gathering, documentation review, root-cause analysis, and development of corrective and preventive action recommendations.

Minimum of five years of experience in relevant fields such as compliance, legal, human resources, training and education, communications, internal audit, Joint Commission, clinical quality and patient safety, and/or health information management. Certification in Healthcare Compliance (CHC) by the Health Care Compliance Association is preferred. If the candidate does not have the CHC credential, they must be willing to earn the credential within twelve months from the date of hire.

DESIRED ATTRIBUTES
Bachelor’s degree.

Experience developing and revising compliance-related policies.

Experience with sanction exclusion screening, conflicts of interest, and compliance requirements in a research institute.

Experience conducting investigations related to allegations of noncompliance.

Experience developing compliance education materials and providing training to the workforce.

Work Shift:

Scheduled Weekly Hours :

Department

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio.