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Compliance Workflow Analyst, Tacoma, WA


TRA-MINW, P.S.

Professional

Tacoma, WA

November 7, 2017


Apply Here

Position Title: Compliance Workflow Analyst
Reports To: Performance Improvement Manager
Department Name: Quality/Compliance
FLSA Code: Exempt

To enjoy successful employment with TRA-MINW you must exhibit a strong work ethic and conduct yourself with honesty and integrity in all aspects of your position. Be able to conduct our business, keeping patients as our central focus. Stay familiar with and adhere to company Standards of Behavior and Code of Conduct Policy, while always being sensitive to confidentiality. Understand that accuracy, professionalism, thoroughness and compliance with specifications according to departmental and company expectations, are requirements of your position. Be aware and listen to the needs of the patient or customer, whether inside or outside the company and respond to those needs; use collaborative solutions in problem solving as appropriate; deliver work product and services in a way that reflects the company’s mission, vision, and values.

Job Summary: This position is responsible for Compliance/HIPAA. Creates reporting to analyze Quality Reporting for Medicare and to ensure we maximize the amount of our bonus. Monitors, researches, analyzes and interprets federal, state regulations and proposed regulations, to determine applicability and risk to both technical and operational aspects for the company and its products and services. Consults internal leaders and groups to identify new or current business processes, to meet new regulations. Develops compliance framework for the organization and the ongoing monitoring of the framework. Performs compliance audits of clinical, financial and operational policies and procedures to stay compliant with regulations. Performs compliance audits of new or current technical enhancements, to review operational processes against documented processes to meet regulations. Assists in developing business processes and procedures, and ensures that internal and external processes are being followed. Facilitates training concerning compliance/HIPAA and updated regulations. Familiar with safety, quality and compliance concepts, practices, and procedures. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A wide degree of creativity and latitude is expected. Reports to Process Improvement Manager.

Essential Job Functions:

  1. Participates in establishment of Compliance/HIPAA policies and procedures.
  2. Provides staff the required Compliance/HIPAA training, for new hires and annual updates.
  3. Conducts Compliance Audits of medical claims data, to include contract reimbursement.
  4. First level contact for questions regarding Coding/Compliance/HIPAA.
  5. Develops reporting from systems for the Administrative Team and the managers.
  6. Produces reports for Quality Reporting and reviews them to determine if physician, coding or system errors are occurring.
  7. Participates in insurance compliance and accreditation.
  8. Check work e-mail daily.
  9. Maintain confidentiality of all center and patient information at all times, as required by facility policy and HIPAA guidelines.
  10. Follow the center exposure controls plan for blood borne and airborne pathogens.
  11. Perform all other related duties as assigned.

Qualifications:

Education/Work Experience

  • Bachelor’s degree or 3-5 years’ equivalent experience. Certified Coding Certificate required, Certification in Healthcare Compliance (CHC) preferred
  • Minimum 3 years work experience in a healthcare organization, including hospital, physician practice, or payer environment
  • Minimum 3 years work experience in healthcare coding (CPT and/or ICD codes), and healthcare compliance, HIPAA Privacy, healthcare regulatory affairs or risk management

Job Knowledge/Skills

  • High level of interpersonal skills to handle sensitive and confidential information, situations, and documentation.
  • Working knowledge of CPT and ICD codes
  • Strong organization skill.
  • Excellent interpersonal skills and strong communication skills with the capability to build trust and respect within the company. Ability to interact effectively with physicians, patients, and the public to represent TRA-MINW in a positive and professional manner.
  • Demonstrated ability to abstract pertinent information, reach sound conclusions, use good judgment in a variety of situations and using various sources including financial and/or operational reports.
  • Knowledge of the content, intent, and application of TRA-MINW regulations, policies, standards, operations, and requirements as they relate to imaging services with the ability to explain them to staff.
  • Ability to demonstrate effective customer service skills.
  • Ability to work effectively in teamwork environment and have respectful behavior while working as a team with co-workers.
  • Communicate professionally with other medical facilities, patients, and customers.
  • Ability to manage multiple tasks and carry out instructions effectively.
  • Must possess excellent verbal communication skills, good organization skills.
  • Ability to demonstrate effective customer service skills.
  • Qualified in computer software applications related to duties, including MS Word, PowerPoint, and Excel.
  • Able to work independently and meet appointed project deadlines.
  • Physical Requirements

    Work is classified as sedentary in physical requirements. Requires the ability to lift/carry 1-5 pounds frequently, occasionally 10 pounds maximum.

    Mental Requirements

    Work requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required.

    Working/Environmental Conditions

    Work environment consists of normal office or administrative working conditions. There may be exposure to communicable diseases. There will be limited exposure to ionizing radiation.

    Apply Here


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