Assists with and coordinates various special projects and initiatives related to Children’s Compliance Program and HIPAA Privacy activities. Contributes to departmental goals by providing support necessary to investigate and resolve compliance issues and privacy breeches. Contributes to organizational objectives by ensuring hospital personnel comply with policies, procedures and regulatory requirements.
The following describes the basic position duties that an employee MUST be able to perform for this role. This information is intended to be descriptive of the key responsibilities of the position. The list of essential functions below DOES NOT identify all duties performed by any single person in the position.
Requires in-depth professional knowledge and practical/applied expertise in own discipline and basic knowledge of related disciplines within the broader professional field
Has knowledge of best practices and how own area integrates with others; demonstrates awareness of the industry, including regulatory, evolving customer demands, and the factors that differentiate the organization in the market
Acts as a resource for colleagues with less experience; may lead projects with manageable risks and resource requirements
Solves complex problems and takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information
Impacts a range of customer, operational, project or service activities within own team and other related teams; works within broad guidelines and policies
Works independently, receives minimal guidance
Explains difficult or sensitive information; works to build consensus
JOB SPECIFIC RESPONSIBILITIES:
Conducts preliminary investigative work regarding information reported on matters of alleged non-compliance, complaints and/or privacy breaches. This will also include scheduling meetings and interviews and obtaining documentation necessary for the investigation process
Tracks and documents internal/external reports of alleged non-compliance in regards to privacy, compliance and/or security rules, regulations, and policies. This entails documenting the details of the initial call or complaint, sometimes directly from the source, into a designated “Incident/Event Tracking Database”
Creates and maintains documentation related to various investigations, improvement and action plans, audits and reviews conducted by the department, and responses and actions taken in regards to patient or employee reports of potential non-compliance with Children's policies
Develops and coordinates general compliance, privacy, and security educational activities. This includes preparing educational materials for large scale educational seminars (i.e., physician/medical staff training, leadership training) and smaller, informal sessions (i.e., brown bag/staff meeting training sessions). Additionally, this position will assist in drafting articles for the compliance newsletters and other organizational publications as needed
Assist the compliance office team with the implementation of Privacy, Security and Compliance policies at Children’s. Includes participating on workgroups, task groups, tracking milestones of implementation
Researches the regulations of CMS, Medicare/Medicaid intermediaries, and/or the Office of Inspector General, regarding existing and emerging hospital and physician billing compliance requirements and privacy of patient information issues affecting Children's
Writes initial drafts of various reports to senior management, including, but not limited to reports to the Board of Directors, SLT, Directors Council. Prepares materials/handouts for various compliance and privacy workgroups or meetings. Acts as the recorder of minutes for various meetings
Serves a major support role in the communication efforts of the Compliance and Privacy function. This person will ensure that corporate communications have been appropriately distributed. Additionally, this person will work with Children’s Public Relations and Human Resources departments on various projects related to promotion or education of the Compliance Program.
7 years' experience in hospital environment, with a minimum of 3 years in a regulatory compliance and/or legal environment required.
2 years' experience in HIPAA Privacy in a hospital setting required.
Four-year Bachelor's degree or equivalent experience required.
Specific Knowledge, Skills and Abilities:
Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.
Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.
Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.
Develop and use collaborative relationships to facilitate the accomplishment of work goals.
Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.
Take prompt action to accomplish objectives; take action to achieve goals beyond what is required; be proactive.
Deal effectively with others in an antagonistic situation; use appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
Effectively manage one's time and resources to ensure that work is completed efficiently.
Accomplish tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
Set high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self impose standards of excellence rather than having standards imposed.
Assimilate and apply new job-related information in a timely manner.
Clearly convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
that Children’s Health provide for our patients and employees makes this an enjoyable place to be. As a system, there is a lot of room for professional and personal growth, with opportunities to further your education and your career.
Point of Care Coordinator