Compliance Director - Healthcare jobs in the United States

Compliance Director - Healthcare designs and implements programs, policies, and practices to ensure that organization complies with JCAHO, HIPAA, and accreditation standards. Builds and maintains programs to ensure compliance with federal, state, and local regulations. Being a Compliance Director - Healthcare directs the collection and analysis of data to meet compliance requirements. Requires a bachelor's degree. Additionally, Compliance Director - Healthcare typically reports to top management. The Compliance Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Compliance Director - Healthcare typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Director, Healthcare Compliance - 496735
  • University of Toledo
  • Toledo, OH FULL_TIME
  • Job no: 496735
    Work type: Staff - Full-Time
    Location: Main Campus - Administration
    Categories: Full-Time, None, Compliance

    Title: Director, Healthcare Compliance

    Department Org: UTMC Compliance - 109020

    Employee Classification: U1 - Unclassified PSA FT

    Bargaining Unit: Professional Staff Association

    Primary Location: Main Campus - Administration

    Shift: 1

    Start Time: 8:30am End Time: 5pm

    Posted Salary: $103,530 - $129,386

    Float: False

    Rotate: False

    On Call: True

    Travel: False

    Weekend/Holiday: True

    Job Description:

    The Director of Healthcare Compliance is responsible for assisting with overseeing and guiding the Healthcare Compliance Program. Duties would include ensuring ethical and compliant practices are implemented and maintained across the organization in accordance with all applicable federal and state laws, regulations, ordinances, commercial payers' rules and regulations internal policies and procedures, and other requirements as they relate to operations, billing, coding, proper payment, documentation practices, and the delivery of quality care in a compliant manner. This person will oversee doing investigations in the field, working with the Chief Assurance Officer and strategic input from general counsel, responding to and investigating anonymous reporting hotline calls, and managing risk as it relates to compliance issues.

    Locations Served: University of Toledo, University of Toledo Medical Center, University of Toledo Physicians, College of Medicine and Life Sciences, Health Science Campus, ACE

    Minimum Qualifications:

    Education/experience/licensing:
    • Must have a minimum of seven (7) to ten (10) years of experience in healthcare operations.
    • Bachelor’s degree required with emphasis on nursing, healthcare administration, healthcare information technology, compliance, or clinical-based competency
    • Working knowledge of medical terminology, CPT, and ICD-10
    • A minimum of three (3) to five (5) years of experience as a certified physician coder preferred RHIT, RHIA, or Certified Degree in Coding (preferred)
    • Minimum of two (2) years of supervisory experience of professional staff
    • Prior experience in leading a complex healthcare compliance function that includes an academic medical center, physicians practice plan, and college of medicine

    Professional Standards:
    • Work independently. Must be of ethical character. Must maintain strict confidentiality protocols.
    • Must be objective and independent when conducting reviews.
    • Adheres to the workflow design established for department and meets all job performance standards.
    • Maintain a professional and constructive manner with all UT/UTMC/UTP employees.

    Communication and other skills:
    • Must have demonstrated leadership skills, strong written and verbal communication skills, and ability to work independently.
    • Must have ability to escalate confidential and sensitive matters involving privacy and compliance.
    • Current knowledge of healthcare, federal and state privacy regulations, and third-party regulations regarding medical record documentation
    • Must have ability to monitor advancements in information technology to ensure organizations adoption and compliance.
    • Strong positive verbal and written communication skills.

    Conditions of Employment:

    To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. To further this effort, the University of Toledo Health Science Campus Medical Center is requiring candidates for employment to be nicotine-free. Pre-employment health screening requirements will include cotinine (nicotine) testing, as well as drug and other required health screenings for the position. With the exception of positions within University of Toledo Main Campus and the University of Toledo College of Medicine and Life Sciences, the employment offer is conditional upon successful completion of a cotinine test and Occupational Health clearance.

    Equal Employment Opportunity Statement:

    The University of Toledo is an equal opportunity, affirmative action employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation.

    The University is dedicated to the goal of building a culturally diverse and pluralistic faculty and staff committed to teaching and working in a multicultural environment and strongly encourages applications from women, minorities, individuals with disabilities, dual-career professionals and covered veterans.

    The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact the Human Resources Department at 419-530-4747 between the hours of 8:30AM and 5:00PM or apply online for an accommodation request.

    Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the Main Campus of the University of Toledo.

    Advertised: 11 Apr 2024 Eastern Daylight Time
    Applications close:

  • 1 Month Ago

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Healthcare Compliance Director
  • HumanGood Community Support Center
  • Duarte, CA FULL_TIME
  • Under the supervision of the Compliance Officer, the Compliance Director will implement HumanGood’s Compliance Plan through responsibility for the generation, organization, updating, auditing of and t...
  • 2 Months Ago

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Director of Compliance (Healthcare)-CHC or CCEP required
  • Essen Healthcare
  • Bronx, NY FULL_TIME
  • Overview At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of...
  • 6 Days Ago

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Executive Director - Accreditation & Compliance
  • Accreditation & Compliance - CCC Careers
  • Chicago, IL FULL_TIME
  • EXECUTIVE DIRECTOR - ACCREDITATION & COMPLIANCE MALCOLM X COLLEGE Malcolm X College is seeking an Executive Director of Accreditation & Compliance. This position is responsible for ensuring compliance...
  • 9 Days Ago

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Senior Director, US Advertising and Promotional Compliance
  • 10001056 - Director Regulatory
  • Boston, MA FULL_TIME
  • This is what you will do: The Senior Director, Advertising and Promotional Compliance, will direct and conduct the regulatory affairs aspects of review and approval of promotional materials and market...
  • 1 Month Ago

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Director Healthcare Compliance/Regulatory Affairs
  • Discovery Behavioral Health
  • Del Mar, CA FULL_TIME
  • Company DescriptionCasa Palmera - Del Mar is looking for talented healthcare professionals to join our team!Part of the Discovery Behavioral Health family of brands, we are dedicated to helping our pa...
  • 24 Days Ago

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Grants Manager
  • Ohio History Connection
  • Columbus, OH
  • Position: Grants Manager Department: State Historic Preservation Office, Columbus, OH Status: Full time, permanent Salar...
  • 5/19/2024 12:00:00 AM

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Director of Facilities
  • Experience Senior Living
  • Marysville, OH
  • Title: Director of Facilities Location: Marysville, OH 43040, USA Job Category: COMMUNITY ADMIN Requisition Number: DIRE...
  • 5/19/2024 12:00:00 AM

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Home Health & Hospice Billing Collections Manager- Ohio
  • Interim HealthCare
  • Columbus, OH
  • Ideal candidate will have hospice and/or home health medical billing & collections experience & will reside in Ohio. Dep...
  • 5/19/2024 12:00:00 AM

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Financial Analyst (Local CA Candidates/REMOTE)
  • Amerit Consulting
  • Columbus, OH
  • Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health de...
  • 5/18/2024 12:00:00 AM

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Associate or Senior Planner
  • Mid-Ohio Regional Planning Commission
  • Columbus, OH
  • Salary : $43,000.00 - $65,000.00 Annually Location : 111 Liberty St Suite 100 Columbus, OH Job Type: Full-Time Remote Em...
  • 5/18/2024 12:00:00 AM

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Director of Compliance
  • CanMar
  • Columbus, OH
  • Job Description The Director of Compliance will manage and maintain compliance priorities for all state assets which inc...
  • 5/17/2024 12:00:00 AM

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Finance Manager
  • MRA Recruiting Services
  • Columbus, OH
  • Title: Finance Manager Company: Confidential Location: NE Columbus, OH Reporting to: Executive Director Position Summary...
  • 5/16/2024 12:00:00 AM

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VP of Finance & Administration
  • Roto Group, LLC
  • Dublin, OH
  • Benefits: 401(k) matching Flexible schedule Wellness resources Bonus based on performance Parental leave The Vice Presid...
  • 5/16/2024 12:00:00 AM

Income Estimation for Compliance Director - Healthcare jobs
$135,446 to $195,519