Vanderbilt Univ Medical Center - Nashville, TN
posted 4 months ago
Vanderbilt University Medical Center (VUMC) is seeking a Compliance Operations-Billing expert to provide leadership in specialized legal, regulatory, compliance, or technological skills and training. This role involves analyzing and evaluating compliance systems, requirements, data, and processes to identify compliance risks. The successful candidate will assist in the development and implementation of mechanisms to monitor and reduce these risks while providing timely and effective education and remediation. The position is critical in ensuring that VUMC adheres to external requirements and internal policies, thereby safeguarding the institution against potential vulnerabilities to audits by health oversight agencies and contractors. In this role, the individual will evaluate and lead others in assessing documentation, processes, and data to identify patterns, errors, and risk factors. They will manage VUMC's Compliance Risk Assessment program, recommending methods to monitor compliance risk through data analysis and assisting in the design and implementation of supporting tools such as metrics, dashboards, and reports. The candidate will also be responsible for scoping, planning, and designing subject matter review projects, leading structured review projects, and drafting reports resulting from these reviews. Continuous expansion of compliance-related legal, regulatory, and technical expertise is essential, as is the ability to research and analyze issues in response to requests from the OCCI team and other stakeholders. The position requires a proactive approach to problem-solving and the ability to communicate effectively with clinical and administrative stakeholders. The responsibilities listed are a general overview of the position, and additional duties may be assigned as necessary. This role is integral to the mission of VUMC, which is to advance health and wellness through preeminent programs in patient care, education, and research.