Revenue Cycle Compliance Officer - Work From Home

Position Overview:

The person hired for this role has the option to work from home and must come on site as needed for meetings, etc. The hub for this role is Roseville.The Compliance Officer administers the Sutter Health Ethics and Compliance Program at by implementing systems and processes designed to ensure compliance with applicable laws, regulations and standards (e.g., Department of Health and Human Services Departments, including the Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG)).The Compliance Officer assists senior management and governance boards in carrying out their respective roles and responsibilities by providing compliance monitoring, reporting, training and advice.

Qualifications:

Education:
A Bachelor’s degree or clinical degree in health care related field with substantial experience in healthcare compliance will be considered. Master’s degree preferred. (e.g., MPH, MBA, MHA, JD, MD, etc.).

Certification:
Certification in Healthcare Compliance required. A law degree, admission to the State Bar of California, and substantial experience in health care and compliance law may be considered as substitution for Certification.

Experience:
Must have demonstrated significant business and/or healthcare compliance experience, including working with senior leaders. Experience working with a governing Board is strongly desired. This level of experience is typically obtained in approximately seven (7) years of increasingly responsible experience in a health system or healthcare law or healthcare consulting environment.


Knowledge:
Must have a working knowledge of management of an effective ethics and compliance program, including training, monitoring, conducting and documenting investigations, addressing violations and monitoring corrective actions. Knowledge of healthcare compliance requirements strongly desired. Knowledge of other disciplines outside of own area of expertise, including business planning, clinical disciplines, human resources, finance, clinical and financial auditing, and information technology is desired. Must have demonstrated current knowledge of business ethics and legal and compliance risks and the knowledge to manage those risks in a dynamic health care environment. Should have working knowledge of federal and state reimbursement program requirements (e.g., Medicare and Medi-Cal), federal and state anti-kickback and physician self-referral laws (e.g., Stark and PORA), and provider and practitioner licensure and scope of practice requirements, privacy and consent laws.