RN Compliance Auditor - New York

Compensation

: $83,450.00 - $117,470.00 /year *

Employment Type

: Full-Time

Industry

: Accounting



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Our Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way. The services we provide contribute greatly to the overall patient and member experience, supporting our reputation for excellence.Overview:
Under the direction of the MJHS Compliance Officer and working closely with members of the MJHS Compliance department, the Compliance Auditor for the MJHS "provider" programs and agencies is responsible for designing, planning and executing compliance audits to satisfy the requirements of the compliance program.
Responsibilities:
  • Plans and develops Compliance audit plan for MJHS and affiliated business units in conjunction with the Compliance Officer/Compliance Committee/business unit administration.
  • Designs and develops auditing/monitoring metrics and methodologies for evaluation of identified risk areas, regulatory and compliance industry standards.
  • Conducts scheduled, unscheduled, and ad hoc audits.
  • Performs follow up audits/monitoring activities to ensure and validate satisfactory implementation of corrective action plans (CAP) by the business unit/department.
  • Collaborates with Compliance Officer/department to conduct necessary follow-up on compliance matters (investigations, allegations of non-compliance, privacy breaches, hotline calls, medical record requests, external audits, etc.) to maintain accurate documentation and record keeping ensuring satisfactory completion of tasks.
  • Participates in and/or conducts various committees, meetings and educational trainings as directed by Compliance Officer (including but not limited to Compliance Committees, QICs, root cause analysis, staff education activities, etc.).
  • Performs tracking and trending of compliance data and statistics to capture effectiveness of compliance program.
  • Educates employees and staff in regulatory and compliance information.
    Associated topics: cardiothoracic, care, infusion, intensive care unit, nurse, recovery, registered nurse, surgery, tcu, transitional * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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