Clinical Enterprise Integrity Officer

EDUCATION:

• Bachelor’s degree in Business Administration, Healthcare Administration, or related. In lieu of degree, equivalent education and/or experience may be considered.
• Certified in Healthcare Compliance (CHC)

EXPERIENCE:

• Three years management experience with direct management responsibility for clinical compliance.
• Five years recent experience in clinical compliance or related function. OR
• Any combination of experience that would provide the required equivalent qualifications.

JOB RELATED KNOWLEDGE, SKILLS AND ABILITIES:

• Exceptional people and ethical skills. Ability to interact in a positive, productive manner with providers, administrators and leadership (demonstrating sensitivity, tact, and professionalism) and employees.
• Extensive knowledge of best practices for clinical compliance at an academic medical center and/or large multi-disciplinary system and understanding of risk assessment methodologies and systems thinking.
• Expert knowledge in federal and state laws, regulations, and guidance relating to clinical billing compliance.
• Ability to analyze information and construct an action plan to resolve issues.
• Ability to collaborate effectively and work both independently and in a team environment.
• Effective organizational abilities, oral and written communication skills, and interpersonal skills.
• Ability to operate and communicate effectively while meeting multiple deadlines and completing projects simultaneously
• Advanced proficiency with electronic systems and software.
• EHR experience in an academic medical center
• Ability to work in a fast paced and changing environment; reacts professionally under pressure.
• Strong facilitation and mentoring skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities across multiple teams/projects, platforms.
• Excellent time management skills.
  Preferred Qualifications:

EDUCATION:

• Advanced degree or additional emphasis/training/education in related field

EXPERIENCE:

• Seven years of management experience in an academic medical center or large multi-disciplinary system with at least four years of experience in facility and professional fee documentation, coding and billing.
• Certified in coding: CPC (AAPC) or CCS-P (AHIMA)

JOB RELATED KNOWLEDGE, SKILLS AND ABILITIES:

• Application of risk-based decision making in furtherance of organizational efficiency and compliance.
• Demonstrated leadership and formal/informal influence skills

Additional Details:

• This position is a hybrid position and may require frequent visits to campus. Travel to and participate/attend community outreach events and training.
• Ability to handle multiple highly sensitive projects and priorities simultaneously.
• Occupant may represent the University on a frequent basis.

All are welcome: Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu

• Implement, revise, and maintain applicable policies and procedures (program-specific and OHSU-wide) to maximize integrity, compliance, effectiveness, efficiency, and reflect current trends;
• Develop, implement, and maintain training and communication programs for the OHSU community. Education should be focused on general and specific compliance requirements, known regulatory compliance issues or changes, and the operational activities of OHSU clinical services, including documentation, coding, and billing requirements necessary for compliant billing practices;
• Serve as an expert resource for Clinical Enterprise by working closely with clinical and organizational leadership, and coordinating with other organizational safeguard departments (e.g. Regulatory Compliance, Legal , Risk Management, Enterprise Revenue Cycle, Quality, Human Resources, Central Integrity, etc.) to identify and address issues that affect the organization, its regulatory environment and compliance responsibilities;
• Develop continuous process improvement initiatives related to Clinical Enterprise integrity;
• Serve as a management representative on assignments for both internal and external constituencies