Regional Compliance Consultant

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://www.billingsclinic.com/app/files/public/8786e5d8-f08c-4b2a-89b8-16197604bfee/NEO/Staff Benefits Guide.pdf) .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!

Regional Compliance Consultant

REGIONAL HEALTH CARE ADMINISTRATION - 7515 (Billings Clinic Main Campus)

req13025

Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)

Starting Wage DOE: $33.66 - $42.07

Regional Compliance Consultant serves as the primary focal point for all compliance related affiliate consulting activities within one or more of the primary focus areas within compliance to include but not limited to auditing, monitoring, patient privacy, information security, billing, coding, research, policy and procedure development/oversight, and the overall compliance program for Billings Clinic Affiliates. Position is responsible for researching and remaining informed on related compliance regulations, laws and guidelines, implementing compliance plans, developing policies, training, and auditing. Position is responsible for audits, training, and orientation relative to assigned areas. Position is responsible for facilitating and/or participating in committees related to regional service compliance. The Regional Compliance Consultant works closely with the Compliance Officers, Privacy Officers, and Information Security Officers in the region to ensure compliance guidelines are adhered to and high-risk areas are identified and addressed. Responsible for quality of the service and all compliance related deliverables under the Managed Services Agreement.

Essential Job Functions

• GENERAL

Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and the eight elements of the Compliance Program.

• Policy Support

Participates in the development, maintenance, communication, interpretation, education, and oversight of policies, procedures, and protocols in accordance with organizational Regional Leadership, Regional Compliance Affinity Group, and legal, and/or regulatory requirements.

Provides clarity, advice, and guidance on policy compliance efforts.

• Structure

Serves as an advocate and resource for all levels of regional Affiliates. Works with leadership in assessing and addressing assigned compliance program concerns and assists with recommendations to address needs. Assists in identifying and resolving various operational issues.

Provides assistance and support to the Regional Operations Team and Compliance Officer in a variety of capacities including but not limited to:

Participates in developing, implementing, reviewing, and evaluating the Affiliate compliance programs.

Participates in and supports initiatives to identify risks.

Participates in and supports initiatives to address corrective action plans for identified compliance issues Participates in and /or facilitates compliance-related committees, project task teams, and/or improvement initiatives.

• Lines of Communication

Communicates to assigned areas about the established systems in place for soliciting information and employee concerns related to the compliance program, compliance concerns, and compliance-related questions.

Participates in regular compliance consulting around reporting of key metrics to the Regional Service Leadership team and other diverse audiences and/or committee structures to assure they are generally informed of compliance issues and developments, and with the intent of improving the prevention and/or detection of any noncompliance.

• Auditing & Monitoring

Provide consulting support to Affiliate or managed sites in the development of annual audit planning. Monitors the effectiveness of the compliance programs at Affiliate or managed sites on a regular basis, ensuring adequate internal controls are in place to prevent and detect significant instances or patterns of illegal, unethical, or improper conduct. Provides consulting support to Affiliate partners related to enterprise risk management and development of annual compliance audit plans.

Arrange and coordinate internal audits to monitor and detect non-compliance with applicable laws and compliance program requirements.

Prepares reports documenting auditing findings, conclusions, suggested corrective actions, recommendations, areas of risk and communicates/reports information regularly to the Regional Operations and Compliance Officer.

Ensures identified non-compliance detections are fully investigated, and a corrective action plan is developed and carried out by Affiliate Compliance Professional.

Responsible for reporting non-compliance to Regional Operations Leadership.

Acts as a project manager and ensures that appropriate timing, resources, and sequencing of work efforts are applied to create the project deliverables within a given timeframe and budget.

Participates in the continual improvement of the regional compliance consulting services and implements changes on an ongoing basis to improve the prevention/detection of any non-compliance, as well as changes in needs of regional affiliates or managed sites, state/federal laws or regulatory requirements.

Documents compliance consulting efforts and progress made in establishing methods and/or processes to improve the efficiency and quality of services and/or to prevent or reduce vulnerability to illegal, unethical, or improper conduct, fraud, abuse, and waste at Affiliate locations. Reports regularly to the Compliance Officer and Regional Operations Leadership team.

• Responding to Reported Offenses

Works collaboratively with all members of the Region Services Team and Affiliate partners to ensure all allegations of non-compliance are fully investigated and responded to promptly. Acts as a resource and liaison for external audits, compliance reviews, or investigations.

Documents investigation efforts and progress made in establishing methods and/or processes to improve the efficiency and quality of services and/or to prevent or reduce vulnerability to illegal, unethical, or improper conduct, fraud, abuse, and waste. Reports regularly to Regional Operations Leadership team and Chief Compliance Officer.

Provides assistance and consulting support for regional Affiliates.

• Discipline & Accountability

Works with Regional Operations Leadership team, Chief Compliance Officer, and Legal Counsel to report any instances of non-compliance to external agencies and/or regulatory entities as appropriate.

Works with Regional Human Resources and Affiliate Human Resources to ensure a workforce with high ethical standards, including the establishment of minimum standards for conducting appropriate background and reference checks on potential employees.

Supports the Regional Operations and Compliance Officer and other members of Regional Leadership as necessary to address non-compliant behavior.

• Training

Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Responsible for maintaining knowledge of relevant compliance issues, laws, regulations, and trends.

Participates in the development and coordination of a multifaceted educational and training program that focuses on the elements of the Compliance Program and seeks to ensure that all employees, volunteers, affiliated professionals, contractors, regional affiliates/managed sites to ensure awareness and understanding of policies and protocols and to mitigate risk areas.

Participates in the assessment and prioritization of the need for training and education. Shares knowledge and expertise within the Regional Services Team to promote cross-training, back-up, and general awareness.

• Measuring Program Effectiveness

Establishes and administers a process for documenting and tracking all complaints, actions taken, and any needed follow-up. Incorporates the use of technology and efficient workflow processes for creating documentation. Documents corporate compliance efforts and progress made in establishing methods and/or processes to improve the efficiency and quality of services and/or to prevent or reduce vulnerability to illegal, unethical, improper conduct, fraud, abuse, and waste. Reports regularly to Regional Operations Leadership and Chief Compliance Officer.

• Information Systems Support

Serves as the primary technology resource for implementing and developing compliance information systems (i.e., Compliance 360 modules, Protenus, PolicyStat etc.). Coordinates closely with regional Affiliates and software vendors to plan, analyze, design, implement, evaluate, and support compliance-related software solutions.

Acts as a liaison and expert resource with the user community and software vendor to identify problems and concerns regarding the overall performance of the compliance information systems. Researches, analyzes, and makes recommendations and/or initiates corrective action to resolve problems with the internal functionality of the system and/or integration of information between systems. Provides the software vendor with recommendations for system enhancements, detailed information regarding technical or functionality problems and coordinates implementation of recommended fixes received.

• General Duties

Utilizes performance improvement principles to assess and improve quality particularly as it relates to the processes in the areas assigned. Utilize operational excellence tools.

Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains/builds an outside network of colleagues.

Maintains competency in all organizational, departmental, and outside agency environmental, employee, or patient safety standards relevant to job performance.

Performs other duties as assigned or needed to meet the needs of the department/organization. May conduct other special projects as assigned.

Minimum Qualifications

Education

• 4 Year / Bachelors Degree

Experience

• Three years of successful compliance related work experience, required

• One year experience specific to Billings Clinic, preferred.

Certifications and Licenses

• Nationally recognized certification in related field (e.g. CHC, RHIA, RHIT, CHPC) within 2 years of hire

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.