Regulatory Compliance Analyst

Job Description

Vidant Health

About Vidant Medical Center

Vidant Medical Center is a 900+ bed Level-1 Trauma Center, regional referral hospital and is the flagship hospital for Vidant Health. We serve as the teaching hospital for the Brody School of Medicine at East Carolina University. Vidant Medical Center provides acute, intermediate, rehabilitation and outpatient services to more than 1.4 million people in 29 counties. But it's in our work environment that you'll find our sense of family and closeness that permeates everything we do.

Position Summary

Perform compliance audits and monitoring activities across Vidant Health to ensure data integrity, and compliance with federal and state regulations pertaining to, but not limited to: complete revenue cycle, medical record documentation, coding and billing, conflict of interest, and clinical trials billing. Coordinates external governmental agency medical or financial record requests. Responds to and investigates allegations of non-compliance and ensures allegations, concerns or questions relating to other VH departments are routed appropriately. Provides guidance, conducts research and acts as a subject matter expertise regarding compliance matters. Serves as a resource for general healthcare compliance practices

Minimum Requirements

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist (CCSP), or Certified Professional Coder (CPC) certifications required
• A minimum of two (2) years of experience in health care facilities, outside regulatory agencies, compliance or healthcare auditors is required
• Other relevant degrees, certifications and/or experience may be considered as equivalent as described herein
• Strong organizational and oral and written communication skills, analytical and reporting skills, and proficiency with MS Office products as Excel, PowerPoint, SharePoint, and EMR systems (e.g., EPIC). Experience with paper, computerized and hybrid medical records

Preferred Requirements

• Certified in Healthcare Compliance (CHC) is preferred
• Four (4) year college degree in Healthcare, Health Information Management, or other related field of study is preferred
• Associate degree in Healthcare, Health Information Management or related field with a minimum of two (2) years of experience in clinical or compliance is preferred
• Clinical trial research experience is a plus

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.