Entity Compliance & Privacy Officer - Full Time Days

About the position Entity Compliance & Privacy Officer Bring your passion to Texas Health so we are Better + Together Work locations: This role is hybrid (remote and in office) Primary work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012 Secondary work location: Texas Health HEB and Texas Health Denton (travel to these locations as needed) Work hours: Full Time, 40 Hours; 8am-5pm Compliance Departmental Highlights Empowerment Through Purpose-Driven Work : Be part of a mission-driven environment that values your voice, supports your growth, and celebrates your contributions. We are committed to creating a workplace where every team member feels seen, heard, and empowered to make a meaningful impact. Live the Promise Culture Every Day : Embody THR’s core values of respect, integrity, compassion, and excellence. As a steward of compliance and privacy, you’ll play a vital role in fostering trust and transparency, ensuring our practices reflect the heart of our organization’s promise to patients, families, and each other.

Responsibilities

• Oversee, lead and administer the hospital compliance and privacy programs consistent with THR policies.
• Serve as Chair for Entity Compliance Committee and Privacy Committee for assigned entities.
• Communicate the importance of compliance and compliance program to senior management, the hospital Board of Trustees, the entity compliance committee, and hospital employees.
• Increase knowledge of the relationship between services provided to patients, medical record documentation, reimbursement, and audit liability, and other pertinent compliance topics.
• Develop and/or implement education programs addressing compliance and privacy.
• Work in cooperation with Central Business Office and the THR Billing Compliance Committee on matters related to the hospital Chargemaster, billing and/or charging matters.
• Maintain specific knowledge and skills related to the THR Code of Business Ethics necessary to answering questions and providing guidance to hospital personnel on business ethics questions or concerns.
• Work in coordination with the THR Privacy Officer as needed to carry out privacy initiatives and activities.
• Lead hospital department leaders and staff in coordination of efforts pertaining to audits and/or compliance-related matters and topics.
• Motivate staff to use a variety of mediums and facilitate an atmosphere of teamwork and common goal achievement
• Oversee the application of THR System Compliance policies.
• Oversee the application of THR Privacy Program policies taking appropriate steps to mitigate damage from breach of privacy policies and practices, when necessary.
• Identify and assess areas of compliance and privacy-related risk and related internal controls for these risk areas.
• Oversee entity compliance and privacy monitoring and auditing activities and coordinate as needed with THR System Compliance staff.
• Communicate audit/monitoring findings.
• Monitor the day-to-day activities of the hospitals to further its compliance objectives.
• Conduct and oversee investigations as appropriate.
• Coordinate investigations with legal counsel and THR System Compliance Officer for major violations of law or policy.
• Oversee and follow-up, as applicable, implement corrective actions to investigations and other issues generated by the compliance and privacy programs.

Requirements

• Bachelor's Degree Req
• 5 Years Compliance and health information privacy regulations, policies and processes experience. Req
• Understanding of revenue cycle and reimbursement for federally funded programs and private payers. Req
• Prior compliance officer and/or privacy officer experience. Req
• CHC - Certified in Healthcare Compliance 12 Months Req
• Skills Knowledge of industry standards Medicare/Medicaid.
• Regulatory standards for affected area of responsibility.
• Knowledge of continuous improvement and change management.
• Excellent written and verbal communication skills.
• Working Indoors 67% or more
• Physical Demands Light Work Nice-to-haves
• Multi-hospital experience.
• CHC - Certified in Healthcare Compliance Upon Hire Pref

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