Compliance Associate - Research

The Compliance Associate assists with the implementation, continued operation, and maintenance of the Corporate Integrity Program. The components of the Corporate Integrity Program include oversight of the organization’s compliance plan, Code of Conduct, the Compliance Hotline and other reporting mechanisms, oversight and management of the conflict-of-interest processes and system, key policies and procedures, compliance education, and investigations.

Why Nationwide Children's Hospital?

The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose.

Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.

We’re 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

Nationwide Children’s Hospital. A Place to Be Proud.

Responsibilities

Assists with the maintenance, monitoring, and enforcement of the Standards of Conduct and Corporate Integrity Program. Assists ACO and Senior Compliance Associate(s) on compliance program effectiveness initiatives.

Assists with the development, implementation, and communication of policies and procedures, changes to policy, regulations, and guidelines, and participates in development and presentation of educational materials for key topics.

Assists with maintaining channels for reporting compliance concerns, conducting investigations, and monitoring for follow up and recommendations. Analyzes compliance concerns, questions, complaints from internal customers. Assists ACO and Senior Compliance Associate with resolution of more complex inquiries.

Serves on key committees throughout organization in need of compliance oversight, provides guidance on potential compliance concerns, and serves as a liaison to depts with compliance related responsibilities. Establishes and maintains working relationships with key individuals and dept

Develops working knowledge of compliance aspects and attends appropriate educational opportunities to maintain knowledge of relevant compliance topics. Monitors and reviews change to regulations, statutes, and governmental guidance for potential impact to organization.

Assists in maintenance of revenue cycle controls and processes to ensure appropriate billing and payment. Assists with ensuring the timely refund of necessary paybacks.

Works with the COI Administrator to support the effective and efficient operation of the COI program including review of disclosures, investigating, and reviewing conflict concerns, and developing conflict management plans.

Note: Regular, reliable, and consistent attendance is an essential job function. Employees are expected to perform work as scheduled. Please see the physical requirements for this position listed below.

Qualifications

Education

Bachelors in Science, Masters, or Ph.D. in biomedical or healthcare sciences

Experience

Three (3) years compliance experience with a minimum of one (1) or more is a health science/research regulatory area.,, required.

Knowledge and experience with electronic medical records, Internal Classification of Diseases (ICD 10), HCPCS, CPT coding principles and guidelines, preferred.

Skills

Strong interpersonal and communication skills, required.

The ability to collaborate with all levels within the organization, required.

Organizational and analytical skills, attention to detail, and ability to be an objective observer, required.

Certification

Healthcare compliance certification, preferred.

MINIMUM PHYSICAL REQUIREMENTS

1-33% OF TIME (0.5 TO 2.5 HOURS)Bend/twist

Squat/kneel

Reaching above shoulder

Driving FREQUENTLY 34-66% OF TIME (2.6 TO 5.0 HOURS)

Standing

Walking

Sitting

Lifting/carrying up to 30 lbs.Pushing/pulling up to 50 lbs. may need assistance CONTINUOUSLY 67-100% OF TIME (5.1 TO 12 HOURS OR GREATER)

Flexing/extending of neck

Hand use: grasping, gripping, turning

Repetitive hand/arm use

Computer skills Audible speech

Hearing acuity

Depth perception

Peripheral vision

Seeing-far/near Problem solving

Decision making Interpreting data

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. EOE M/F/Disability/Vet

Full Time