Sr Analyst Corp Compliance

At DaVita we find that our best leaders are those who create an inspiring vision for the future and empower their team to achieve success. They have always enjoyed tackling difficult problems and believe that the best way to solve them is through collaborative team efforts. They take ownership of results and instill accountability in those they lead. They are driven strong communicators relationship builders and find real fulfillment in challenging work.

Sound like you Then you might be a great fit for Senior Analyst Compliance (Clinical Documentation and Billing Investigations) with DaVita.

Heres what you can expect as a Compliance Senior Analyst at DaVita:

This position reports to the Manager Corp Compliance overseeing Clinical Documentation and Billing Investigations and will apply their experience with investigations audits and/or consulting projects to identify and evaluate compliance and regulatory risks associated with potential noncompliance with Company policies procedures and practices. Generally this position assists in the execution of the daytoday compliance program for our dialysis business unit specifically the Information Technology (IT) Clinical Enterprise and Revenue Operations departments. The position amongst other responsibilities outlined below will investigate potential compliance issues linked to clinical and billing activities including clinical IT systems.

The job responsibilities of the Senior Analyst Compliance (Clinical Documentation and Billing Investigations) include but are not limited to the following with a goal of mitigating risk related to the False Claims Act and other state and federal regulations:

• Investigate potential compliance issues linked to clinical and billing activities including clinical IT systems;
• Conduct IT system investigations and audits including performing risk assessments scoping investigations/audits developing investigation/audit work plans performing investigation/audit procedures documenting work reporting findings and developing and implementing appropriate remediation;
• Perform proactive process and control assessments of policies procedures and clinical IT systems;
• Define and understand potential compliance issues collect and analyze large amounts of data perform research identify root causes of potential issues and evaluate risk to make timely and appropriate decisions;
• Utilize Excel Access and other tools to perform qualitative and quantitative analyses on large amounts of clinical and billing data and develop presentations to communicate the results of such analyses to compliance and operations management;
• Conduct multiple projects concurrently while managing timelines with their manager and internal customers and assist their manager with projects related to the overall compliance audit and monitoring programs;
• Draft written presentations to compliance and operations management to inform decision making; and
• No direct reports.

Qualifications

• Bachelors degree required; JD/CPA/CIA/MBA or other relevant advanced degree or certification a plus;
• Certificate in Healthcare Compliance preferred;
• Minimum of 3 years experience as an investigative audit compliance or legal professional responsible for compliance investigations external/internal audits and consulting projects (e.g. process and control assessments);
• Preferred experience working with Medicare Fee for Service claims and respective electronic health record and billing IT systems;
• Preferred experience working for Big 4 or midsized audit firms other consulting firms or a healthcare company;
• Preferred experience in healthcare industry dealing with federal healthcare program laws specifically the False Claims Act;
• Preferred experience working with Medicare Fee for Service regulations including CMS Conditions for Coverage (CfC) Conditions for Participation (CfP) and other CMS Manuals;
• Strong organizational and project management skills with demonstrated attention to detail;
• Experience in positively and successfully managing relationships with a high energy and diverse group of internal customers across organizational lines;
• Advanced technology skills including Excel PowerPoint and Access including experience with using these tools to create data analytics (e.g. Pivot Table Vlookup etc.);
• A thoughtful articulate and effective critical thinker and communicator who can distill and articulate the important aspects of any issue;
• Superior written and verbal communication skills (including presentations) and the ability to drive execution in a team environment;
• Must be selfmotivated team player with proven ability to identify issues manage priorities and deliver on commitments in a fast paced environment; and
• Hands on efficient and proven ability to Get Stuff Done with a bias for action and a strong sense of ownership.
• Limited travel required: up to 10%

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