About Us

The Seattle Cancer Care Alliance (SCCA) located in Seattle, Washington is a dynamic collaboration among three organizations known nationally and internationally for their patient care and research: Fred Hutchinson Cancer Research Center (FHCRC), University of Washington (UW) and Children’s Hospital and Regional Medical Center (CHRMC).

 

Over the past 25 years, these institutions have worked together to support their missions of adult and pediatric oncology patient care services, research and education.  Join this leading organization and make a difference.

 

Responsibilities

Under the direction of the Corporate Integrity Program Manager, this position conducts and manages audits and investigations to monitor the effectiveness of the Integrity Program. The Integrity Compliance Analyst manages compliance audits, program reviews, special projects and complaint-driven investigations with a focus in HIPAA privacy and security, billing, coding, and documentation. Other types of audits may be done to support Integrity Program efforts as appropriate. This position develops and maintains a compliance audit work plan addressing compliance initiatives in his/her area scheduled for a given year.

Major Duties

Investigation, audit and project management: 80%

1.  Develops and maintains an annual compliance audit work plan addressing compliance initiatives for the year.

2.  Conducts or facilitates performance of audits as detailed in the compliance audit work plan.

3.  When designing or reviewing an audit, determines and documents audit methodology.

4.  Uses analytical review, computer auditing and statistical sampling techniques when conducting audits.

5.  Coordinates with various departments to obtain information needed in conducting the audit or investigation.

6.  Works with managers to establish department compliance monitors and reports as needed.

7.  Provides feedback and education on the results of auditing and monitoring activities to affected staff and practitioners.

8.  Recommends corrective action plans in response to investigative findings and/or audit results.

9.  Facilitates and manages special projects in accordance with the compliance work plan as they arise.

Compliance policy, procedure, and plan management: 10%

1.  Develops policies and procedures for effective implementation of the audit plan and reporting of results.

2.  Reviews and advises on revisions to policies and related procedures to ensure compliance elements are met.

3.  Updates the compliance audit plan on a continuous basis as needed to proactively identify and monitor any potential compliance issues.

Communications, training, documentation and other: 10%

1.  Develops and provides audit result feedback to appropriate leadership and key stakeholders or groups in the form of summary reports and/or presentations.

2.  Assists in the preparation of quarterly and annual reports to various committees regarding the compliance audit activities and actions undertaken in the past six months, the proposed plan in the coming months, and any recommendations for changes in the compliance program due to audit results.

3.  Maintains files and documentation in standard formats for easy accessibility to qualified individuals for legal review or other types of requests.

4.  Performs other duties as assigned.

Qualifications

Bachelor’s Degree in Health Sciences discipline, Business Administration, or related fields and 2-4 years experience in healthcare administration or medical billing.  Equivalent education and experience may be substituted for minimum qualifications.  Knowledge of the healthcare regulatory environment and HIPAA requirements.  Familiarity with medical billing processes.  Demonstrated technical competencies and ability to investigate and resolve compliance issues. Strong critical thinking, research and organizational skills.  Attention to detail.  Ability to independently prioritize work.  Excellent oral and written communication skills and the ability to communicate effectively with all levels of management, physicians and staff.  Ability to develop and maintain collaborative working relationships with all departments involved in the audit process. Experience analyzing and presenting data.  Ability to exercise strict confidentiality with all aspects of the position.  Proficiency with MSWord, Excel and databases.

To Apply

For more information about the position and to apply, please visit the Fred Hutchinson Cancer Research Center website at www.fhcrc.org and search for Job# AD-23303.