Compliance and Privacy Analyst; Non-coder

Overview

Using advanced knowledge required for the complex analytical functions of this job, the Analyst conducts compliance and privacy investigations using expertise of investigative procedures, research, and analysis. The Analyst applies independent judgment and critical decision making to determine regulatory compliance risk to patients and the organization. Documents and communicates results and findings of compliance research, analysis, and decision-making. Ensures health system compliance with applicable regulatory, accreditation, and requirements.

• Identifies, researches and analyzes compliance and regulatory risk
• Researches and collects all data points relevant to the issue being investigated
• Analyzes actual and/or potential compliance risk to patients and the organization using advanced knowledge of federal, state and local regulations
• Demonstrates expertise in effectively interviewing witnesses
• Makes a determination of risk based upon discretion, judgement and regulatory analysis
• Comprehensively documents all aspects of the investigation; communicates determination to all stakeholders and involved parties
• Oversees corrective action plans and strategies to mitigate the compliance risk
• Reports and communicates findings to federal agencies as appropriate
• Partners with CISO and HIT Information Security team on HIPAA related matters
• Provides effective coordination of departmental projects/operations
• Project goals are established in collaboration with leadership and are aligned with the goals and objectives of the department
• Project plans are developed and implemented to meet goals
• Project progress is monitored and adjustments are made to meet deadlines
• Internal and external resources are utilized in an efficient and cost-effective manner
• Responsibility is assumed as the primary point-of-contact for projects
• Works with internal and external partners to ensure an integrated process
• Identifies and resolves problems
• All relevant issues, stakeholders and broad systematic implications are considered when making decisions
• Questions and issues are directed to appropriate resources
• Follow-through is maintained on committed actions in a timely manner
• Problem-solving and creative thinking facilitate development and implementation of new approaches and methods
• Fosters an environment of continuous improvement, best practices and quality outcomes
• Adapts to competing demands, shifting priorities and organizational constraints
• Identifies specific information needed for clarification or action to reach desired outcomes
• Ensures compliance with applicable laws and regulatory requirements
• Demonstrates knowledge of regulatory, accreditation and health system requirements through correct application to projects
• Monitors project activities to ensure ongoing compliance
• Prepares comprehensive, accurate and timely reports
• Prepares timely responses to regulatory agencies for leadership review
• Formulates recommendations for Medical Center and health system policy and procedure changes based on regulatory changes
• Conducts on-site surveys and audits of project activities and documentation per project plan and needs
• Develops effective networks and represents the Medical Center and health system

Innovative solutions are produced by working cooperatively with others.

• Builds relationships with people whose assistance and cooperation may be needed, recognizing their concerns and perspectives
• Develops, maintains and accesses a network of contacts within and outside the health system
• Participates in internal and external committees and work groups in a professional manner
• Communicates appropriately using good interpersonal skills
• Projects a positive, professional demeanor through verbal and non-verbal communications
• Delivers information for patients and staff in a supportive, timely and understandable manner
• Resolves interpersonal conflicts using appropriate methods and organizational resources
• Acknowledges diverse perspectives and models language and behaviors that build inclusiveness in the work environment
• Clearly communicates ideas and suggestions
• Requests clarification of communications when appropriate
• Serves, manages and supports internal and external customers
• Maintains privacy of patient and employee information
• Initiates actions to meet or exceed customer and co-worker expectations in delivering service
• Uses appropriate resources across the organization to meet customer needs
• Fosters relationships with staff in other work areas to meet internal and external customer needs
• Maintains positive working relationships with peers, management and customers
• Demonstrates the organizational mission and values in behavior (Accountability, Stewardship, Professionalism, Integrity, Respect, Excellence)
• Participates in performance improvement activities
• Engages in ongoing performance improvement initiatives
• Shows initiative to diagnose and resolve problems
• Embraces change with positive, supportive behavior
• Participates as a team member and is accountable for own work…