Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.
Job Role Summary
The Director, Compliance Physician Practices is responsible for developing and maintaining compliance structures for external physician practices (Indiana University Health Physicians) and employed physician practices (Eskenazi Medical Group). This individual leads the overall direction and management of compliance oversight including implementing education and training, resources, as well as initiating compliance projects to insure organizational integrity. The position supports the Chief Compliance Officer and senior leadership in fulfilling her/his oversight role by providing independent assessments of the physician arrangements/affiliations, comparing those to regulatory requirements, and implementing plans to address risk areas identified.
Essential Functions and Responsibilities
Promotes a culture of compliance across HHC/Eskenazi Health serving as a compliance expert resource for physician practices.
Provide insight into the risk assessment plan regarding physician practices in order to audit or otherwise review those areas identified as risk areas.
Oversee the organizational, group, and individual practices involving IUHP and EMG physicians to assess compliance with agreements, regulations, and government agencies with regard to documentation of services provided, coding, resident oversight, and maintaining logs as required for administrative functions.
Increase communications with physicians groups and IUHP colleagues to establish working relationships which encourage consistency with compliance practices and expectations of physicians.
Lead discussions and develop projects to identify and mitigate compliance issues in practice areas.
Participate in physician leadership meetings to promote compliance initiatives, and respond to concerns raised by physicians.
Promptly investigate reports of non-compliance or suspected violations of non-compliance and implement corrective actions as deemed appropriate.
Monitor conflict of interest disclosures, OIG screenings, compliance training, and other requirements for physicians to ensure completed in accordance with policies, regulatory requirements, and the risk assessment plan.
Collaborate with members of the Office of Corporate Compliance, as part of the compliance team, to share expertise and experience in building a culture of compliance across the organization.
Remains current on federal and state regulations related to physician services and practices.
• Master's degree in health services administration or related field, or JD required. • Minimum of five years of experience working in physician practice areas, including overseeing compliance activities within the practice. • Three to five years of experience with conducting investigations to determine regulatory compliance. • Familiar with navigating the electronic medical record system (Epic) to complete reviews.
Accredited by The Joint Commission and named one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America's best midsize employers' Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care - Center of Excellence in Women's Health, just to name a few.