***Available for Hybrid Work***
The Chief of Clinical Integrity (CIO), OHSU Health serves as the focal point for all clinical compliance activities, reporting to the Executive Vice President and Chief Executive Officer with a direct reporting relationship to the UHS Board of Directors. The CIO, OHSU Health coordinates and communicates all assigned compliance activities and programs, as well as plans, implements, and monitors the Clinical Compliance Program. The CIO, OHSU Health ensures that the OHSU Health System meets federal and state laws, regulations, and guidance relating to clinical billing compliance. This position is responsible for the development, coordination, implementation, maintenance, and oversight of an integrated Clinical Enterprise Integrity program that comprises both professional and facility billing and coding practices and compliance requirements. The Clinical Integrity function will support and foster a culture that encourages compliance with legal and regulatory billing and reimbursement requirements and practices, which will be accomplished through education, monitoring, and consulting services utilizing a risk-based approach for potential areas of non-compliance.
In fulfilling the responsibilities of this position, the CIO, OHSU Health will collaborate with a broad spectrum of organizational partners, such as Regulatory Compliance, Legal, Clinical Enterprise providers, Enterprise Revenue Cycle, Hospital Administration; Faculty Practice Plan and School of Medicine leadership, directors and managers, OHSU School of Nursing, OHSU School of Dentistry, Human Resources, various committees and various integrity programs throughout OHSU - including the Central Integrity Office and the OHSU Chief Integrity Officer. This position facilitates clinical integrity within the scope of the position’s responsibility at OHSU by providing leadership and collaborating with the clinical enterprise and other organizational partners to:
Department leadership and management: Using knowledge of federal, state, local, and
institutional regulations, guidance, and policies and procedures:
Policies and procedures: Ensure that requirements (e.g., local, state, and federal regulations and guidance as well as related OHSU policies and procedures) are appropriately described in OHSU policies and procedures.
Training, communication, and advisory services: Identify, develop, and implement training and communication outreach to the OHSU community regarding clinical enterprise integrity.
Continuous Quality Improvement: Develop and implement a program of continuous quality improvement for the Clinical Enterprise Integrity team/department.
Other duties as assigned: Including investigations and other special projects.
Education:
Experience:
Job Related Knowledge, Skills and Abilities:
Education:
Experience:
Job Related Knowledge, Skills and Abilities:
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