Alice Ann Ceruzzi, MS, PMP, CHC, CHPC

Regional Director of Compliance and Corporate Responsiblity Officer at Verity Health System
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Contact Information
us****@****om
(386) 825-5501
Location
San Jose, California, United States, US
Skills

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Credentials

  • CHPC: Certified in Health Care Privacy Compliance
    Health Care Compliance Association (HCCA)
    Apr, 2015
    - Oct, 2024
  • IA: Improvement Advisor
    Kaiser Permanente
    Dec, 2014
    - Oct, 2024
  • CHC: Certified in Health Care Compliance
    Health Care Compliance Association (HCCA)
    Mar, 2012
    - Oct, 2024
  • Project Management Professional
    Project Management Institute
    Mar, 2011
    - Oct, 2024

Experience

  • Verity Health System
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Regional Director of Compliance and Corporate Responsiblity Officer
      • Mar 2017 - Present

      • Inculcates a culture of compliance and establishes compliance’s site role;• Revises the program in light of changes in the organization’s needs, in the laws, and in policies and procedures of government and private payors.• Identifies compliance risk areas through a risk assessment process and other means, and implements plans to resolve compliance issues.• Provides guidance on payor rules of participation and credentialing.• Maintains consistent audit and reviews and reports; requests randomized audits of operational areas with compliance requirements, eg., audits of coding, financial and other ongoing operations.• Monitors audits of billing, coding, reimbursement, and documentation.• Conducts investigations of alleged violations of laws, regulations, policies/procedures and VHS Standards of Conduct, asserted or potential, on a thorough and timely basis. • Serves as point of contact for compliance and privacy issues at designated hospital affiliates.• Receives, investigates, and responds promptly and effectively to compliance related queries.• Oversees operation of the Compliance Hot Line at assigned hospital sites.• Consults with management and general counsel on high risk areas and determines action plan.• Develops operational strategies that ensure compliance with applicable laws and regulations by establishing critical measurements, evaluating trends, resolving problems, and implementing change.• Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.• Institutes and maintains an effective compliance communication program for the organization, including promoting: (a) use of the compliance hotline; (b) heightened awareness of Standards of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.

  • Tenet Healthcare
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Compliance Officer
      • Apr 2015 - Mar 2017

      Hospital Compliance Officer for San Ramon Regional Medical Center & Emanuel Medical Center • Responsible for managing the implementation of Tenet’s Ethics and Compliance Program. Implements and maintain Tenet’s systems process and policies designed to ensure compliance with Federal healthcare program requirements at the hospital level. • Chair the Hospital Compliance Committee which oversees the implementation of Tenet’s Ethics and Compliance Program and its Compliance Charter • Collaborates in the development and completion of annual risk assessments • Report periodically on Ethics and Compliance matters to the Hospital Governing Board• Perform complex Risk Assessments to identify potential compliance issues and areas of compliance requirements• Implement Annual Compliance work plan and initiatives to prevent compliance issue from arising within the hospital• Report to Hospital Leadership on compliance matters on a routine basis• Act as a resource on Compliance and Ethics matters. • Advise hospital leadership on issues concerning compliance and ethics matters including recommended controls designed to ensure compliance• Work collaboratively with Hospital leadership in compliance and ethics program development and implementation• Establishes effective working relationships and build credibility within the Hospital to support a culture of ethics and compliance.

  • Kaiser Permanente
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Senior Compliance Consultant
      • Jul 2011 - Apr 2015

      Provide oversight and coordination of all programming management: system integrators and technical consultants. Develop business applications, operational strategies and initiatives in Information Technology. Develop guidelines and action plans to facilitate department systems integration Provide oversight and coordination of all programming management: system integrators and technical consultants. Develop business applications, operational strategies and initiatives in Information Technology. Develop guidelines and action plans to facilitate department systems integration

  • Candle Corporation
    • United States
    • Software Development
    • 1 - 100 Employee
    • Senior Consultant, Distributed & Enterprise Environments
      • Apr 1999 - Sep 2000

      Created customized project plans to meet the requirements of the government and the private customers in the United States. Created customized project plans to meet the requirements of the government and the private customers in the United States.

  • Lockheed Martin
    • United States
    • Defense and Space Manufacturing
    • 700 & Above Employee
    • Integrated Product Team (IPT) Lead
      • Sep 1994 - Apr 1999

      Served as an on-site Consultant at the United States Census Bureau. Managed a $1M project, requirements, scope, schedule, and costs.

    • Senior Computer System Analyst
      • Sep 1994 - May 1997

      Served as an on-site Consultant at the Central Intelligence Agency - (TS/ISSA)

  • American Red Cross
    • United States
    • Non-profit Organizations
    • 700 & Above Employee
    • System Analyst
      • Nov 1993 - Sep 1994

      Served as an on-site Consultant at the National Institutes of Health Served as an on-site Consultant at the National Institutes of Health

  • Aquidneck Employment Services
    • United States
    • Staffing and Recruiting
    • 1 - 100 Employee
    • Senior Systems Analyst
      • Jun 1993 - Nov 1993

      Served as an on-site Consultant at IBM’s Served as an on-site Consultant at IBM’s

  • IBM
    • United States
    • IT Services and IT Consulting
    • 700 & Above Employee
    • Senior Associate System Programmer
      • Jun 1989 - Jun 1993

      Served as a member of a 14-person VM support team. Contributed to systems programming support for nine VM images, three sites, and 5,000 customers Served as a member of a 14-person VM support team. Contributed to systems programming support for nine VM images, three sites, and 5,000 customers

  • American Psychological Association
    • United States
    • Non-profit Organizations
    • 700 & Above Employee
    • Computer Operator
      • Jun 1986 - Jun 1989

      Performed computer operations and handled internal customer concerns. Performed computer operations and handled internal customer concerns.

Education

  • The Johns Hopkins University
    Master of Science, Information Systems Management and Telecommunications
    -
  • University of Maryland Global Campus
    Bachelor of Science, Information Systems and Biological Sciences
    -

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