Experience

Verity Health System

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Manager, Corporate Responsibility Program and HIPAA Privacy Officer

  • Aug 2013 - Present

  Daly City, California • Oversees, administers and monitors the Compliance and Corporate Responsibility Program. Revises the program considering 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 plan to resolve compliance issues. • Provides guidance on Medicare billing rules and participation. • Maintains a consistent audit and reviews and… Show more • Oversees, administers and monitors the Compliance and Corporate Responsibility Program. Revises the program considering 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 plan to resolve compliance issues. • Provides guidance on Medicare billing rules and participation. • Maintains a consistent audit and reviews and reports schedule including randomized and sampled audits of coding and other operational and financial areas. • 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. • Receives, investigates, and responds promptly and effectively to compliance-related queries. • Oversees the operation of the Compliance Hotline at assigned sites. • Consults with management and general counsel on high-risk areas and determines the action plan. Show less



Caritas Business Services

• Compliance Coordinator

  • Nov 2008 - Aug 2013



Providian Financial

• Financial Services
• 1 - 100 Employee

• Project Manager

  • Oct 1995 - Jun 2001