Director of Compliance Education

Position Focus :

The Director of Compliance Education is responsible for leading the development of training and management of Yale Medicine Compliance initiatives and programs for clinician documentation and coding education.

This includes but is not limited to : Implementing required documentation standards that comply with reimbursement guidelines, developing strategic initiatives based on metric analysis, and fostering collaboration with clinical department leadership, clinicians while facilitating a continuous quality improvement culture.

Oversees and coordinates the preparation of reports and analyses, identifies trends, makes appropriate recommendations for improvement, and tracks progress.

Report analysis includes identifying measurable goals and improvement opportunities as compared to industry and internal benchmarks.

Leads compliance education team effectively to achieve strategic initiatives, goals, and deadlines. Responsible for the oversight of all compliance educational materials.

This includes, but is not limited to, oversight of content creation, approval, and maintenance of compliance education materials.

Provides ongoing leadership support and coaching to Compliance Education team including current coding knowledge, performance feedback, professional development, inspiring engagement, etc.

Stays abreast of current industry trends, applicable rules and regulations, and continuously seeks documentation improvement strategies;

advises management and operations staff as needed. Communicates regularly with Compliance Audit and Investigation teams, the Revenue Cycle (coding and billing) teams, and the Department CDLs, to remain abreast of current efforts, Clinician pain points, and potential problem areas.

Monitors and Communicates to the Compliance, Coding and Billing teams, and CDLs of industry and regulatory changes that may impact Clinician Education.

Manages the roll-out of new documentation programs and facilitates training on these programs. Handles other duties, meetings and projects as assigned by the Senior Director of Compliance.

Cultivating relationships with Clinical Department Leadership and their Clinical Affairs teams across the enterprise to ensure education, programs, and resources are developed and disseminated in a meaningful way that speaks directly to the Clinicians and their needs.

Engaging routinely with Clinical Department Liaisons (CDLs) as a central resource and to streamline distribution of billing and coding education for faculty and advanced practice providers.

Responsible for the oversight of Yale Medicine Compliance developed programs for new and existing clinicians, including analysis of key performance indicators, and implementing improvements when necessary.

Analyzes and prepares for annual CMS and CPT updates / changes and develops timely materials and distribution / training strategies across the enterprise.

Leverages the existing tools in the electronic health system (Epic), as well as recommends and implements new system wide optimizations, to improve compliance with billing and documentation guidelines.

Other duties as assigned

Essential Duties

1. Directs one or more functional areas within an administrative department of the University and ensure compliance with University policies and procedures.

2. Directs analytic and research support for educational policies and planning and develops and approves administrative policies affecting assigned functional areas of the University.

3. Directs and establishes parameters for major projects for the department and University. 4. Interprets federal policies and regulations and educates staff and administration about regulations, restrictions, and the legal responsibilities of the University.

5. Directs and implements policy and program modifications and develops standards to ensure compliance with federal, state and local regulations.

6. Develops and administers an operating budget for the assigned department consistent with University policies and procedures.

7. Develops cost savings objectives and goals; authorizes major purchases and negotiates contracts that range from routine to complex in nature.

8. Establishes and implements long- and short-range goals for the functional area consistent with University goals and objectives.

9. Directs the development of related automated systems to support the function; determines office policies and procedures for use of automated systems.

10. Directs the evaluation and selection of vendors and negotiates contract details including work steps and pricing with the vendors on behalf of the assigned functional area.

11. Works with internal and external contacts to solve problems that range from routine to complex in nature. 12. Represents the University in discussions and negotiations with various governmental agencies.

13. Directs a staff of exempt and nonexempt employees. 14. May perform other duties as assigned.

Required Education and Experience

Bachelor’s Degree in related field. Seven years of experience or an equivalent combination of education and experience.

Required Skill / Ability 1 :

Proven applicable CPT and ICD-10 coding experience; coding certification required. If not certified, must obtain certification within the first 12 months of employment.

Required Skill / Ability 2 :

Experience successfully leading teams with high levels of engagement and retention required. Strong leadership skills and previous experience leading a team.

Leadership, teamwork and the ability to influence and develop others. Ability to work independently with minimal direction.

Required Skill / Ability 3 :

Ability to strategize and see the big picture, understanding the impact of performance on the overall goals and objectives of the team and the organization.

Ability to collaborate closely with subject matter experts across multiple subjects, topics and service lines. Experienced working with physicians regarding documentation education.

Required Skill / Ability 4 :

Strong analytical and statistical skills and experience. Must be results-oriented. Strategic thinking, breakthrough thinking and creative problem-solving skills, showing an ability to overcome obstacles.

Ability to lead and perform in a way that meets deadlines and provides strategic and tactical support to multiple associates.

Ability to handle stress and conflict.

Required Skill / Ability 5 :

Strong computer skills (Excel, Word, PowerPoint, Visio, and database management). Excellent interpersonal skills, verbal and written communication skills with small and large group presentation skills.

Excellent organizational and time management skills.

Drug Screen

Health Screening

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements.

All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

COVID-19 Vaccine Requirement

The University maintains policies pertaining to COVID-19. All faculty, staff, students, and trainees are required to comply with these policies, which may be found here :

Posting Disclaimer

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position.

Employees will be assigned specific job-related duties through their hiring departments.

EEO Statement :

University policy is committed to affirmative action under law in employment of women, minority group members, individuals with disabilities, and protected veterans.

Additionally, in accordance with Yale’s Policy Against Discrimination and Harassment, and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.