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Position Summary

The Vice President of Compliance Support serves as the enterprise-wide authority and subject matter expert on healthcare privacy, billing, coding, and documentation integrity. This role provides strategic leadership, expert consultation, and authoritative guidance on integrity matters impacting the organization at both the enterprise and market levels. The System Integrity Officer partners with executive leadership to proactively identify, assess, and mitigate regulatory and financial risk, while ensuring the organization maintains the highest standards of compliance and integrity across all operations. The Vice President of Compliance Support reports to The Chief Compliance Officer and provides direct supervision of the Market Privacy Managers, Market Integrity Managers, Director of Provider Support. This role provides strategic oversight and direction for privacy and integrity functions across all Markets and collaborates closely with Revenue Cycle, Finance, Operations, and Clinical leadership.

Essential Duties and Responsibilities

• Serve as the enterprise subject matter expert on federal and state healthcare privacy, billing, coding, and documentation requirements.

• Speak with authority on integrity matters, providing expert consultation on enterprise-wide and market-level initiatives, risks, and complex issues.

• Monitor, interpret, and assess the evolving regulatory landscape impacting healthcare program participation, including Medicare and Medicaid.

• Lead the identification, evaluation, and mitigation of enterprise-level integrity and regulatory risks.

• Provide strategic guidance to executive leadership, Market leaders, and Compliance Committees regarding integrity trends, risks, and mitigation strategies.

• Oversee the development and execution of enterprise integrity strategies, frameworks, and priorities.

• Supervise and mentor the Deputy Integrity Officer and HIM Directors ensuring alignment of operational integrity efforts with enterprise strategy.

• Provide executive oversight of audit, monitoring, and investigative activities related to billing, coding, and documentation integrity.

• Guide the development and maintenance of audit tools, monitoring methodologies, and integrity standards.

• Consult on complex billing, coding, documentation, and integrity and HIM-related issues, including high-risk findings and investigations.

• Support enterprise compliance risk assessments and integrity-related reporting to leadership and governing bodies.

• Champion a culture of integrity, accountability, and continuous improvement across the organization.

• Assist with market or subsidiary external audit negotiations and prepare responses to external audits as necessary.

• Oversee development, implementation and effectiveness of integrity-related training for leadership and providers.

• Make board presentations as necessary.

• Perform other duties as assigned.

Supervisory Responsibilities

This position has supervisory responsibilities, which may include providing direction, training, coaching, and performance feedback in accordance with system policies.

Knowledge, Skills, and Abilities

• Expert-level knowledge of federal and state healthcare program regulations, including Medicare and Medicaid.

• Advanced expertise in healthcare billing, coding, documentation, auditing, and integrity monitoring.

• Ability to synthesize complex regulatory requirements and translate them into enterprise strategy and actionable guidance.

• Exceptional executive-level communication and presentation skills.

• Strong strategic and systems-level thinking.

• High level of professional credibility, judgment, and discretion.

• Proven ability to influence and advise senior leaders.

• Thorough understanding of HIPAA and confidentiality requirements.

Minimum Qualifications

Education

Bachelor's degree in Health Information Management, Healthcare Compliance, or a related field required; Master's degree strongly preferred.

Experience

Eight or more years of progressive experience in healthcare compliance, integrity, billing, coding, auditing, or regulatory leadership, including enterprise or system-level responsibility.

Licenses and Certifications

One or more of the following credentials required: RHIA, RHIT, CHC.

Physical and Work Environment Requirements

Work is performed in an office, clinical, residential, and/or community-based environment depending on role and assignment. The position may involve routine use of office, clinical, or electronic systems and equipment. Duties may require prolonged periods of sitting, standing, walking, and working at a computer. Work hours may include evenings, weekends, holidays, or extended shifts based on program needs. This position is classified as sedentary work. Sedentary work involves exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Program and State-Specific Requirements (When Applicable)

Additional requirements may apply based on program assignment, work location, or state-specific regulatory or contractual obligations.

Disclaimer

The statements herein are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required. Duties and responsibilities may change at any time with or without notice.