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Compliance Leader

Location:
Westerville, OH
Posted:
February 12, 2024

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Resume:

Scott M. Clark, MHA

*** ******* *****, ***********, ** 43081 / 616-***-**** / ad3ke0@r.postjobfree.com

www.linkedin.com/in/scott-m-clark-mha

SUMMARY

Experienced healthcare leader with background in managing key operational phases of academic medical centers, community hospitals, and multispecialty physician practices. Strengths in strategic planning and physician relations. Impressive record in cost containment through inventory reductions, staff reorganizations, and increased employee productivity.

PROFESSIONAL EXPERIENCE

OhioHealth, Columbus, OH 07/2019 - Present

15 Hospitals, 1200+ multispecialty physician practice, commercial health plan system.

Manager, Ethics and Compliance

Leads the Billing Compliance Audit function, Research audit team, Joint venture compliance and Investigations. This includes the annual risk assessment and subsequent audit plan completion and all investigations matters. Currently overseeing 7 direct reports and an operating budget of just over $ 1 million.

Increased the number of completed compliance audits by 37%.

Created the research compliance audit function while serving as the research integrity officer.

Created new processes for completion of the annual Risk Assessment and audit plan.

Codified in policy the process for physician compensation.

Partnered with stakeholders to establish testing, monitoring, and auditing of risks.

Developed corrective action plans and oversaw their completion.

The Ohio State University Wexner Medical Center, Columbus, OH 08/2016 - 06/2019

7 hospital academic medical center including comprehensive cancer center.

Associate Director, Compliance and Integrity

Oversaw the compliance function for the medical center, medical school, and research institute for the Ohio State University. Directed four FTEs and managed an operating budget of $750,000.

Built the audit function from the ground up. This included creating all processes, writing all procedures, creating work product templates, and hiring/training the initial audit team of the OSUWMC.

Instituted proactive control testing and monitoring program for identified risks reducing the need for auditing and increasing the risk mitigation efforts.

Supervised the HIPAA audit team increasing audits by 15% and lowering reportable breaches by 6% over 3 years.

Created processes for annual reporting by tailored programs to Compliance Committee.

Advanced Radiology Services, Grand Rapids, MI 08/2013 - 08/2016

125+ providers – The largest physician owned radiology practice in Michigan with exclusive reading contracts in 30+ hospitals.

Compliance Manager/HIPAA Information Security Officer/Facility Manager

Served in a progressive role as the first compliance professional. Later assigned roles of HIPAA Security Officer and manager of the facility and property.

Ensured that the Board of Directors, the CEO, and the executive leadership team were timely informed of all significant developments.

Created the compliance program and ensured the proper structure and resources were in place.

Implemented information security controls and oversaw tests for potential HIPAA breaches.

Applied for and received a $200,000 grant to employ a new green HVAC system in the headquarters building. This included automated and motion detection thermostats and two industrial backup generators. This initiative ended up saving the company $12,000 per month in heating/cooling and electrical costs.

Special Olympics - Michigan, Kent and Barry Counties, MI 09/2012 - 06/2014 Largest area in Michigan consisting of over 1100 athletes across 2 counties.

Director, Area 11

As a volunteer position - Planned, organized, directed and coordinated the area leadership team with established policies to further achieve the goals, objectives, standards and mission of Special Olympics Michigan.

Increased athlete representation in local, regional, and state events by 20%.

Developed 11 new community health partnerships with local healthcare organizations including dentistry, primary care and physical therapy.

Developed the annual budget, strategic plan, and profile report and accounted for all finances on a budget of $175,000/ annual.

Holland Hospital and

Lakeshore Health Partners Medical Groups, Holland, MI 08/2007 - 08/2013 Medium sized community hospital with a 175+ multispecialty physician practice and joint ventures.

Corporate Compliance and Contract Management Coordinator

Served as the only compliance professional for the hospital and physician group practice, IRB contact and research lead, and Chief Compliance Officer for a radiation oncology joint venture

Various Forensic Accounting and Fraud Investigation Positions 05/1997 - 08/2007

EDUCATION/CERTIFICATIONS

Certified in Healthcare Compliance 2017

Healthcare Compliance Association, Eden Prairie, MN

Certified Professional Coder 2006

American Academy of Professional Coders, Salt Lake City, UT

Master of Healthcare Administration 2014

Grand Valley State University, Allendale, MI

Bachelor of Arts 1996 The Ohio State University, Columbus, OH

PROFESSIONAL/COMMUNITY AFFILIATIONS

American College of Healthcare Executives, Member

West Michigan Professional Medical Coders, Former President, Vice President, Treasurer

American Association of Professional Coders, Member

HealthCare Compliance Association, Member

AHIMA, Member



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