Joel Dustin Kellner, Ms, Chc, Cfe, Cssbb Email & Phone Number

Frisco, Texas, Us

Oversee and manage a team of compliance and privacy investigators to ensure adherence to HIPAA and other healthcare compliance regulations across the enterprise. Conduct in-depth investigations into potential compliance and privacy violations, identify root causes, and implement corrective actions. Collaborate with legal counsel, human resources, and other operational partners to resolve compliance/privacy issues and mitigate risks. Develop and implement comprehensive risk management strategies to identify and address potential compliance and privacy investigations. Build and maintain strong relationships with clients, providing guidance and support on compliance matters and ensuring their satisfaction. risks. Provide ongoing education and training to staff on HIPAA and other healthcare compliance regulations, fostering a culture of compliance.

Frisco, Texas, Us

Performs cross operational compliance functions including research, investigates, and coordinates risk mitigation efforts for reported compliance allegations, and HIPAA concerns for healthcare clients including over 150 hospitals and 800 outpatient centers. Communicates compliance guidance to operational leadership and oversees adherence to compliance policies and procedures across the enterprise. Ensures compliance with business associate agreement requirements, regulatory agency conditions of participation and other compliance as defined by the Board of Directors. Leverages cross operational SME to develop streamlined compliance reporting and audit mechanism.

Butler, Pa, Us

As the Interim Compliance Officer, maintain a current working knowledge of Federal and State regulations and policies as they affect the system through routine review of CMS manuals, MAC's, OIG Guidelines, Federal Register notices, applicable government and/or industry related regulations. Investigate reported compliance and privacy concerns and perform auditing and monitoring duties at the system. Disseminate information and educate system employees regarding a broad spectrum of compliance and privacy related topics. Develop and implement compliance and privacy work plans throughout the system.

Owned compliance consulting product and implementation. Constructed and managed compliance programs at three hospital systems in consulting role. Program management oversight included policy creation, auditing/monitoring, compliance communications, and education. Managed and operated sanction screening solutions to ensure compliance with applicable local, state and federal license and sanction regulations. Analyzed and provided compliance guidance on all local, state and federal healthcare compliance regulations and procedures to operational areas. Executed enterprise compliance risk assessments and reported recommendations and findings to senior leadership.

Generated, implemented, and provided compliance guidance to healthcare-based compliance programs for regional hospitals, provider groups, and occupational medicine organizations. Developed and coordinated compliance programs and work plans based on the OIG seven elements of compliance. Investigated compliance concerns and conducted audits as directed by the compliance work plan and regulatory agencies. Performed compliance risk assessments based on organizational gap analysis. Completed oversight of sanction screening process and ensured compliance with OIG and SAM requirements.

Pittsburgh, Pennsylvania, Us

Constructed and provided guidance on corporate fraud program implementation. Investigated compliance concerns and complaints, including conflict of interest and FWA. Reviewed and provided guidance on compliance language in contracts with vendors and joint ventures. Performed sanction screening analysis and presented findings to the Board of Directors. Assisted in enterprise gap analysis including risk assessment of offshore business ventures.

Pittsburgh, Pennsylvania, Us

Responsible for the management of company performance improvement activities including but not limited to: customer complaint resolutions, employee relations, quality improvement, process improvements, direct safety and controls, and reporting trends. Owner of the management and successes of Joint Commission surveys and other regulatory agency surveys including CMS, DOH and OIG.

Pittsburgh, Pa, Us

Initiated, investigated, audited, and resolved 400+ fraud, waste, and abuse investigationsresulting in over $1,000,000 in recoveries, prepayment savings and cost avoids in Pennsylvania, Ohio, Virginia, Maryland, and Georgia. Designed and implemented Fraud, Waste, and Abuse training programs that required training of all employees including senior leadership and C-SUITE.

New York, Ny, Us

Pittsburgh, Pennsylvania, Us

Master’S Degree, Applied Intelligence

B.A, History