Office of Healthcare Compliance

Compliance Office Personnel

Chief Compliance Officer
Assistant Vice Chancellor
for Health Affairs

James S. Mathis, JD, CHC, CHP

Billing Compliance Officer
Bob Mangeot

VUH Compliance Officer

VCH Compliance Officer
Roxanne Womack, JD, RHIA, CHC, CHPS

Policy System Coordinator Amie Hollis, JD

Manager, Compliance Audit

Compliance Consultants
Joy Carr, RHIT
Shelly Ellis, BS, CPC         Lakisha Jackson

Sr. Executive Secretary for James S. Mathis
Zayda Cunningham

Administrative Assistant II
Frances N. O'Connor

A Word from Our Chief Compliance Officer, James Mathis  

Since joining  Vanderbilt in 2013 as the Chief Clinical Enterprise Compliance Officer, I have beenJames Mathis responsible for the leadership and guidance of the Compliance Program that addresses the regulatory compliance in the clinical enterprise. I feel honored that I have been appointed the position of Chief Compliance Officer effective July 1, 2014.  In furtherance of my efforts to enhance Vanderbilt’s growing reputation as a national leader, I will oversee the Office of Healthcare Compliance to ensure that the clinical and academic enterprise implement and maintain an effective compliance program that includes the seven key elements as follows:

  • Written standards of conduct and policy
  • Compliance Officer and oversight Committee
  • Regular training of employees
  • Process to receive complaints
  • Process to respond to allegations and remedy problems
  • Audits to monitor compliance
  • Process to investigate identified concerns

The medical center’s compliance program is managed by the Office of Healthcare Compliance, but it is everyone’s responsibility to ensure its success by following Vanderbilt’s policies and procedures, which are designed to follow the laws, rules, and regulations that govern the health care industry, and by doing the right thing and speaking up when unethical, illegal or unsafe activity is known or suspected.

The Vanderbilt Office of Healthcare Compliance’s mission is to ensure and promote the highest standards of business ethics. Vanderbilt is committed to complying with all federal and state laws, rules and regulations. The Office of Healthcare Compliance specifically is charged with:

  • Preventing any accidental or intentional violations of law
  • Detect violations if they occur
  • Immediately take corrective measures if violations occur

 We make integrity a priority in everything we do.

James S. Mathis, JD, CHC, CHP
Chief Compliance Officer
Assistant Vice Chancellor for Health Affairs
Office of Healthcare Compliance


The Office of Healthcare Compliance is charged with identifying and mitigating risks associated with potential violations of the anti-kickback statute, Stark Laws, the Federal and State False Claims Act and various other laws and rules that impact billing, coding, and reimbursement for the Medical Center.  While Healthcare Compliance is involved with a multitude of compliance related functions and responsbilities, the primary focus is compliance with billing and coding.

Office of Healthcare Compliance

1909 21st Avenue South
Nashville, TN 37212

phone: (615) 343-7266
fax: (615) 343-9138




2016 OIG Work Plan


This page was last updated March 9, 2016 and is maintained by