Corporate Compliance Officer: The Compliance Officerdevelops, implements, and manages a comprehensive compliance program to ensure adherence to federal, state, and local laws and regulations, including HRSA , HIPAA , and 340B . Key duties include conducting internal audits for billing and coding, training staff, monitoring for changes in regulations, investigating compliance breaches, and coordinating with external auditors, like those from HRSA. The goal is to mitigate risk, ensure legal and ethical operations, and uphold the center's reputation and commitment to quality patient care.
Serves as the organization's patient advocate. Follow up on all patient concerns
Core responsibilities
Program management: Develop, implement, and oversee the organization's overall compliance program. Manage HRSA's Operational Site Visits (OSV)
Policy and procedure: Draft, review, and update policies and procedures to ensure compliance with all applicable laws and standards, such as HRSA and FQHC requirements.
Auditing and monitoring: Conduct internal audits of billing, coding, and documentation to ensure accuracy and compliance. Monitor and audit specific programs, like 340B.
T raining and education: Develop and deliver training to staff on compliance standards, best practices, and regulatory changes.
Investigation: Establish a process for receiving and investigating complaints and potential compliance breaches.
External relations: Cooperate with external entities such as the HHS Office of Civil Rights, and coordinate with external auditors and regulatory bodies during reviews and audits.
Risk mitigation: Advise leadership on compliance risks and ensure the organization's compliance program effectively mitigates legal, financial, and reputational risks.
Regulatory monitoring: Stay current on all relevant federal, state, and local laws and regulations, and ensure the organization adapts to changes.
Qualifications and skills
Education: A bachelor's degree or corporate compliance certification is required.
Experience: Previous experience in healthcare Compliance compliance preferred. Experience with FQHC and related regulations (HIPAA, 340B) is highly desirable.
Communication: Excellent verbal, written, and presentation skills are necessary, including the ability to translate complex information for different audiences.
Technical Skills: Proficiency with standard office software and regulatory research tools.
Professional Skills: Strong organizational skills, the ability to work both independently and collaboratively, and a high degree of professional judgment
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