Corporate Compliance Officer
Health Services, Inc. is a progressive healthcare organization specializing in innovative quality patient care, integrating physical, mental and social well-being. HSI has served the community for over 50 years and is the first Federally Qualified Health Center in Alabama to earn dual accreditation with the Joint Commission and has earned their Gold Seal of Approval by demonstrating compliance with the Joint Commission’s national standards for health care quality and safety as a Primary Care Medical Home, providing patients with a full range of quality comprehensive services, by our team of health care professionals, as well as having Ambulatory Health Care Accreditation.
Reports to: CEO Department: Administration Classification: Exempt
JOB SUMMARY:
The Corporate Compliance Officer (CCO) is a dual-function role responsible for the implementation, management, and continuous improvement of the Corporation's Compliance Program. The CCO ensures the organization remains free of liability and maintains a competitive edge through rigorous compliance activities and internal control evaluation. This officer also serves lead point for operational site visit audits.
I. Compliance Program Management & Audit Leadership
- Supervise the implementation, ongoing planning, policy development, and evaluation of the approved Corporate Compliance Program (CCP).
- Lead and conduct mock Operational Site Visit Audits across all clinics and facilities.
- Monitor and evaluate auditing procedures and audit reports for compliance issues, working closely with external auditors.
- Ensure Health Services, Inc. complies with all applicable local, state, and federal business and healthcare related statutes, laws, and regulations.
- Investigate suspected intentional abuse of agency resources or any unethical misconduct that threatens agency compliance, including any conduct or scheme to defraud any healthcare benefit program.
- Oversee the orientation and training of staff, independent contractors, and vendors on the CCP to ensure familiarity with its requirements.
- Communicate with all levels as to the need for continuous application of the CCP.
- Manage all vendor and independent contractor contracts, ensuring they are not expired and are renewed in an appropriate timeframe.
- Prepare and deliver a quarterly presentation to the Board of Directors reviewing:
- Comprehensive analysis of patient complaints and trends.
- Status of new or renewed contracts with vendors and contractors.
- Review of the OIG (Office of Inspector General) contract and vendor report.
- HIPAA compliance review and training status.
- Good Faith Estimate (GFE) review and adherence.
- Assist the Chief Executive Officer in the formulation of corporate compliance policies and procedures.
- Work constructively and cooperatively with all staff and representatives from other agencies and organizations for improved compliance.
- Combination of sitting, standing, walking, bending, lifting, carrying, speaking, and listening on a regular basis.
- Attend in-service meetings as required as well as regularly scheduled management team meetings.
- Perform other work-related duties as assigned by the CEO
- Bachelor's degree required, preferably in a health-related field. Master's degree preferred.
- Minimum of five (5) years of experience in compliance, review, assessment, and monitoring activities, with a strong emphasis on compliance audits.
- Certifications such as Certified in Healthcare Compliance (CHC) or Certified Internal Auditor (CIA) are highly desirable.
- Must be able to read, write, speak and understand the English language. Must be able to demonstrate good writing skills.
- Must exhibit good communication skills and assessment skills to be able to work well with others.
- Ability to deal effectively with individuals from diverse backgrounds and cultures.
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