Corporate Compliance Officer

Job Summary

The Corporate Compliance Officer’s chief duties are planning, implementing and monitoring the Corporate Compliance Program. Coordination of compliance audit activities and communication of expectations and reporting results are the key functions of this position.

Essential Duties and Responsibilities

• Oversee and monitor the implementation of the Corporate Compliance Program.

• Directly reports to the Chief Compliance and Regulatory Officer and Board of Directors and CEO on a regular basis to review progress on program implementation and assist with establishing improvement plans

• Periodically revise and update the program.

• Develop and implement a Compliance training plan.

• Review employee Standards of Conduct Certification Statements Conflict of Interest Statements and training compliance.

• Assist the Finance Department in coordinating internal compliance review and monitoring activities to ensure that level of care is appropriate based on clinical documentation.

• Develop policies and programs that encourage staff to report suspected fraud or impropriety without fear of retaliation.

• Oversee and manage the confidential reporting system and Investigate complaints and coordinate action plans with other departments.

• Maintain a log with all communications received relevant to compliance. Compile reports of calls received, investigations conducted, findings and recommendations developed, action plans established, and progress noted.

• Develop and communicate the objectives of the Compliance Program and report accomplishments to the Compliance Committee and Board of Directors ongoing.

• Access records relevant to compliance monitoring activities and report findings.

• Establish and communicate reporting procedures and reporting modes available (email, voice mail, suggestion box, etc.).

• Interview internal and external customers periodically.

• Analyze utilization patterns.

• Conduct unannounced mock surveys, inspections, audits and investigations periodically to assess staff readiness and to specifically identify where corrective actions are needed.

• Reevaluate areas of previous deficiency to identify improvements.

• Present written evaluations and reports to the Compliance Committee, CEO and BOD at least quarterly.

Other Duties and Responsibilities

1. Other duties as assigned.

2. Comply with current hospital safety and infection control policies.

Equal Opportunity EmployerEagleville Hospital is an Equal Opportunity Employer. We welcome and value diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other protected status.

Education Requirements:

This position will require a compliance certification from either CCB or AAPC. Preferred: Bachelor Degree.

Qualifications

Maintain skills and experience sufficient to identify potential issues within a variety of compliance areas (Finance, Utilization, Program Planning, Licensing, Funding, Agency Policy etc.). Able to remain objective and function independently from other agency departments. Detail oriented and have experience with investigative and reporting procedures, specifically with respect to corporate integrity agreements with OIG/CMS.

Physical Requirements

Occasional light lifting of less than 20 pounds.

Work Environment

Works in normal ventilated office setting.