Compliance Officer

Senior PsychCare-posted 3 months ago

Full-time • Mid Level

Houston, TX

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The Compliance Officer is responsible for overseeing and maintaining Senior PsychCare’s adherence to all applicable healthcare laws, regulations, and internal policies, ensuring patient privacy, proper billing practices, and overall ethical conduct within the practice by conducting audits, providing training, and identifying potential compliance risks to mitigate legal and financial consequences; essentially acting as the guardian of regulatory compliance within the organization.

Develop, Maintain, and Implement Compliance Programs: Create and maintain a comprehensive compliance program, including policies, procedures, and training materials, to educate staff on relevant healthcare regulations like HIPAA, Stark Law, and Anti-Kickback statutes
Risk Assessment and Monitoring: Regularly assess potential compliance risks across the organization, identifying areas for improvement and implementing preventative measures to mitigate risks
Internal Audits, External Audits, and Investigations: Conduct periodic internal audits to verify compliance with established policies and procedures, investigating suspected violations and taking corrective actions when necessary, working to complete and mitigate external payor audits
Training and Education: Deliver ongoing compliance training to all levels of staff, including physicians, APRNs, PAs, Ph.D, PsyD., LCSW, LPC, LMFT, and administrative personnel, covering topics such as coding and billing accuracy, patient privacy, fraud prevention, and EMR usage
Reporting and Communication: Communicate compliance issues to relevant stakeholders, including senior management and the compliance committee, providing regular updates on compliance activities and potential risks. Annual reports are required for NPHO Board.
Regulatory Compliance: Stay current with evolving healthcare regulations and guidelines at the federal and state levels (TX, LA, OK, NM, and future states), ensuring the organization remains compliant with changes
Third-Party Vendor Oversight: Monitor and manage compliance risks associated with third-party vendors providing healthcare services
Incident Reporting and Resolution: Establish procedures for reporting compliance concerns and effectively investigating and resolving identified issues
Perform other duties as assigned by supervisor.

Bachelor's degree in healthcare administration, law, or a related field
Strong analytical and problem-solving skills to identify potential compliance risks and develop effective mitigation strategies
Excellent communication and interpersonal skills to effectively train staff, collaborate with different departments, and present compliance information to leadership
Proven ability to conduct thorough audits and investigations, documenting findings and implementing corrective actions
Deep understanding of healthcare laws and regulations including HIPAA, Stark Law, Medicare/Medicaid guidelines, and relevant state laws
Legal knowledge and experience in healthcare compliance preferred

Medical software — IMS by Meditab Preferred
Office suite software — Microsoft Office365 all applications
Graphics or photo imaging software — Microsoft Visio

Competitive salary, commensurate with experience
Comprehensive benefits package including Medical, Dental, Vision, Short and Long Term Disability, Life Insurance
401 (k) with 50% match up to 6%
Paid Time Off and Paid Holidays

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