Compliance Officer

DHRM•Petersburg, VA

About The Position

The Compliance Officer oversees the Corporate Compliance Program at Hiram Davis Medical Center, including maintaining policies, procedures, and mechanisms for reporting and addressing potential noncompliance. The role develops and maintains a risk-based annual compliance work plan, tracks activities, and reports progress to leadership. It maintains organized evidence of compliance activities for regulatory and accreditation reviews and monitors relevant requirements affecting hospital and long-term care operations. The position plans, conducts, and coordinates internal audits, including medical record reviews and other compliance assessments. It supports the audit program through auditor training and other activities, and submits audit reports on agreed timelines. The Compliance Officer also coordinates impartial investigations of patient and family grievances involving compliance concerns, oversees intake and follow-up of compliance reports, and works with department leaders to identify risks and implement and monitor corrective actions. The role provides compliance education to employees, supervisors, and medical staff; communicates significant regulatory and accreditation changes; and represents the agency as a compliance resource in employee grievances in coordination with Human Resources and leadership. For employees who supervise others, the position also includes performance-management duties, including setting clear expectations, coaching and evaluating staff, and addressing performance issues.

Requirements

Excellent facilitation, relationship-building, verbal communication, and written communication skills.
Excellent interpersonal skills, tact, and diplomacy.
Critical-thinking, conceptual-thinking, and decision-making skills.
Strong analytical, problem-solving, and data-management skills.
Knowledge of basic computer technology, web-based programs, and medical terminology.
Prior knowledge of accreditation and regulatory standards and clinical process-improvement concepts.

Responsibilities

Assist with organizing, conducting, and participating in internal audit programs and tracer methodology to identify gaps and opportunities for improvement.
Conduct internal audits, including medical record reviews and other compliance assessments.
Coordinate audit-program needs, including participating in assigned audits, training auditors, and supporting the program's effectiveness.
Plan, organize, and manage audits; conduct audits and submit reports within agreed timelines and schedules.
Oversee the Corporate Compliance Program, including maintaining policies, procedures, and mechanisms for reporting and addressing potential noncompliance.
Develop and maintain a risk-based annual compliance work plan, track planned activities, and report progress to leadership.
Maintain organized evidence of compliance activities, including audit records, training documentation, investigation files, and corrective-action follow-up.
Coordinate timely, impartial investigations of patient and family grievances involving compliance concerns; document findings and track follow-up and responses.
Work with department leaders to identify compliance risks, clarify requirements, and implement corrective actions while monitoring completion and effectiveness.
Represent the agency in employee grievances as a compliance resource, coordinating with Human Resources and leadership while maintaining confidentiality and neutrality.
Monitor regulatory and accreditation requirements affecting hospital and long-term care operations and communicate significant changes to responsible leaders.
Provide compliance education to employees, supervisors, and medical staff, including guidance on reporting concerns, confidentiality, and non-retaliation.
Oversee intake, triage, and follow-up of compliance reports and concerns, ensuring they are documented, appropriately escalated, and resolved.
For employees who supervise others, communicate performance expectations, provide feedback and coaching, evaluate staff competency, complete evaluations on time, and address and document performance issues.