Compliance Specialist III

CHSGa•Macon, GA

17h•Hybrid

About The Position

Join us at CHSGa – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities.

Requirements

Bachelor’s degree in business administration, healthcare management, or a related field
5 - 7 years of experience in compliance, risk management, internal audit, or a related area
At least three (3) years within the area of healthcare compliance.
Demonstrates leadership and excellent communication skills.
Strong planning, time management, and organizational skills.
Demonstrates sound judgment and the ability to effectively communicate and present information clearly and concisely in both written and verbal formats.
Strong working knowledge of the healthcare industry, including HIPAA and regulations governing health information management, post-acute care services, and compliance laws, rules and regulations governing patient care and related services.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or associates of the organization.
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format.
The ability to deal with problems involving several concrete variables in standardized situations.
Proficiency with Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft PowerPoint.

Nice To Haves

Master’s degree preferred.
Certified in Healthcare Compliance (CHC) preferred.

Responsibilities

Lead in the implementation of a Compliance Program that promotes prevention, detection, and resolution of instances of conduct that do not conform to federal and state laws, federal, state and private payor healthcare program requirements, as well as the organization’s policies / guidelines.
Establish and maintain compliance plans based on identified risks to promote program effectiveness for assigned areas.
Identify compliance issues that require follow-up or investigation, providing guidance on resolution strategies and escalating to leadership as appropriate.
Create and maintain accurate and up-to-date documentation of compliance activities, including risk assessments, work plans, procedural guidelines, review findings, and investigation outcomes, ensuring they are readily accessible and align with regulatory requirements.
Coordinate and lead Compliance Committee meetings for designated service areas.
Lead the design and development of compliance training programs, including introductory training for new associates and ongoing training for associates and supervisors.
Lead reporting, monitoring, and auditing activities as assigned, providing timely reporting of compliance issues to leadership.
Functions as an advanced user of the compliance software database, including guideline maintenance and compliance reporting.
Coordinate and lead internal or external audit processes, including relevant analysis, documentation and follow-through on findings and corrective actions.
Respond to complex verbal and written inquiries, providing thorough and accurate compliance guidance.
Collaborates with other departments (i.e. Finance, Human Resources, Operations, IT/IS, QA, etc.) to direct compliance issues to appropriate existing channels for investigation and resolution.
Coordinate and oversee the policy / guideline governance process for assigned areas.
Assists with the development of compliance internal practices in conjunction with the compliance team.
Identifies opportunities for system consistency and risk mitigation related to compliance and provides recommendations to leadership.
Serves as a mentor to junior Compliance Team members, promoting professional growth and advancement in compliance matters.
Supports special projects designed to promote compliance efforts across System areas.
Maintain knowledge of relevant laws, regulations and recommended practices via individual study, monitoring, and participation in workshops and seminars.
Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
Performs other duties as necessary to ensure the success of the System.