Compliance Supervisor

InfuSystem Career•Rochester Hills, MI

6d•Onsite

About The Position

InfuSystem is a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers by delivering ambulatory pumps and supplies, along with related clinical, biomedical and billing services, to practices and patients nationwide. With a comprehensive suite of services, InfuSystem improves clinician access to quality medical equipment and promotes patient wellness and safety while reducing the overall cost of infusion care. This role supports the Sr. Director of Compliance and Quality in all daily quality activities. Assures the organization remains compliant with CMS Supplier Standards, CHAP Healthcare accreditation requirements, HIPAA, and Compliance programs through performing internal audits, and assessing areas for further development. This includes conducting opening and closing meetings, preparing, and presenting final audit reports, and documenting findings in QA software. Maintains annual audit schedule and sees the schedule through to completion. Assures all findings are addressed within 30 days and sees all findings through to completion including follow up. May assist on other audits, as assigned. Responsible for receipt and documentation of patient complaints and assures adherence to response and resolutions times. Remains vigilant in HIPAA Privacy rules and Healthcare Compliance regulations and stays current on any changes including proposed changes to regulations. Supervises and assists as needed with document control administration for all compliance documentation which includes HME policies for CHAP accreditation, HIPAA and Healthcare Compliance manuals, policies, and all supporting work instructions/forms/records under document control. Coordinates with the Quality Assurance Manager to schedule quarterly Quality and Performance Improvement Reviews. Presents to cross function audience on the topics of complaint trends, compliance trends, and satisfaction survey results; Reviews and approves meeting Assures follow up items are addressed in a timely manner for responsible areas. Remains vigilant in all follow up activities to assure current status and compliance. Researches licensing and accreditation requirements for new products or new business segments. Performs thorough and complete investigation of compliance incidents; Gathers supporting evidence and is details in PHI exposure if any; Documents risk assessment; May assist in composing correspondence in such incidents. Supports the VP of Compliance and Quality by assuring reported incident details are complete by following up with department leaders. Reviews corrective actions with VP and ensures completion and accurate documentation. Tracks and trends compliance incident types and reports on monthly and during quarterly reviews.

Requirements

Bachelor’s Degree from four-year college
2-4 years’ previous experience operating in a healthcare related field in a regulatory or compliance position.
Experience and knowledgeable in healthcare accreditation is required.
Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement
Design - Uses feedback to suggest modifications/improvements to
Demonstrates attention to detail.
Problem Solving - Gathers and analyzes information skillfully; Works well in group problem solving
Technical Skills - Pursues training and development opportunities to support knowledge of quality, compliance, and/or other regulatory agencies; Strives to continuously build knowledge and
Teamwork - Contributes to building a positive team spirit;
Healthcare Compliance Support - Demonstrates accuracy and thoroughness with CHAP, HIPAA, and Compliance Standards, and other relevant regulatory agencies as applicable to the business such as CMS.
Strategic Thinking – Follows Management’s strategy to achieve organizational goals while maintaining compliance; Adapts to changing
Motivation - Sets and achieves challenging goals in agreement with Management;
Strong work ethic
Sound judgment
Proven written and verbal communication skills
Natural curiosity to pursue issues and increase expertise
Pursue and design innovative analytical performance metrics
The courage to promote and defend ideas and analyses
Passionate about InfuSystem and serving customers and patients
Strives to make an impact on improving our business processes and results
Exemplary honesty and integrity
Ability to collaborate effectively and work selflessly as part of a team

Responsibilities

Assures the organization remains compliant with CMS Supplier Standards, CHAP Healthcare accreditation requirements, HIPAA, and Compliance programs through performing internal audits, and assessing areas for further development.
Conducts opening and closing meetings, prepares, and presents final audit reports, and documents findings in QA software.
Maintains annual audit schedule and sees the schedule through to completion.
Assures all findings are addressed within 30 days and sees all findings through to completion including follow up.
May assist on other audits, as assigned.
Responsible for receipt and documentation of patient complaints and assures adherence to response and resolutions times.
Remains vigilant in HIPAA Privacy rules and Healthcare Compliance regulations and stays current on any changes including proposed changes to regulations.
Supervises and assists as needed with document control administration for all compliance documentation which includes HME policies for CHAP accreditation, HIPAA and Healthcare Compliance manuals, policies, and all supporting work instructions/forms/records under document control.
Coordinates with the Quality Assurance Manager to schedule quarterly Quality and Performance Improvement Reviews.
Presents to cross function audience on the topics of complaint trends, compliance trends, and satisfaction survey results.
Reviews and approves meeting.
Assures follow up items are addressed in a timely manner for responsible areas.
Remains vigilant in all follow up activities to assure current status and compliance.
Researches licensing and accreditation requirements for new products or new business segments.
Performs thorough and complete investigation of compliance incidents.
Gathers supporting evidence and is details in PHI exposure if any.
Documents risk assessment.
May assist in composing correspondence in such incidents.
Supports the VP of Compliance and Quality by assuring reported incident details are complete by following up with department leaders.
Reviews corrective actions with VP and ensures completion and accurate documentation.
Tracks and trends compliance incident types and reports on monthly and during quarterly reviews.
Oversees and provides daily direction to Compliance Specialist.
Supervises the Maintenance of applicable federal, state, and business licenses for all business segments to include state Boards of Pharmacy, HME/wholesale licenses for.
Submits renewal applications and remains vigilant in any changes in state licensing requirements.
Follows up closely on license statuses and communicates with Contracting as applicable.