Director Of Corporate Compliance

The Hospital Authority of Miller County•Colquitt, GA

About The Position

JOB SUMMARY: The Compliance Officer establishes and implements an effective compliance program to prevent illegal, unethical, or improper conduct. The Compliance Officer acts as staff to the CEO and Governing Board by monitoring and reporting results of the compliance and ethics efforts of the company and in providing guidance for the Board and senior management team on matters relating to reporting and compliance. The Corporate Compliance Officer, together with the Corporate Compliance Committee, is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program. GENERAL REQUIREMENTS : · Performs all job responsibilities in alignment with the mission and vision of the organization. · Performs other duties as required and completes all job functions as per departmental policies and procedures. · Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs). · Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time. · Wears protective clothing and equipment as appropriate. GENERAL SKILLS: · Ability to communicate in English, both verbally and in writing. · Additional languages preferred. · Strong written and verbal skills. · Basic Computer Skills WORKING CONDITIONS: · General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels. · May be exposed to high noise levels and bright lights. · May be exposed to limited hazardous substances or body fluids, or infectious organisms. · May be required to change from one task to another or different nature without loss of efficiency or composure. · Periods of high stress and fluctuating workloads may occur. · May be scheduled as needed including overtime. PHYSICAL REQUIRMENTS & DEMANDS: · Have near normal hearing: Hear alarms/telephone/normal speaking voice. · Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors. · Have good manual dexterity. · Have good eye-hand foot coordination. · Ability to perform repetitive tasks/motion. · Continuously within shift (67-100%): Standing, Walking. · Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance. · Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder. MISSION STATEMENT: QUALITY HEALTHCARE : In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment. JOB SPECIFIC COMPETENCIES: · Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance program and its related activities to prevent illegal, unethical, or improper conduct. · Manage day-to-day operation of the compliance program. · Develops and periodically reviews and updates Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees. · Collaborate with other departments (for example, Human Resources, Health Information Management Director, and so on) to direct compliance issues to appropriate existing channels for investigation and resolution. · Consults with General Counsel as needed to resolve difficult legal compliance issues. · Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. · Develops and oversees a system for uniform handling of such violations. · Act as an independent review and evaluation body to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated, and resolved. · Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. · Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. · Provides reports on a regular basis, and as directed or requested, keeps the Corporate Compliance Committee and senior management informed of the operation and progress of compliance efforts. · Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required. · Establishes and provides direction and management of the compliance hotline. · Institutes and maintains an effective compliance communication program for the organization, including promoting: (a) use of the compliance hotline; (b) heightened awareness of Standards of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures. · Work with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers. · Monitor the performance of the Compliance Program and relates activities on a continuing basis, taking appropriate steps to improve its effectiveness. PROFESSIONAL REQUIREMENTS: · Follows Code of Conduct policy. · Adheres to dress code; appearance is neat and clean. · Completes annual educational requirements. · Maintains regulatory requirements. · Maintains patient confidentiality at all times. · Reports to work on time and as scheduled; completes work within designated time. · Wears identification when on duty; uses computerized time clock system correctly. · Completes in-services and returns in a timely fashion. · Attends annual review and/or skills fair and department in-services, as scheduled. · Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees. · Complies with all organizational policies regarding ethical business practices. · Communicates the mission statement of the organization. GUEST RELATIONS STANDARDS: (All guest relation violations are subject to disciplinary action up to and including termination): · Always treat others in a friendly, helpful manner. · Refers co-workers to proper sources when unable to provide an answer. · Interacts with others in a professional and friendly manner. · Takes interest in others and always gives full cooperation to fellow workers. · Always maintains an open line of communication with other departments. · Thoroughly familiar with the hospital and the services it offers. OTHER: · Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is hel pd accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected. · As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable. OTHER DUITIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Requirements EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:

Requirements

Bachelor’s degree required; master’s preferred
A minimum of 3-4 years’ experience in a health care organization.
Demonstrated leadership ability and ability to communicate effectively orally and in writing.
Familiarity with healthcare laws, regulations, and standards.

Nice To Haves

Understanding of coding and reimbursement systems, risk management, and performance improvement helpful.

Responsibilities

Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.
Manage day-to-day operation of the compliance program.
Develops and periodically reviews and updates Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees.
Collaborate with other departments (for example, Human Resources, Health Information Management Director, and so on) to direct compliance issues to appropriate existing channels for investigation and resolution.
Consults with General Counsel as needed to resolve difficult legal compliance issues.
Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures.
Develops and oversees a system for uniform handling of such violations.
Act as an independent review and evaluation body to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated, and resolved.
Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
Provides reports on a regular basis, and as directed or requested, keeps the Corporate Compliance Committee and senior management informed of the operation and progress of compliance efforts.
Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.
Establishes and provides direction and management of the compliance hotline.
Institutes and maintains an effective compliance communication program for the organization, including promoting: (a) use of the compliance hotline; (b) heightened awareness of Standards of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.
Work with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers.
Monitor the performance of the Compliance Program and relates activities on a continuing basis, taking appropriate steps to improve its effectiveness.