Oversees the Clinic Compliance Program and is responsible for developing, planning, organizing and directing all functional activities related to the clinic's patient safety and risk programs. Functioning as an independent and objective body, this position reviews and evaluates compliance issues and concerns within the organization to ensure the Board of Directors, management and employees are in compliance with rules and regulations of regulatory agencies, that company compliance policies and procedures are being followed, and that behavior in the organization meets the company's Standards of Conduct.
Essential Functions & Responsibilities:
Develops, initiates, maintains, and revises policies and procedures for the Compliance Program and related activities (HIPAA Privacy)
Manages day-to-day operation of the Compliance and Risk Management Programs
Develops and periodically reviews and updates the clinic's Standards of Conduct
Collaborates with other departments to direct compliance issues to appropriate existing channelsfor investigation and resolution
Responds to alleged violations of rules, regulations, policies and procedures related to compliance issues and Standards of Conduct by recommending or initiating investigative procedures and develops and oversees a system for uniform handling of such violations
Acts as an independent review and evaluation resource to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated and resolved
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
Consults with legal counsel and insurance carriers on matters involving clinic risk and liability and to determine whether a claim should be paid, litigated, or denied
Promotes and ensures risk and patient safety program integrity through adequate oversight of staff functions, data collection and reporting
Responsible for maintaining and monitoring the incidents and claims reporting system
Staffs the clinic's Compliance Committee and leads the clinic Safety Committee
Educates, advises and counsels on relevant patient safety and risk management issues affecting the organization
Participates in professional development efforts to ensure appropriate application of current health care practices and trends
Works with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate training for new employees as well as ongoing training for all employees and managers
Institutes and maintains an effective compliance communication program for the organization, including promoting heightened awareness of Standards of Conduct, and understanding of new and existing compliance issues and related policies and procedures
1. Stay current of regulation changes in regards to HIPAA and OSHA.
2. Perform all duties with accuracy and extreme attention to detail to limit errors.
3. Employ exceptional customer service and communication skills with external and internal customers.
4. Comply with all clinic guidelines and policies.
Knowledge and Skills:
Experience Two years to five years of similar or related experience.
Interpersonal Skills The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job.
Other Skills Efficient in written and verbal communication. Able to exercise initiative, problem-solving and decision-making.Able to understand and interpret laws and regulations. Occasional evening or weekend work.
Requires sitting and standing for long periods of time.
Work Environment Normal office environment
Internal Number: 2222
About Hutchinson Clinic
Hutchinson Clinic Physicians are committed to the highest quality primary and specialty care