Clinical Compliance Coordinator

Overview

The Senior Clinical Compliance Coordinator will assist in the completion of scheduled audits and special projects as assigned by the Corporate Director of Internal Audit & Compliance. This position is responsible for auditing to regulatory guidance. The Senior Clinical Compliance Coordinator will conduct training for appropriate DCH FMC personnel to ensure compliance with regulatory issues and HIPAA. This position provides key compliance changes and updates to the FMC Administrative team and serves as a liaison between FMC and the System internal audit and compliance office.

Responsibilities

Performs clinical compliance audits as assigned based on knowledge as a Registered Nurse. Performs fieldwork and testing in a competent and professional manner. Prepares detailed work papers in accordance with established audit programs for operational and compliance audits and other special projects. Assists in developing effective, practical recommendations for concerns identified during audits. Drafts audit reports, ensuring audit objectives are met, conclusions are documented and supported, and recommendations are clear, concise, and practical. Monitors corrective action plans as a result of compliance auditing and monitoring. Proactively researches and monitors State and Federal sources for new and updated regulations and disseminate to affected parties. Responsible for assisting in the interpretation of legislation, regulations, policies, procedures, and ethical principles in compliance. Researches specific compliance regulatory issues as requested by the Corporate Director of Internal Audit and Compliance. Assists the Corporate Director in investigations of alleged, suspected, or reported violations of State and Federal Law and applicable regulations. Serves as coordinator for the Skilled Nursing Facility (SNF) and Swing Bed (SWB) Triple Check Process, including coordination of corrective action for identified concerns or issues. Performs the Fayette Medical Center annual risk assessment and compliance audit plan for approval by the Corporate Director and Audit and Corporate Compliance Committee. Develops and implements training programs for FMC employees affected by regulatory updates/legislation. Communicates with FMC administrative leadership routinely on compliance activities and any concerns needing immediate attention. Conducts Compliance and HIPAA Privacy training during orientation of new employees at FMC. Performs Compliance exit interview as directed by the Corporate Director for FMC employees. Assists the Corporate Director in investigating any reported compliance concerns documented on the annual Corporate Compliance forms completed by FMC employees. Assists with FMC HIPAA privacy investigations as directed the Corporate Director and in coordination with the HIPAA Privacy Officer. Assists/performs HIPAA Privacy walkthroughs and provide department specific HIPAA Privacy training as assigned by the Corporate Director and in coordination with the HIPAA Privacy Officer. Maintains confidentiality of all work performed in the department.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Qualifications

Requires completion of secondary education. Experience in healthcare operations or healthcare auditing, consulting, regulatory and/or compliance, including investigations and resolution of systematic operational problems is preferred. Requires a clinical background to perform clinical compliance audits. CHC (Certification in Healthcare Compliance) preferred. Must have the ability to perform multiple tasks with a high level of accuracy and attention to detail in a deadline driven environment. Must have the ability to relate well to diverse multidisciplinary teams. Advance computer and internet knowledge required. Experience with Mediregs compliance software is a plus.

Must be able to read, write legibly, speak, and comprehend English.

WORK CONTEXT

• Interpersonal Relationships - Daily contact with others through face-to-face discussions, electronic mail, and telephone. Frequently coordinates and leads others, works with a group or team, deals with internal and external customers (including occasional unpleasant or angry people), participates in conflict situations/resolutions, produces results, and draft letters, memos and reports to document activities.
• Physical work conditions - Works primarily indoors in a controlled environment sitting at a computer or workstation.
• Structural job characteristics - Regular work schedules with occasional requirements to be available to accommodate employees on other shifts. High degree of freedom to make decisions that affect other people, as well as the image and reputation of the organization. Extremely important to be exact and accurate based on the seriousness/consequence of errors.

PHYSICAL FACTORS

• Ability: The ability to bend, stretch, twist, or reach with your body, arms, and/or legs.
• Activities: Talking, hearing, bending, twisting, walking, kneeling, crouching, stooping, reaching, pushing, pulling, lifting, grasping, repetitive motion, standing, and/or using hands to handle, control, or feel objects, tools or controls.
• Requirements: Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Involves sitting most of the time. Walking and standing are required only occasionally and all other sedentary criteria are met.
• Must be able to perform the duties with or without reasonable accommodation.
• Hearing and vision must be normal or corrected to within normal range.
• Physical presence onsite is essential.

OTHER JOB FACTORS

• Requires the following cognitive abilities: deductive and inductive reasoning, flexibility of closure, fluency of ideas, information ordering, mathematical reasoning, memorization, number facility, oral comprehension and expression, originality, problem sensitivity, selective attention, speed of closure, time sharing, visualization, and written comprehension and expression.
• Requires the following psychomotor abilities: finger and manual dexterity.
• Requires the following sensory abilities: speech clarity and recognition.
• Requires the following personal characteristics/work styles: integrity, initiative, leadership, dependability, achievement/effort, adaptability/flexibility, analytical thinking, concern for others, cooperation, independence, innovation, persistence, self control, social orientation, stress tolerance and attention to detail.
• Position satisfies each of the following work values: achievement, independence, recognition, relationships, support, and good working conditions.