Compliance and Safety Specialist

Position Summary

The Compliance and Safety Specialist is responsible for supporting Pure Infusion's compliance, regulation, accreditation, patient safety, and emergency preparedness programs by managing day-to-day Health Information operations and performing clinical operational compliance tasks, including audits, documentation, and training logistics.

This role helps ensure compliance with federal and state healthcare regulations, payer requirements, Joint Commission standards, Medicare Conditions of Coverage, HIPAA, OSHA, and company policies. The specialist serves as a subject matter expert and supports the VP of Compliance on regulatory compliance, quality improvement, patient safety, environmental safety, risk management, and accreditation readiness while promoting a culture of integrity, accountability, and continuous improvement.

Essential Functions & Responsibilities

Health Information Operations

•          Oversee the maintenance and retrieval of medical records.

•          Ensure records are complete, accurate, and available when needed.

•          Coordinate transcription, coding, and release-of-information (ROI) processes.

•          Uphold organizational medical record integrity through processes that ensure accurate and timely clinical documentation, appropriate authentication of records, and documentation improvement initiatives.

Regulatory Compliance Support

•          Stay current on health information laws, CMS guidelines, and accrediting body requirements, escalating changes to the VP of Compliance.

•          Assist with implementation of the organization's Compliance Program based on the HHS Office of Inspector General (OIG) Seven Elements of an Effective Compliance Program.

•          Conduct compliance monitoring and auditing activities.

•          Maintain compliance documentation and evidence.

•          Monitor exclusion lists (OIG, SAM, LEIE, and state exclusions).

•          Assist with Compliance Committee reporting.

•          Serve as a resource for Joint Commission accreditation readiness through monitoring and tracer activities.

Billing and Buy-and-Bill Compliance

•          Assist the VP of Compliance with oversight involving medication waste documentation, medical necessity documentation, and coding and billing compliance monitoring.

•          Oversee payer audit tracking and preparation.

•          Conduct clinical documentation audits.

Auditing & Monitoring Support

•          Conduct internal audits and risk assessments under the direction of the VP of Compliance to identify potential compliance gaps.

•          Document audit and assessment findings and support implementation of corrective action plans when appropriate.

Data Integrity & Security

•          Support the confidentiality, integrity, and accessibility of electronic health records.

•          Collaborate with IT on security protocols and system updates.

•          Assist with data security and privacy training and breach investigations.

Training & Education Logistics

•          Coordinate and help deliver compliance and safety training sessions for staff.

•          Maintain training records and track completion.

Reporting & Documentation

•          Compile data and reports from health records to support quality improvement and operational goals.

•          Prepare reports for the VP of Compliance, payers, and regulatory agencies as directed.

•          Maintain documentation of compliance activities.

Technology Support

•          Assist in the selection and implementation of electronic health record (EHR) system or process changes.

•          Monitor system and process performance and flag issues for review.

Required Qualifications

•          2–4 years of experience in health information management, healthcare compliance, risk management, patient safety, and/or quality improvement.

•          Working knowledge of ICD-10 and CPT coding standards.

•          Working knowledge of HIPAA and healthcare privacy requirements.

•          Strong organizational and communication skills; high degree of computer literacy.

•          Ability to meet U.S. employment and eligibility requirements.

Preferred Qualifications

•          Associate or bachelor’s degree in health information, Healthcare Administration, or a related field.

•          Prior experience working within an electronic health record (EHR) system.

Background & Screening

Employment offers are contingent upon successful completion of a background check and, where applicable, drug screening, consistent with applicable federal, state, and local law.

Equal Opportunity Statement

Pure Infusion is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or any other characteristic protected by applicable law.