DESCRIPTION: Supports the Director of Quality Improvement/Risk Management and the CPIRM Manager in ensuring the health center remains compliant with all applicable federal, state, and regulatory standards. This role involves a blend of administrative support, document control, internal auditing, and coordination of compliance-related activities across the organization. The position is essential in supporting a culture of integrity, continuous improvement, and risk reduction in accordance with the standards of HRSA, The Joint Commission, HIPAA, and other relevant entities.
SUPERVISION: Directly supervised by the CPIRM Manager.
TYPICAL PHYSICAL DEMANDS: Must be able to sit, stand, kneel, stoop and lift up to 25 pounds as needed. Requires the use of office equipment including computers, printers, copiers, and telephones.
ESSENTIAL FUNCTIONS:
- Assist with tracking, verifying, and organizing compliance-related documentation and reports.
- Maintain accurate and up-to-date records in accordance with organizational policies and regulatory requirements.
- Support the review, editing, and distribution of policies and procedures to ensure alignment with current regulations and internal protocols.
- Assist with internal audits and site inspections across clinical and administrative areas to ensure compliance with The Joint Commission, HRSA, and other regulatory standards.
- Monitor internal communications for consistency with organizational policies and the Code of Conduct.
- Support onboarding and ongoing staff training related to compliance, HIPAA, and risk management.
- Coordinate and document CPIRM and ACO committee meetings, including recording meeting minutes and tracking corrective action plans.
- Prepare and support compliance-related presentations, reports, and educational materials for staff and leadership.
- Assist in risk identification and help implement strategies to mitigate organizational risks.
- Promote and support a strong culture of compliance and ethical behavior throughout the organization.
- Maintain patient confidentiality and comply with all HIPAA requirements.
- Actively participates in the Employee Recognition Committee by attending monthly meetings, events, etc.
- Perform additional related duties as assigned.
MINIMUM QUALIFICATIONS:
- Bachelor's degree in Healthcare Administration, Public Health, Business Administration or a related field.
- Minimum of 1-2 years of experience in a healthcare setting.
- Familiarity with HRSA, The Joint Commission and HIPAA regulations strongly preferred
SKILLS AND ABILITIES:
- Strong organizational and documentation skills with attention to detail.
- Excellent written and verbal communication skills.
- Ability to handle sensitive and confidential information with discretion.
- Proficient in Microsoft Office Suite and electronic document management systems.
- Self-motivated, reliable, and capable of working independently or as part of a team.
- Ability to multitask and prioritize tasks in a dynamic environment.
- Comfortable conducting audits and inspections in both clinical and non-clinical settings.
- Demonstrates professionalism, integrity, and a proactive approach to problem-solving.