Compliance Director

Description

SUMMARY:

Salary Range: $135,000-$155,000

The Director of Compliance is accountable for a broad range of corporate compliance activities.  Directs the daily operations of Acuity’s Compliance Program, ensuring the development, implementation, and ongoing effectiveness of the OIG’s recommended seven elements of a compliance program. Participates in Compliance Committee meetings.

ESSENTIAL FUNCTIONS:

To perform this job successfully, an individual must be able to perform each essential function satisfactorily with or without accommodation.  The requirements listed below are representative, but not all inclusive, of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

• Oversees development and implementation of compliance policies and procedures, quality standards, effective training and compliance with such training.
• Oversees Compliance team and provides leadership, direction, training, and feedback to mentor and develop staff.
• Performs regular company-wide risk assessment and develops an audit work plan for compliance and operational audits to ensure proper control systems are in place for key and identified risk areas.
• Leads audit program.  Continually monitors and improves internal and external audit and monitoring processes to ensure organization is compliant with applicable laws and regulations.
• Provides direction, oversight and guidance on coding audits.
• Advises on relevant federal and state laws, HIPAA, CMS regulations, anti-kickback laws, the False Claims Act, and other healthcare fraud and abuse laws.
• Manages the planning, scheduling and implementation of changes required for meeting organizational Compliance Program effectiveness.
• Develops and implements training programs designed to promote awareness and understanding of Compliance Program and industry laws and regulations.
• Responds to potential and/or alleged violations of Code of Conduct, policies, procedures, and state or federal laws or regulations by conducting and/or guiding investigations when appropriate, ensuring the implementation of corrective actions.
• Provides quarterly and annual reporting as required and/or as requested.
• Oversees development and implementation of an annual Compliance Work Plan and monitors adherence to policies, procedures, regulations, contractual requirements.
• Develops, implements and maintains a privacy program that enable effective privacy practices which minimizes risk and ensures the confidentiality of protected health information (PHI), paper and/or electronic, across all media types.
• Works with department leaders, senior management, Chief Compliance Officer to establish governance on the Compliance Program.
• Collaborates with information security officer to ensure alignment between security and privacy compliance programs.
• Establishes an ongoing process to track, investigate and report inappropriate access and disclosure of protected health information.
• Ensures organization has and maintains appropriate privacy and confidentiality consents, authorization forms and information notices and materials reflecting current organization, industry standards, and legal practices and requirements.
• Establishes and administers a process for investigating and acting on privacy and security complaints.
• Maintains an appropriate professional appearance and demeanor in accordance with Company policies.
• Keeps commitments and keep direct supervisor informed of work progress, timetables, and issues.
• Maintains strict compliance with State, Federal and other regulations (e.g., OSHA, WC, HIPAA, ADA, FEHA, DOL, HR policies and practices).
• Other duties as assigned by management.

Requirements

QUALIFICATIONS:

REQUIRED:  Bachelor's Degree in related field; minimum of five (5) years of experience in the Healthcare Industry, including staff management experience; or equivalent combination of education and work experience.

DESIRABLE:  Master’s Degree or Juris Doctorate preferred. Ophthalmology industry experience.

CERTIFICATES/LICENSES/REGISTRATIONS: 

• Certified in Healthcare Compliance (CHC) preferred.

KNOWLEDGE/SKILLS/ABILITIES/TALENTS:

• Effectively and consistently communicates with to staff encourage interactive discussions and maintains an open-door policy. 
• Models professionalism by maintaining effective working relationships, following all policies and procedures and approaching challenges with a proactive and positive attitude. Also de