Description
The Medical Compliance Specialist will create, implement, train, and manage compliance policies and procedures per federal and state laws and regulations for assigned clinics. This position requires a deep understanding of healthcare compliance, exceptional communication skills, and the ability to collaborate with various stakeholders to maintain the highest standards of ethical and legal conduct.
Legal Research & Writing
- Actively assists in legal matters including but not limited to subpoenas, demand letters, and medical records requests
- Takes lead on all adverse incidents and/or unanticipated events
- Acts as a liaison between the legal department and attorneys to research, identify, and provide all information or document requests from attorneys relating to legal matters
- Works alongside the legal department
- Conducts research and interprets statutes/regulations that require compliance across assigned clinics
- Monitors changes in healthcare laws and regulations, guiding the organization to stay current
- Collaborates with cross-functional teams, and legal, to address compliance issues and develop solutions
Risk & Compliance
- Conducts regular risk assessments to identify potential compliance issues
- Develops and implement strategies to mitigate identified risks and strengthen the organization’s compliance posture
- Works alongside VP, Growth & Operations to create new policies and/or SOP’s
- Prepares for AAAASF inspections and accreditations of new and/or existing clinics
- Actively performs in AAAASF and state surveys as a company representative
- Organizes and keeps compliance manuals current for assigned clinics in alignment with state and AAAASF requirements to include but not limited to bibles, QA/QI, CEU
- Oversees platforms such as SurgLogs and Scripture
- Drives education and achievement of clinic department goals, objectives, and processes to include but not limited to training of tenured staff and new staff
- Coordinates and conducts regular training sessions on compliance for employees at all levels
- Collaborates with appropriate departments to ensure compliance is met at all times by established policies and procedures
Analysis & Reporting
- Proactively escalates to the Compliance Manager any perceived obstacles, barriers, problems, or unusual circumstances for compliance measures and outcomes
- Prepares and submits timely reports on compliance activities, incidents, and corrective actions to senior management
Requirements
Requirements Education & Experience
- Bachelor’s Degree
- 2-5 years of Previous experience in healthcare, compliance or legal research is preferred
- Preferred experience with AHCA, JCAHO, JCO, AAAHC, QUADA, OBS, and/or ASC
- Strong understanding of healthcare laws and regulations, including HIPAA, and others
- Excellent communication, presentation, and interpersonal skills
- Ability to work collaboratively with diverse teams and stakeholders
- Strong analytical and problem-solving skills
Physical Requirements
- Must be able to lift up to 10-20 pounds at times
Travel Requirements
- Up to 50% travel