Director of Risk and Compliance

Job Summary :
The Director oversees the Clinic Compliance Program and is responsible for developing, planning, organizing, and directing all functional activities related to the clinic’s patient safety and risk programs. Functioning as an independent and objective body, this position reviews and evaluates compliance issues and concerns within the organization to ensure the Board of Directors, management, and employees are in compliance with rules and regulations of regulatory agencies, company policies and procedures are followed, and behavior in the organization meets the company’s Standards of Conduct.

Essential Functions and Responsibilities:

• Develops, initiates, maintains, and revises policies and procedures for the Compliance Program and related activities (HIPAA Privacy).
• Manages day-to-day operation of the Compliance and Risk Management Programs.
• Develops and periodically reviews and updates the clinic’s Standards of Conduct.
• Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
• Responds to alleged violations of rules, regulations, policies, and procedures related to compliance issues and Standards of Conduct by recommending or initiating investigation procedures and develops and oversees a system for uniform handling of such violations
• Acts as an independent review and evaluation resource to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated, and resolved.
• Identifies potential areas of compliance vulnerability and risk through auditing and monitoring; develops and implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
• Consults with legal counsel and insurance carriers on matters involving clinic risk and liability determine whether a claim should be paid, litigated, or denied.
• Coordinate and oversee medical peer-review process on issues related to standard of care.
• Promotes and ensures risk and patient safety program integrity through adequate oversight of staff functions, data collection and reporting.
• Responsible for maintaining and monitoring the incidents and claims reporting system.
• Staffs the clinic’s Compliance Committee and leads the Clinic Safety Committee.
• Educates, advises and counsels on relevant patient safety and risk management issues affecting the organization.
• Participates in professional development efforts to ensure appropriate application of current health care practices and trends
• Works with the Human Resourced Department and others as appropriate to develop an effective compliance training program, including appropriate training for new employees as well as ongoing training for all employees and managers.
• Institutes and maintains an effective compliance communication program for organization, including promoting heightened awareness of Standards of Conduct, and understanding of new and existing compliance issues and related policies and procedures.
• Performs other duties that may be assigned from time to time.

Performance Measurements:

• Stay current of regulation changes in regard to HIPAA and OSHA.
• Perform all duties with accuracy and extreme attention to detail to limit errors.
• Employ exceptional customer service and communication skills with external and internal customers.
• Comply with all Clinic guidelines and policies.