Eagleville Hospital · 3 weeks ago
Corporate Compliance Officer
Eagleville Hospital is dedicated to maintaining high standards of compliance in healthcare. The Corporate Compliance Officer is responsible for planning, implementing, and monitoring the Corporate Compliance Program, ensuring adherence to regulations, and fostering a culture of compliance throughout the organization.
EducationHealth CareNon Profit
Responsibilities
Oversee and monitor the implementation of the Corporate Compliance Program
Directly reports to the Chief Compliance and Regulatory Officer and Board of Directors and CEO on a regular basis to review progress on program implementation and assist with establishing improvement plans
Periodically revise and update the program
Develop and implement a Compliance training plan
Review employee Standards of Conduct Certification Statements Conflict of Interest Statements and training compliance
Assist the Finance Department in coordinating internal compliance review and monitoring activities to ensure that level of care is appropriate based on clinical documentation
Develop policies and programs that encourage staff to report suspected fraud or impropriety without fear of retaliation
Oversee and manage the confidential reporting system and Investigate complaints and coordinate action plans with other departments
Maintain a log with all communications received relevant to compliance. Compile reports of calls received, investigations conducted, findings and recommendations developed, action plans established, and progress noted
Develop and communicate the objectives of the Compliance Program and report accomplishments to the Compliance Committee and Board of Directors ongoing
Access records relevant to compliance monitoring activities and report findings
Establish and communicate reporting procedures and reporting modes available (email, voice mail, suggestion box, etc.)
Interview internal and external customers periodically
Analyze utilization patterns
Conduct unannounced mock surveys, inspections, audits and investigations periodically to assess staff readiness and to specifically identify where corrective actions are needed
Reevaluate areas of previous deficiency to identify improvements
Present written evaluations and reports to the Compliance Committee, CEO and BOD at least quarterly
Other duties as assigned
Comply with current hospital safety and infection control policies
Qualification
Required
Planning, implementing and monitoring the Corporate Compliance Program
Coordination of compliance audit activities and communication of expectations and reporting results
Oversee and monitor the implementation of the Corporate Compliance Program
Directly reports to the Chief Compliance and Regulatory Officer and Board of Directors and CEO on a regular basis to review progress on program implementation and assist with establishing improvement plans
Periodically revise and update the program
Develop and implement a Compliance training plan
Review employee Standards of Conduct Certification Statements Conflict of Interest Statements and training compliance
Assist the Finance Department in coordinating internal compliance review and monitoring activities to ensure that level of care is appropriate based on clinical documentation
Develop policies and programs that encourage staff to report suspected fraud or impropriety without fear of retaliation
Oversee and manage the confidential reporting system and Investigate complaints and coordinate action plans with other departments
Maintain a log with all communications received relevant to compliance
Compile reports of calls received, investigations conducted, findings and recommendations developed, action plans established, and progress noted
Develop and communicate the objectives of the Compliance Program and report accomplishments to the Compliance Committee and Board of Directors ongoing
Access records relevant to compliance monitoring activities and report findings
Establish and communicate reporting procedures and reporting modes available (email, voice mail, suggestion box, etc.)
Interview internal and external customers periodically
Analyze utilization patterns
Conduct unannounced mock surveys, inspections, audits and investigations periodically to assess staff readiness and to specifically identify where corrective actions are needed
Reevaluate areas of previous deficiency to identify improvements
Present written evaluations and reports to the Compliance Committee, CEO and BOD at least quarterly
Comply with current hospital safety and infection control policies