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Chief Compliance Officer

Category

Administration

Organization:

Roanoke Chowan Community Health Center

Location:

Ahoskie, North Carolina • Hertford County

Date Needed:

September 30, 2022

Type Of Position:

Full Time

Education Required:

Master's

Experience Required:

3-5 year(s)

Date Of Job Posting:

August 02, 2022

Job Description:

Title: Chief Compliance Officer

Reports To: Chief Executive Officer

Direct Reports: Quality Management/Risk Management Director

Classification/Category: Executive Level Management

Workgroup(s): Executive Team (E-Team), Elevate and Quality

Work Status: Hybrid

Salary Range: $100,424.71 – $136,226.20

Stipend(s): $50/monthly for mobile phone

Status: Exempt

Summary of Position

The Chief Compliance Officer (CCO) position is responsible for ensuring the Board of Directors, organizational management and employees remain in compliance with all regulations, requirements, and reporting results of compliance and ethics of the organization. This position participates in the development and implementation of the practice’s mission, vision and values. The CCO will model behaviors consistent with the published values and the Code of Conduct of RCCHC.

RCCHC Mission, Vision and Values

Mission: To provide patient centered, high quality, compassionate healthcare, responsive to the diverse needs of the people we serve.

Vision: To be recognized as a transformational provider of healthcare: empowered, owned and supported by the people we serve.

Values: Respectful, Compassionate, Caring, Honest, Committed

Population Served

Roanoke Chowan Community Health Center will provide open access, community-oriented primary care of the highest quality to all residents within our service area and surrounding counties, regardless of their ability to pay.

Minimum Qualifications

Ability to read, write and comprehend instructions in the English language. Communicate effectively. Interact in a respectful and professional manner with internal and external individuals. Ability to gather and synthesize information. Able to travel to other RCCHC site. Understanding of, and sensitivity to, the diverse populations, socioeconomic, cultural and ethnic backgrounds to the communities we serve.

Education: Master’s degree in business administration, healthcare administration, legal administration or other related field required

Experience: Minimum six years of industry related experience in health care with at least three years in health care corporate compliance.

Certification(s)/Licensure: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), and Certified Professional in Healthcare Quality (CPHQ) preferred or ability to obtain certification/licensure when background credentials warrant that such is required.

Knowledge:
• Knowledge of Federally Qualified Health Centers (FQHC’s) in regard to the Federal 330 Public Health Service Act.
• Extensive knowledge of federal/state health care laws, regulations, and standards affecting health care providers.
• Knowledge of coding and reimbursements systems, risk management, and performance improvement.
• Knowledge of organizational policies and procedures to assess and maintain compliance of operations.
• Knowledge of the principles and practices of health care administration, fiscal management, human resource management, government regulations, compliance requirements and reimbursements.
• Knowledge of computer systems and applications.

Skills:
• Skill in exercising a high degree of initiative, judgment, and discretion.
• Skill in analyzing situations accurately and taking effective action.
• Skill in establishing and maintaining effective working relationships with the medical and administrative staff, patients and the community.
• Skill in planning, organizing, and prioritizing work; delegating and achieving goals and objectives.
• Skill in exercising judgment and discretion in developing, interpreting, and implementing departmental policies and procedures.
• Skill in communicating the importance and purpose of maintaining compliance in a healthcare setting.

Abilities:
• Ability to understand and interpret insurance laws and regulations.
• Ability to effectively lead in a changing environment.
• Ability to plan, organize, and integrate priorities and deadlines.
• Ability to create an atmosphere that encourages collaboration, motivation, innovation, and high performance and maintains high level of visibility.
• Ability to identify, analyze, and interpret complex data and, resolve compliance issues.
• Ability to evaluate and make recommendations for continuous regulatory improvement.
• Ability to evaluate and make recommendations for continuous risk assessment.
• Ability to anticipate and react calmly in emergency situations.
• Ability to communicate clearly and effectively orally and in writing.
• Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate organizational software.

Essential Functions

• Oversees and monitors the Corporate Compliance Program.
• Independently and objectively reviews and evaluates compliance issues/concerns.
• Develops, initiates, maintains and revises compliance policies and procedures.
• Promotes compliance with all applicable laws, regulations, rules, and policies of governmental authorities and payers.
• Consults with general counsel as needed to resolve challenging legal compliance issues.
• Develops and coordinates compliance education and training.
• Ensures that independent contractors and agents who furnish services to the organization are aware of requirements of the compliance program with respect to coding, coverage, billing, and marketing.
• Conducts and coordinates internal compliance audits and reviews and coordinates audits generate by external sources.
• Responds to incidents of suspected compliance violations by evaluating or recommending the initiation of investigative procedures.
• Takes appropriate actions as approved by the Chief Executive Officer (CEO) and/or Board of Directors Chairperson.
• Reports to the Board of Directors on compliance-related matters as appropriate.
• Participates in development of strategic plans, governance structure and objectives for organization.
• Participates, oversees, interprets and recommends changes to all clinical and organizational operational policies and procedures.
• Represents organization and other stake holders and interacts with regulatory agencies, insurance carriers, and other professional and community groups.
• Participates in the evolution and refinement of quality improvement processes.
• Maintains compliance with governmental regulations and industry requirements.
• Participates in professional development activities to keep current with trends and practices in health care administration (conferences, journals).
• Applies an intersectional equity lens when developing strategies, designing systems, and cultivating culture
• Comply with HIPAA requirements and standards to guarantee patient confidentiality
• Performs other duties as assigned.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, and telephones.

Work Environment: Position is in a well-lighted office environment. May be exposed to contagious diseases and other patient-related conditions. Occasional evening and weekend work and some travel.

Physical Requirements: The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job.

• Repetitive movement of hands and fingers – typing and/or writing.
• Occasional standing, walking, stooping, kneeling or crouching.
• Reach with hands and arms.
• Talk and hear.

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