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Compliance Coordinator

3 months ago

Los Angeles, United States Kheir Clinic Full time

Our community clinic is seeking a passionate and detail-oriented individual to join our team as a Compliance Coordinator. The Compliance Coordinator will be responsible for ensuring the clinic's compliance with all relevant laws, regulations, and policies. This position will involve conducting regular audits, training staff on compliance procedures, and implementing corrective actions as needed. The ideal candidate will have a strong background in healthcare compliance, excellent communication skills, and a commitment to upholding the highest standards of ethical conduct.

ASSIGNMENT SUMMARY

The Compliance Coordinator will be an active member of the Compliance and Credentialing teams, which includes the CAO, HR & Compliance Director, Compliance Manager and selected clinic staff. Will be responsible for maintaining current knowledge of relevant compliance requirements, clinic operations and managed care programs. Must be highly proficient in Microsoft Office programs and other computer functions in order to maintain detailed records.

MINIMUM QUALIFICATIONS
Bachelor's degree in healthcare administration, public health, or a related field.
Minimum of 3 years of experience in healthcare compliance or a related field.
Strong knowledge of healthcare laws and regulations, including HIPAA, OSHA, HRSA, FTCA.
Excellent organizational skills and attention to detail.
Strong communication and interpersonal skills.
Strong ability to research and resolve compliance issues.
Strong knowledge of the health care managed care compliance requirements.
Ability to work independently and as part of a team.
Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) preferred.
Excellent written and verbal communication skills
Excellent time management and organizational skills
Excellent computer skills, including email, Microsoft Office (Excel) & data tracking
Ability to work quickly, follow directions and make independent decisions
Ability to maintain confidentiality when handling patient medical records
Experience in community clinic environment a plus
Valid California driver license and insurable driving record required

ESSENTIAL FUNCTIONS/RESPONSIBILITIES
Develop and maintain policies and procedures related to compliance with federal, state, and local regulations.
Conduct regular audits to assess compliance with healthcare laws, regulatory standards, and internal policies.
Provide training to staff on compliance requirements and best practices.
Investigate complaints and alleged violations and take appropriate corrective action.

Collaborate with clinic leadership to develop strategies for maintaining compliance and reducing risk.
Keep abreast of changes in healthcare regulations and disseminate relevant information to staff.
Serve as the primary point of contact for external agencies and auditors during compliance audits and reviews.
Monitor and track compliance indicators to ensure the clinic's adherence to standards.
Garner & maintain knowledge of Health Plan compliance requirements, medical group operations, and medical terminology
Work with the training and development staff to deliver and update training documentation, ensuring comprehensive understanding and adherence to compliance protocols.
Develop and conduct trainings relating to emergency management and risk management.
Create and deliver reports and presentations highlighting findings, identifying and explaining potential risks, and recommending solutions.
Troubleshoot patient care issues, complaints and formal grievances with health plans.
Provide educational information in conjunction with direct care providers related to treatments, procedures, medications, and continuing care requirements
Coordinate Provider Credentialing and Re-Credentialing with Health Plans to meet all HRSA and state regulatory agency requirements
Collaborate with the clinical staff to ensure high quality service
Assist with Survey Requests
Evaluate outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team, implementing team recommendations.
Other duties as assigned & necessary