Director & Chief Compliance Officer

2 weeks ago

Hadlow, United Kingdom Community Hospice & Palliative Care Full time
Jacksonville, FL 32257Under the direction of the Chief Operating Officer, this position functions as the Chief Compliance Officer for Community Hospice of Northeast Florida. This position has direct access to the President & CEO and the Board of Directors for the purpose of advising and making recommendations to the Board about regulatory compliance issues. Additionally, this position has the function of directing all Community Hospice employees in regulatory compliance. The individual who holds the position also manages the Corporate Compliance and provides direction to Clinical Compliance, and Risk Management departments.


Primary Responsibilities
Directs all Community Hospice employees in regulatory compliance. This individual will manage the organizations corporate compliance and provides direction to clinical compliance, and risk management departments.

Manages the corporate compliance department’s administrative duties including: organizing and maintaining relevant files, preparing necessary reports on activities, maintaining central files, or other related activities.Prepares and monitors the budget for all agency compliance activities.Protects Community Hospice’s interests which may be affected by proposed legislative and/or regulatory issues.Consults with the Community Hospice attorney as needed to resolve difficult legal compliance issuesAssists other departments in understanding and complying with regulatory requirements. This includes researching regulations, informing departments of regulations, and assisting in developing procedures to comply, as well as drafting responses to queries by regulatory agencies.Provides functional supervision to corporate compliance, medical records and clinical compliance departments.Performs special projects and all other duties as assigned by the Chief Operating Officer.


Corporate Compliance

Provides effective leadership, and advice, to the Board of Directors and senior management on matters of corporate compliance and ethical business practices.Organizes the compliance committee, including developing appropriate agendas, reports, and information as requested by the committee, CEO and/or Board of Directors.Develops and presents periodic compliance reports to the CEO and/or Board of Directors, as well as an annual evaluation on the compliance programMonitors compliance by conducting routine and/or focused internal audits of compliance with laws, rules, and regulations and policy/procedure as well as coordinates audits generated by external sources (i.e. State and Federal).Assists management in coordinating internal compliance review and monitoring activities, including annual or periodic reviews of departments. Identifies trends in compliance activities.


Employee Compliance

Advises and directs all Community Hospice employees in regulatory compliance. Ensures employees have received, read and understood the standards of conduct.Partners with Human Resources during employee investigations and disciplinary actions.Works with Human Resources and other departments as appropriate to develop and deliver an effective compliance training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers.Develops policies, procedures and programs that encourage managers and employees to report concerns regarding compliance, suspected fraud and other improprieties without fear of retaliation.Provides input and/or direction to the employee performance appraisal programs to ensure that support of and conformity with the compliance program is part of the performance evaluation process for all Community Hospice employees.Works with operational leadership to provide adequate information to ensure that they and their employees have the requisite information and knowledge of regulatory issues and requirements to carry out their responsibilities in a lawful and ethical manner.


Regulatory Compliance

Develops and/or ensures internal controls are capable of preventing, and detecting significant instances or patterns of illegal, unethical, or improper conduct.Develops, initiates, maintains, and revises policies, procedures, and practices for the general operation of Community Hospice and its related activities to ensure HIPPA compliance.Responds to alleged violations of rules, regulations, policies, procedures, and Community Hospice codes of conduct by evaluating, collaborating with other departments, and recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or requiredProvides advice on regulatory matters such as CMS, AHCA, and the United States Department of Health and Human Services (HHS), (HIPPA), (DRA).Prepare the agency for all State and Federal Surveys.

Education & Licenses/Certifications:

Bachelor’s degree required. Master’s preferred. Emphasis on Business or Healthcare Administration7+ years experience in Corporate Compliance related to health care and/or non-profit agencies. Specific experience with regulatory issues is desirable.Background in Medicare and Medicaid reimbursement and fraud and abuse laws is desirable.

Knowledge of:

Healthcare laws, regulations, and standards.Computerized information systems used in compliance applications.Federal and state laws and regulations.Coding and reimbursement systems

Skilled at:

Maintaining a high degree of credibility, independence, integrity, confidentiality, and trust.Demonstrating leadership ability – supervision and training of personnel.Exhibiting analytical skills and an understanding of operational processes.Influencing process and performance improvement.Excellent written and oral communications.Proficient in Microsoft Word and PowerPoint with familiarity of Visio, Excel, and Access.Excellent presentation skills.Developing policy and procedure documentation.Striving to develop partnerships, teamwork, and good working relationships. Maintaining an open management style.Demonstrating initiative, self-motivation, practical learning skills, enthusiasm, and an ability to complete multiple tasks in a timely and accurate manner.

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