The Compliance Specialist will support the organization’s compliance program by performing the day-to-day operational activities necessary to maintain regulatory compliance and organizational integrity. This position assists with compliance monitoring, investigations, auditing, policy management, employee education, and documentation while collaborating with clinical and operational teams to ensure adherence to federal, state, and local regulations, accreditation standards, and company policies.
Essential Duties & Responsibilities
- Maintain current knowledge of applicable health care compliance and privacy federal / state requirements and compliance & privacy policies and procedures; participates in health care compliance and privacy professional organizations to stay abreast of privacy and corporate compliance developments and leading industry practices.
- Perform daily compliance department functions to support the organization’s compliance program.
- Support preparation for regulatory inspections, accreditation surveys, and external audits.
- Assist with the development, revision, and distribution of compliance policies and procedures.
- Respond to routine compliance inquiries from staff and management.
- Conduct routine compliance audits and monitoring activities according to the annual compliance work plan.
- Assist with investigating compliance concerns, hotline reports, and potential policy violations.
- Gather documentation and interview appropriate personnel when assigned.
- Maintain confidentiality throughout investigative processes.
- Coordinate compliance training for new hires and existing employees.
- Maintain compliance training records and completion reports.
- Ensure compliance records are complete, accurate, and organized.
- Assist with data collection and trend analysis to identify opportunities for improvement.
- Participate in departmental meetings and compliance initiatives as assigned.
- Perform other duties as necessary.
