Chief Compliance Officer

Location: Gainesville, GA

Job Category

Executive Leadership

Work Shift/Schedule

Varies

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role

Job Summary

The Chief Compliance Officer reports directly to NGHS CEO and is responsible for overseeing the operations of NGHS Ethics, Privacy, and Internal Audit Compliance program in NGHS hospitals. The Vice President of Compliance provides leadership on ethics and compliance matters. The Chief Compliance Officer works with senior leadership to implement policies, procedures, and practices designed to ensure compliance with all applicable healthcare laws, rules and regulations.

The Chief Compliance Officer is a member of NGHS senior leadership team and provides leadership to the system-wide initiatives and ensures that compliance program initiatives are implemented and championed across the organization.

Minimum Job Qualifications

Licensure or other certifications

Educational Requirements: Master's Degree in Healthcare Administration or related field required. or Law degree; experience with electronic health information systems; experience with health information confidentiality management

Minimum Experience: At least 8-10 years of compliance, legal, financial and/or audit leadership experience in a healthcare setting, as well as demonstrated understanding of effective Corporate Compliance & Privacy programs Healthcare management experience. Knowledge of state and federal healthcare law, rules, regulations, including HIPAA, Stark and Anti-Kickback statutes.

Preferred Job Qualifications

Preferred Licensure or other certifications: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), or RHIA

Preferred Educational Requirements

Preferred Experience: Experience working in Corporate Integrity Agreement, Electronic Health Information Systems, and Health Information Confidentiality Management.

Other

Job Specific and Unique Knowledge, Skills and Abilities

Excellent counseling, communication and public speaking skills

Strong organization skills and a strong expertise in planning and supervising.

Exceptional leadership skills necessary to build a strategy of compliance

Ability to inspire, motivate, and recognize people.

Ability to be flexible while remaining focused on outcomes.

Ability to participate in a team atmosphere.

Ability to interact with senior medical staff

Ability to balance between the growth needs of the organization and the compliance requirements associated with the clinical services delivered by the organization

Essential Tasks and Responsibilities

Implement, supervise, and promote compliance with the Code of Conduct and associated policies throughout the enterprise, including the enterprise Board of Directors Conflict of Interest polices.

Oversee the implementation and administration of the Corporate Integrity Agreement with the CEO.

Assess educational needs of enterprise employees and direct the development of instructional programs for the organization, including the Compliance Oversight Committee, the Executive Team and the Board of Directors.

Develop goals and objectives for compliance activities and develops quarterly reports to the Compliance Oversight Committee and the Board of Trustees

Assist in the develop and monitoring of corrective measures of compliance issues.

Oversee the Compliance Hotline and other compliance reporting mechanisms and direct the investigation of reported issues, assigning review by legal counsel and other departments as necessary

Conduct and/or supervise coding/billing and other audits on an appropriate basis

Prepare annual budget for operating and capital expenses

Develop and implement a risk assessment program

Design and implement a comprehensive compliance program that addresses federal and state requirements inclusive of: HIPPA, Stark, and Anit-Kickback

Assess compliance educational needs of enterprise and design and deliver the training

Develop audit and monitoring program to measure effectiveness of compliance

Works closely and collaboratively with leaders from Human Resources, Legal, Medical Staff and other departments to facilitate the development, implementation, communication and enforcement of privacy policies throughout the system.

Works with Legal Services to establish a process for the management of business associates, ensuring that all business associate contracts contain language which provide for compliance with regulatory requirements.

Advises the organization about current privacy and security legislation. Assists General Counsel in dealing with various self-regulatory initiatives, such as Hi-Ethics and the Internet Healthcare Coalition's eHealth Code of Ethics. Originates white papers regarding health information privacy and security

Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends

Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future

Monitors the day-to-day compliance activities.

Physical Demands

Weight Lifted: Up to 20lbs, Occasionally 0-30% of time

Weight Carried: Up to 20lbs, Occasionally 0-30% of time

Vision: Moderate, Frequently 31-65% of time

Kneeling/Stooping/Bending: Occasionally 0-30% of time

Standing/Walking: Occasionally 0-30% of time

Pushing/Pulling: Occasionally 0-30% of time

Intensity of Work: Frequently 31-65% of time

Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.