Healthcare Compliance Officer Resume Samples

Description :

1. Submitted to the CCO quarterly reports reflecting HIPAA-related incidents reported to the OCC and the resolution of those incidents.
2. Quarterly reports are generated for both H+H facilities and Gotham sites when needed.
3. Oversaw the facility's Corporate Ethics and Compliance Program including coordinating and monitoring training regarding compliance with laws, regulations, and Corporate policies and procedures. 
4. Coordinated and supported, monitored, and audited systems related to patient confidentiality, documentation, and billing/coding of medical services to third-party payors to reduce vulnerability to fraud, waste, and abuse. 
5. Coordinated investigations of alleged violations of standards. 
6. Obtained and monitored all contractual agreements, ensuring compliance with Corporate policies.
7. Created and implemented an effective compliance program that effectively prevents and /or detects violations of laws, regulations, organization policies, or the code of conduct.

Experience

10+ Years

Level

Senior

Education

BHA

Description :

1. Advised executive management on potential compliance risk areas and develops policies with management to ensure gaps are addressed.
2. Worked with the Privacy Officer and Security Officer to ensure all HIPAA compliance requirements are met.
3. Conducted compliance audits and assists Privacy and Security Officers with HIPAA compliance audits and assists as a backup to Privacy and Security officers.
4. Oversaw and conducted HIPAA gap and risk analysis.
5. Worked with management to draft, review and implement required business associate agreements and to ensure, as required, business associates' compliance with contract provisions, including the receipt of reports of non-compliance, taking appropriate action in the event of a breach.
6. Worked with Financial Controller and HR Generalist to evaluate, update and manage internal control policies and procedures to comply with non-profit financial and HR standards.
7. Evaluated internal controls to ensure the adequate ability to deter and detect illegal, unethical, or improper conduct by employees, contractors, or others working with and for the organization.

Experience

7-10 Years

Level

Management

Education

BBA

Description :

1. Developed and coordinated internal and external audit procedures for the purpose of monitoring and detecting any misconduct or noncompliance and recommends solutions for misconduct or noncompliance findings.
2. Developed, managed, and implemented effective ongoing compliance training for all employees to increase awareness and knowledge of compliance policies and enhance understanding of related laws and regulatory requirements.
3. Coordinated and ensured that all initial and annual compliance training is completed timely and maintained records of completion.
4. Maintained OSHA compliance requirements.
5. Pursued continuing education to maintain knowledge of current ethics and compliance rules and practices.
6. Worked with management and IT department to develop and monitor disaster plan.
7. Experienced in Compliance and Risk Management.

Experience

7-10 Years

Level

Management

Education

BBA

Description :

1. Knowledge of HIPAA Rules and Regulations.
2. Knowledge of information technology, medical records, patient privacy and confidentiality, and release of information standards.
3. Capable of a broad workload and adaptable to special assignments in response to the needs of the organization and working in a fast-paced environment.
4. Possessed a high level of integrity, accountability, inclusiveness, and teamwork.
5. Worked knowledge of Microsoft Office, Windows 10, and compliance software products.
6. Empathized and understood other perspectives.
7. Offered solutions to complex challenges/situations.

Experience

7-10 Years

Level

Management

Education

BBA

Description :

1. Oversaw and monitored the organization's compliance program.
2. Reported on a regular basis to the organization's CEO and to the compliance committee on the activities of the compliance program.
3. Revised the compliance program periodically in response to changes in regulations and in accordance with the needs of the organization.
4. Developed and coordinated an educational and training program for employees on the elements of the compliance program and ensure employees are knowledgeable of relevant federal and state regulations.
5. Ensured that independent contractors who provide services in the organization are aware of the compliance program.
6. Worked with human resources to ensure all employees and contractors have been screened and checked against sanction and exclusion lists.
7. Assisted in internal compliance review and monitoring activities.

Experience

5-7 Years

Level

Executive

Education

BBA

Description :

1. Kept date with healthcare compliance regulations to ensure the company procedures adhere to the necessary rules
2. Processed, coded, and conducted legal liability.
3. Established efficient compliance plans to make sure that patient records, billing methods, and any other source of personal patient data are kept private.
4. Reviewed the organization's records and record transfer procedures to recommend improvements to our record-keeping system.
5. Identified offenses, responded promptly and appropriately, and recommended the required corrective actions.
6. Investigated and acted on compliance matters including coordinating corrective actions.
7. Developed policies and programs that encourage employees to report suspected compliance issues.

Experience

2-5 Years

Level

Executive

Education

BHA

Description :

1. Assimilated, reconciled, and prioritized diverse information, recommendations, policy considerations, and organizational objectives.
2. Assessed complex situations and prioritized multiple projects and demands.
3. Analyzed and evaluated internal control methods and procedures.
4. Established a reporting system for suspected or known high-risk violations.
5. Responded to and investigated all reports of alleged violations of rules, regulations, policies, and procedures.
6. Ensured corrective steps are followed for identified problems or violations. Identifying areas needed for staff compliance training and education.
7. Ensured all departments maintain compliance as it pertains to our Scope of Project, federal, local, and community business operations.

Experience

2-5 Years

Level

Executive

Education

BBA

Description :

1. Empowered and develop team members; engaged and recognized contributions; leveraged diversity, equity, and inclusion; resolved conflicts and managed performance.
2. Monitored and evaluated CCGO and ensures adherence to policies and procedures.
3. Sought out educational opportunities, stays current with trends, and implements appropriate changes within the area of responsibility.
4. Developed and implemented communication protocols to ensure adequate information flow within the organization.
5. Promoted good working relationships and cooperation with staff and patients.
6. Represented the organization in interactions with regulatory agencies and industry groups.
7. Educated department directors, administrators, the CEO, and the governing board on the importance of compliance, and speaking up to leaders when compliance is jeopardized.

Experience

2-5 Years

Level

Executive

Education

BBA

Description :

1. Partnered with leadership to advise upon, develop and implement new business initiatives.
2. Developed and implemented healthcare compliance and privacy policies, procedures, and programs that meet the requirements of relevant laws and regulations, such as HIPAA, HITECH, and the Affordable Care Act.
3. Oversaw healthcare privacy and security programs, including data protection, incident response, and risk assessments.
4. Conducted regular audits and assessments to identify potential compliance and privacy risks and recommend corrective actions.
5. Ensured timely reporting of potential compliance violations and breaches of privacy to the appropriate authorities.
6. Provided education and training to employees on compliance and privacy matters, as well as on ethical and legal requirements.
7. Stayed current with trends and developments in healthcare law, compliance, and privacy matters and communicate updates to relevant stakeholders.

Experience

2-5 Years

Level

Executive

Education

BBA