This position reports to the Chief Executive Officer. The Chief Compliance Officer is responsible for overseeing a company-wide compliance program by: researching and keeping up with all applicable regulations and standards; developing and implementing content for compliance education and training; conducting and/or overseeing compliance audits and investigations; conducting training and developing policies and procedures related to medical billing operations; and serving as the in-house expert on medical billing compliance issues. The position will also be a compliance resource in areas such as human resources, along with client and vendor contracting.
Essential Duties & Responsibilities
Managing regulatory matters and compliance issue;
Maintaining a professional and well-governed environment and achieving compliance with regulations by developing and maintaining policies and procedures supporting a culture of integrity, compliance and excellence;
Promoting awareness and a culture of responsibility through training and regular communication with both internal staff and clients;
Conducting risk assessments to identify regulatory, operational and reputational risk across the Company’s activities;
Leading the Company's compliance team by developing, implementing, maintaining and overseeing a compliance monitoring program to confirm our operations team is complying with regulatory requirements and adhering to Company risk management and compliance related policies as it relates to medical billing;
Responds to incidents of suspected compliance violations by evaluating or recommending the initiation of investigative procedures;
Corresponds with outside regulatory agencies as needed;
Serving as a resource for compliance questions and working collaboratively with other internal functions and with clients.
Performs other related duties as assigned
Minimum of Bachelor’s Degree; Master’s Degree preferred.
Ten (10) or more years of related experience at a professional level achieving a senior compliance role, preferably in the medical insurance or healthcare industries
Knowledge, Skills, Abilities:
Demonstrable knowledge of applicable regulations.
Strong writing and communication skills.
Demonstrable and proven leadership skills.
Experience in regulated industry preferred.
Articulate and poised in face-to-face meetings and presentations with all levels of the organization
Strong organizational and time management skills required. Must be able to handle multiple tasks and quickly adapt to changing priorities
Must be highly attentive to detail
Must have the ability to work in a fast paced environment