Director of Compliance

Job Description

Job Description

Description : ABOUT US

Diagnostic Imaging Centers of Texas (DICOT) is a family of brands committed to providing exceptional MRI & Diagnostic Imaging Centers to patients and their referring providers.

Memorial MRI & Diagnostic Imaging Centers and Prime Diagnostic Imaging Centers are the premier leader in the field of outpatient radiology. Focused on advanced diagnostic imaging, quality patient care and quick report turnaround, our teams of healthcare and business professionals strive to exceed every need and expectation for both patient and provider to ensure the best experience possible. With 17 Locations and growing, we're here to serve the greater Houston area, Dallas / Fort Worth metroplex, Corpus Christi, Beaumont and surrounding communities. Each location is equipped with the latest technology and equipment to ensure patients receive highest quality of diagnostic image services in the industry. Additionally, we offer pain management solutions to patients through the Foundation Physicians Group at multiple locations throughout Texas. Our team of orthopedic and pain doctors help patients find relief and improved mobility after experiencing an injury, accident, or slip-and-fall incident. The DICOT family of brands offers patients and providers a premier option for diagnostic imaging and pain relief solutions. DICOT is excited to expand our services as business continues to grow!

JOB SUMMARY

The Director of Compliance provides leadership in the Company with advice, representation, and guidance on all compliance issues. The Director also advises and supports the Company’s overall business functions to design and ensure compliance with the Company’s Code of Conduct, Compliance Program and all applicable United States federal, state and local laws, rules and regulations. As a member of senior management, the Director is responsible for collaborating with the Executive team, Board of Directors, and other members of management to establish and maintain appropriate ethical and compliant leadership and set the appropriate “Tone from the Top” for all Company related compliance initiatives. Further, the Director will reinforce the ability of all employees and contractors to make good faith reports regarding compliance concerns without fear of retaliation.

SPECIFIC DUTIES & RESPONSIBILITIES

• The Director may delegate duties and tasks as relevant but should maintain overall responsibility and oversight.
• Ongoing design and implementation of the Company-wide Compliance Program to ensure compliance with the Code of Conduct, its underlying policies and procedures and all applicable U.S. laws, rules and regulations, including but not limited to applicable FDA regulations, HIPAA, state privacy laws, anti-trust laws, federal anti-kickback statute, stark law and all other applicable federal, state and / or local laws, rules and regulations.
• Ongoing design and implementation of the Company’s compliance policies and procedures to adhere to any and all requirements of the Office of the Inspector General’s seven elements of an effective compliance program.
• Disseminate information to and educate employees on compliance related issues. (e.g. fraud and abuse laws, stark laws, CMS demonstration models, charitable contributions etc.)
• Responsible for conducting and coordinating internal and external compliance audits that include but are not limited to coding, billing, reimbursement, medical director agreements, deminimus tracking and spend logs, HIPAA guidelines, training and reporting elements of all relevant regulatory compliance manuals.
• Review company agreements, including those involving clinical research, health care professionals, consultants, medical directors, and vendors to ensure compliance with legal requirements.
• Review and coordinate the review of relevant independent contractor arrangements to ensure that all of the applicable laws and regulations have been followed.
• Advise the Board and executives on the compliance risks and terms of various business transactions, arrangements and agreements.
• Maintain knowledge of AKS, Stark, CMS manuals, Medicaid manuals, and Federal Register notices, federal and state legislative changes that may affect the Company.
• Review advertising, marketing, promotional and training materials and programs to ensure compliance with legal requirements.
• The CCO will coordinate and develop policies and programs for reporting noncompliance issues. This will include developing an anonymous reporting system for all persons associated with the practice to utilize when necessary to inform the compliance officer of potential noncompliance issues.
• Coordinate corrective and preventative action for areas of noncompliance as identified by audits, quality assurance, peer review programs, other requirements and / or through the reporting system.
• Develop necessary internal and external review processes, compliance metrics, monitoring programs and internal and external auditing processes, including but not limited to those involving health care professionals.
• Perform and / or coordinate with legal counsel all investigations of deficiencies resulting from the reporting system, other reports or identified through the periodic assessments. In coordination with legal counsel perform required self-reporting for actual or probable violations of law, as required.
• Report to the Board of Directors with unfettered access on compliance-related matters to include executive sessions.

Requirements :

EDUCATION REQUIREMENTS

EXPERTISE & PERSONALITY