Compliance Officer

ABOUT US

Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility.

COMPLIANCE OFFICER - HOUSTON, TX- IN OFFICE POSITION

The Compliance Officer is responsible for overseeing and maintaining Senior PsychCare’s adherence to all applicable healthcare laws, regulations, and internal policies, ensuring patient privacy, proper billing practices, and overall ethical conduct within the practice by conducting audits, providing training, and identifying potential compliance risks to mitigate legal and financial consequences; essentially acting as the guardian of regulatory compliance within the organization.

Responsibilities:

• Develop, Maintain, and Implement Compliance Programs: Create and maintain a comprehensive compliance program including policies, procedures, and training materials to educate staff on relevant healthcare regulations like HIPAA, Stark Law, and Anti-Kickback statutes

• Risk Assessment and Monitoring: Regularly assess potential compliance risks across the organization, identifying areas for improvement and implementing preventative measures to mitigate risks

• Internal Audits, External Audits, and Investigations: Conduct periodic internal audits to verify compliance with established policies and procedures, investigating suspected violations and taking corrective actions when necessary, working to complete and mitigate external payor audits

• Training and Education: Deliver ongoing compliance training to all levels of staff, including physicians, APRNs, PAs, Ph.D, PsyD., LCSW, LPC, LMFT, and administrative personnel, covering topics such as coding and billing accuracy, patient privacy, fraud prevention, and EMR usage

• Reporting and Communication: Communicate compliance issues to relevant stakeholders, including senior management and the compliance committee, providing regular updates on compliance activities and potential risks. Annual reports are required for NPHO Board.

• Regulatory Compliance: Stay current with evolving healthcare regulations and guidelines at the federal and state levels (TX, LA, OK, NM, and future states), ensuring the organization remains compliant with changes

• Third-Party Vendor Oversight: Monitor and manage compliance risks associated with third-party vendors providing healthcare services

• Incident Reporting and Resolution: Establish procedures for reporting compliance concerns and effectively investigating and resolving identified issues

• Perform other duties as assigned by supervisor.

Technology Skills:

• Medical software — IMS by Meditab Preferred

• Office suite software — Microsoft Office365 all applications

• Graphics or photo imaging software — Microsoft Visio

Skills:

• Strong analytical and problem-solving skills to identify potential compliance risks and develop effective mitigation strategies

• Excellent communication and interpersonal skills to effectively train staff, collaborate with different departments, and present compliance information to leadership

• Proven ability to conduct thorough audits and investigations, documenting findings and implementing corrective actions

Knowledge:

• Administration and Management: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

• Deep understanding of healthcare laws and regulations including HIPAA, Stark Law, Medicare/Medicaid guidelines, and relevant state laws

• Legal knowledge and experience in healthcare compliance preferred

• Bachelor's degree in healthcare administration, law, or a related field

WHAT WE OFFER

• Competitive salary, commensurate with experience
• Comprehensive benefits package including:
• Medical
• Dental
• Vision
• Short and Long Term Disability
• Life Insurance
• 401 (k) with 6% match
• Paid Time Off and Paid Holidays