Compliance Specialist

RUHS Medical Center is recruiting for two experienced Compliance Specialists.

Under direction, the Compliance Specialist assists management by supporting the planning, implementation and maintenance of department or agency compliance programs and activities; performs other related duties as required.
The Compliance Specialist typically reports to a supervisory or manager level position and is characterized by the responsibility for performing a wide variety of healthcare compliance and privacy related tasks, including conducting privacy investigations, maintaining case files, responding to compliance and privacy questions, representing compliance and privacy in meetings, conducting in person privacy audits, and providing general support to management.

Incumbents provide management with the expertise required to identify, evaluate and make recommendations to resolve a variety of complex organizational and administrative problems, including recommending changes to policies and procedures and developing methods for implementation.

The Compliance Specialist may provide supervision to clerical or technical support staff; however, investigative case work is the primary component of this classification.

The Compliance Specialist is distinguished from the RUHS Compliance Program Manager by the latter's responsibility for planning, organizing and managing compliance program activities requiring a full-time, stand-alone compliance division to complete its mission.

The Compliance Specialist is not a natural progression underfill to the RUHS Compliance Program Manager.

two• Perform audits of organizational operations to assess compliance with various laws, regulations, policies, and standards such as those related to healthcare privacy and information security; maintain a system of reporting that provides timely and relevant information of all aspects of compliance issues.

• Participate in an appropriate level of response, develop corrective action plans and conduct compliance investigations while maintaining confidentiality of information reported as appropriate.

• Monitor policies and procedures that establish standards for ensuring patient privacy protections, including providing guidance to individual employees and departments on the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, Health Information Technology for Economic and Clinical Health Act (HITECH), California Confidentiality of Medical Information Act (CMIA), and other state and federal privacy laws as appropriate.

• Document and retain investigation notes and correspondence; establish and maintain a mechanism for tracking and reporting the investigation and resolving complaints.

• Assist with the administration of training for staff to promote awareness of compliance to regulatory standards.

• Under supervision, provide guidance and assistance to departments on a variety of privacy and compliance auditing, and internal control matters; document fi...