THIS POSITION WORKS IN THE COUNTY ATTORNEY'S OFFICE AND MONITORS COMPLIANCE RELATED MATTERS SUCH AS HIPAA, ADA, IN ADDITION TO OTHER STATE/FEDERAL LAWS AND/OR REGULATIONS APPLICABLE TO HAMILTON COUNTY GENERAL GOVERNMENT.
Under general supervision, the Compliance Officer is responsible for developing, implementing, and overseeing a comprehensive compliance program for Hamilton County Government to ensure adherence to applicable federal, state, and local laws, regulations, and internal policies. The Compliance Officer will collaborate with various departments, divisions and stakeholders to ensure compliance, protect confidentiality, and promote the delivery of high-quality services to the County’s constituents. Areas with a specific focus on compliance include but are not limited to: privacy, information security, procurement, healthcare fraud, waste and abuse, health care billing, and federal government requirements.
ESSENTIAL FUNCTIONS
- Compliance Reports: The Compliance Officer will provide regular reports to the Rules, Legislative, and Compliance Committee of the Board of Commissioners of Hamilton County (the “RLCC”).
- Compliance Program Development: Develop, implement, and oversee the Compliance Program that aligns with legal and regulatory requirements, industry standards (including but not limited to health department, EMS, human resources), and best practices and is designed to prevent, monitor, detect and respond to compliance concerns. The program should follow current laws as well as consider the compliance obligations for government contracts and other related considerations.
- Policies and Procedures: Establish and maintain comprehensive policies and procedures that address compliance-related issues, including but not limited to ADA, privacy, information security, fraud, waste, and abuse prevention. Assist in updating and ensuring that the online presence (including the website) of the County meets current ADA, information security, privacy and PCI compliance requirements.
- Training and Education: Develop and deliver compliance training programs to educate employees, healthcare providers, and other stakeholders on compliance policies, procedures, and relevant regulations.
- Risk Assessment: Conduct regular risk assessments to identify areas of potential non-compliance, evaluate associated risks, and develop strategies to mitigate those risks.
- Auditing and Monitoring: Perform regular audits and monitoring activities to assess compliance with policies, identify potential violations, and implement corrective actions when necessary.
- Reporting and Investigations: Investigate compliance concerns, allegations, and incidents, and report findings to the County Attorney, County Mayor, RLCC, regulatory authorities, and legal entities as required.
- Participate and Facilitate Outside Audits: Work with external auditors and regulatory agencies to support audit inquiries and assist in the development of corrective action plans and related implementation considerations.
- Regulatory Compliance: Stay up-to-date with changes in healthcare laws, regulations, and industry guidelines to ensure ongoing compliance and make necessary adjustments to the compliance program.
- Privacy and Security: Ensure compliance with data privacy and security laws, including HIPAA, routine collaboration with the HIPAA Privacy and Security officers, and establish protocols to provide individuals with their “individual rights” regarding their information, including but not limited to access to records, protect information from any confidentiality, integrity or availability concerns and safeguard sensitive information.
- Collaboration and Communication: Work closely with various departments, including legal, human resources, finance, and department of health, to provide guidance, support, and consultation on compliance-related matters.
- Ethics and Integrity: Promote a culture of ethics, integrity, and compliance throughout the organization by fostering awareness, encouraging open communication, and addressing ethical dilemmas.
- Knowledge of healthcare laws, regulations, and industry standards, such as HIPAA.
- Knowledge of and familiarity with government contracting, ADA, healthcare coding and/or billing practices.
- Skill in analyzing, problem-solving, and time management.
- Skill in effectively communicating compliance-related information to diverse audiences and facilitate training sessions in both oral and written form.
- Skill and proficiency in using compliance software, databases, and Microsoft Office Suite.
- Ability to identify compliance risks, analyze complex situations, and develop practical solutions.
- Ability to pay attention to detail to ensure accuracy and precision in compliance documentation, reports, and monitoring activities.
- Ability to handle confidential information with discretion and professionalism and maintain high ethical standards.
- Ability to handle multiple priorities simultaneously.
- Ability to work independently with limited oversight.
- Ability to recognize risk and compliance concerns.
- Ability to collaborate, build relationships, and influence stakeholders at all levels of the organization.
- Ability to adapt to evolving regulatory requirements in an antiquated environment.
- Ability to read and comprehend legislation, related regulations, and develop responsive policies and procedures.
- A Master’s Degree from an accredited college or university in Ethics, Business Administration, Public Administration, Risk Management, Regulatory Compliance, or a closely related field and a minimum of five (5) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license.
- A Bachelor’s Degree from an accredited college or university in Ethics, Business Administration, Public Administration, Risk Management, Regulatory Compliance, or a closely related field and a minimum of seven (7) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license.
- An Associate’s Degree from an accredited college or university in Ethics, Business Administration, Public Administration, Risk Management, Regulatory Compliance, or a closely related field and a minimum of nine (9) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license.
- The equivalent of a high school diploma and a minimum of eleven (11) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license.
ADDITIONAL REQUIREMENTS
Prior to operating a County-owned vehicle, all employees are required to complete the HC Defensive Driving course and/or or an Emergency Vehicle Operations Course (EVOC) provided at the department level.
PREFERRED QUALIFICATIONS
- Work experience with ethical considerations and conflicts of interest is preferred.
- Certified Compliance & Ethics Professional (CCEP) certification is preferred.
- Certified Internal Auditor (CIA) certification is preferred.
- Certified Fraud Examiner (CFE) certification is preferred.
- Certified in Healthcare Compliance (CHC) certification is preferred.
- Privacy Compliance (CIPP/US) certification is preferred.
PHYSICAL REQUIREMENTS
Work requires extensive computer keyboarding, intermittent sitting, walking, standing, lifting, speaking/presenting, bending, stooping and kneeling, climbing on step stools, and filing documents. Must be able to lift and carry up to thirty (30) pounds on occasion.
ADDITIONAL INFORMATION
This job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
All positions within Hamilton County Government are considered workin-personand require regular and punctual attendance.
All positions within Hamilton County Government may require work on Holidays or weekends. Additionally, irregular hours and shift work may be required, including possible extension of shift hours, at times with short notice.
AN EQUAL OPPORTUNITY EMPLOYER
Hamilton County does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services. A copy of Hamilton County's Equal Employment Opportunity Plan (EEOP) & Utilization Report is available on the County’s Equal Employment Opportunity (EEO) Office home page.
https://www.hamiltontn.gov/Department_EqualEmploymentOpportunityOffice.aspx