Corporate Compliance Officer

Dept Behavioral Health/Develop; Virginia (MN); On-site; USD 70,000 - 113,000; Full time

Job summary

Dept Behavioral Health/Develop seeks a Corporate Compliance Officer to lead facility-level compliance, privacy, and risk management at Catawba Hospital. The role oversees audits, regulatory readiness, and staff training, ensuring policy adherence and actionable investigations.

Responsibilities include coordinating with internal departments and external agencies, and driving the annual compliance program audit in line with state and federal requirements.

Qualifications

• Medicaid and Medicare administration policies and practices.
• Clinical Documentation.
• Administration and training principles and practices.
• Applicable Federal, State and Departmental laws, regulations and policies.
• Basic mathematical and statistical techniques

Responsibilities

• Provides facility-level leadership for compliance, utilization review, privacy, quality/risk management, investigations, and regulatory readiness.
• Oversees Medicare Voluntary Compliance Program and CMS Conditions of Participation adherence.
• Manages internal compliance audits, risk identification, corrective action plans, and policy/procedure maintenance.
• Coordinates Joint Commission Mock Survey Process and acts as TJC Chapter Champion.
• Develops and delivers compliance education for physicians, non-physician providers and staff.

Skills

Problem Identification

Information Gathering

Organization

Critical Thinking

Interpersonal Diplomacy

Idea Generation

Job description

Title: Corporate Compliance Officer

State Role Title:Health Care Compliance Spec II

Hiring Range: $59-754 - $113,000

Pay Band: 5

Agency: Dept Behavioral Health/Develop

Location:Catawba Hospital

Agency Website:https://dbhds.virginia.gov/facilities/catawba/

Recruitment Type: General Public - G

Job Duties

Provides facility-level leadership for compliance, utilization review, privacy, quality/risk management, investigations, and regulatory readiness. Supervises Utilization Review Coordinators and the ADA Coordinator while ensuring performance management requirements are met and staff receive appropriate direction, feedback, evaluation, and accountability.

Develops, implements, and maintains the facility’s Medicare Voluntary Compliance Program in accordance with applicable Federal and State health care laws and regulations, including CMS Conditions of Participation. Oversees internal compliance audits, identifies compliance vulnerabilities and risks, develops corrective action plans, maintains compliance policies and procedures, manages the compliance hotline, and conducts the annual compliance program audit. Coordinates The Joint Commission (TJC) Mock Survey Process and serves as the facility’s TJC Chapter Champion, supporting ongoing assessment of standards and Elements of Performance (EPs).

Ensures required administrative records, reports, committee responsibilities, and regulatory activities are accurate, timely, and complete. Participates in facility committees, including Quality Council, Corporate Compliance, Ethics, and Health Information Management (HIM), and serves as a liaison with internal departments, other facilities, and regulatory agencies. Conducts and coordinates internal and external audits to assess compliance with policies, procedures, and regulatory requirements.

Develops and maintains comprehensive compliance education and training for physicians, non-physician providers, and other employees, with emphasis on documentation, coding, billing, and Federal and State health care program requirements. Maintains current regulatory resources and communicates changes in applicable requirements, policies, and procedures.

Serves as the facility’s Informal Complaint Representative, investigating patient complaints and working with patients, families, legal representatives, Human Rights Advocates, and staff to achieve appropriate resolution while applying population-specific regulatory requirements. Conducts and documents internal investigations involving suspected compliance violations and assists Risk Management with Root Cause Analyses (RCAs) and other investigations, including required external reporting.

Serves as the facility HIPAA Privacy Officer, ensuring implementation of HIPAA Privacy Rule requirements and facility privacy policies; reviewing business associate provisions; coordinating workforce privacy training; addressing privacy complaints and potential breaches; consulting with the Department’s Chief Privacy Officer and the Office of the Attorney General when appropriate; and providing required privacy reports and summaries.

Minimum Qualifications

Comprehensive knowledge of

• 1) Medicaid and Medicare administration policies and practices,
• 2) Clinical Documentation,
• 3) Administration and training principles and practices,
• 4) Applicable Federal, State and Departmental laws, regulations and policies,
• 5) Basic mathematical and statistical techniques

Skills include: 1) Problem Identification, 2) Information Gathering, 3) Organization, 4) Critical Thinking,5) Interpersonal Diplomacy/Professionalism, and 6) Idea Generation

Abilities include: 1) Written and verbal comprehension, 2) Written and verbal communications, 3) Extensive PC use, 4) Deductive and Inductive Reasoning, and 5) Problem sensitivity (See Section 25 for the physical, mental and essential job requirements of this position).

Additional Considerations

• Certification in related field highly desired (i.e. CCEP, CPHQ, CPHRM)
• Previous experience in a healthcare setting highly desired.
• Experience assisting with regulatory surveys required (i.e. Joint Commission, CMS, VDH, OSIG).

Application Requirements

Applications and résumés for this position are accepted electronically through the Commonwealth of Virginia’s Electronic Recruitment System only. Interview decisions will be based solely on the information provided in your electronic application and/or résumé. Please ensure you clearly and specifically detail all relevant work experience; we will not make assumptions about your qualifications.

Background Investigation

All applicants are subject to an extensive background investigation and a pre-employment drug screening. This investigation may include fingerprint checks (State Police, FBI), local agency checks, Department of Social Services/Child Protective Services checks, employment verification, and verification of education relevant to the position.

Under Virginia Code

Under Virginia Code §§ 37.2-314 and 37.2-408.1, the Department of Behavioral Health & Developmental Services (DBHDS) cannot employ or utilize as volunteers, individuals convicted of specific ("barrier") crimes or those with pending "barrier" charges.

Reasonable Accommodations

Reasonable accommodations are available to individuals with disabilities during the application and/or interview process in accordance with the Americans with Disabilities Act. If you require assistance or accommodation, please notify Human Resources at [phone] during business hours (8:00 a.m. to 5:00 p.m.).

Equal Opportunity

The Commonwealth of Virginia is committed to conducting all aspects of human resource management without regard to race (or traits historically associated with race, including hair texture, hair type, and protective hairstyles such as braids, locks, and twists), sex, color, national origin, religion, sexual orientation, gender identity or expression, age, veteran status, political affiliation, disability, genetic information, and pregnancy, childbirth, or related medical conditions.* There shall be no retaliation against anyone making allegations of violations of this policy.

Contact Information

Name: Austin Grasty

Phone: [phone]

Email: [e-mail]

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.