Corporate Compliance Officer

Department of Behavioral Health and Developmental Services; Virginia (MN); On-site; USD 60,000 - 113,000; Full time

Job summary

Department of Behavioral Health and Developmental Services (DBHDS) at Catawba Hospital seeks a Corporate Compliance Officer to lead facility-level compliance, privacy, risk management, and regulatory readiness. The role supervises UR and ADA coordination, develops the Medicare Voluntary Compliance Program, and supports Joint Commission readiness.

The incumbent will coordinate audits, prepare reports, and maintain training for physicians and staff on federal/state health care 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

• Provide facility-level leadership for compliance and regulatory readiness.
• Supervise Utilization Review Coordinators and the ADA Coordinator.
• Develop and maintain Medicare Voluntary Compliance Program per Federal/State laws.
• Oversee internal compliance audits and corrective action plans.
• Coordinate Joint Commission Mock Survey processes and EPs.
• Maintain HIPAA Privacy Officer responsibilities and privacy program.

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

• 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

Skills

• Problem Identification
• Information Gathering
• Organization
• Critical Thinking
• Interpersonal Diplomacy/Professionalism
• Idea Generation

Abilities

• Written and verbal comprehension
• Written and verbal communications
• Extensive PC use
• Deductive and Inductive Reasoning
• 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).

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

• 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]

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

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.