Position Summary: The Compliance Officer manages the Compliance Program and Compliance Department for Clinical Pathology Laboratories. Reviews, revises and maintains compliance policies to keep them current with regulations and CPL procedures. Is an active participant in defining other CPL policies and procedures to ensure compliance with applicable regulations. Is an active participant in compliance education for all employees.
Education: Bachelor Degree in Business Administration or a healthcare related field required, Master’s degree preferred. Certification in Healthcare Compliance required.
Experience: 5 years healthcare regulatory or compliance related experience, including 3 years at a management level.
Skills: A good working knowledge of healthcare compliance, Stark, Anti-kickback statutes. Strong knowledge of Medicare and Medicaid billing requirements preferred.
Ability to interpret rules and regulations affecting laboratories and/or locate sources to assure correct interpretation of these rules and regulations. Ability to remain current regarding rules and regulations as they may be revised by various sources such as the Centers for Medicare and Medicaid Services, the DHHS Office of Inspector General, and state regulators such as the Department of State Health Services, the State Board of Medical Examiners, the State Department of Insurance, , and local carriers in each state.
Ability to communicate with CPL staff and customers effectively to convey information to promote compliance with rules and regulations applying to laboratory operations
Ability to establish and refine, as needed, systems to effectively monitor CPL compliance with rules and regulations applying to laboratory operations.