Compliance Coordinator

Job Description

Job Description

This position provides administrative and operational support for the organization's compliance and quality programs. The Compliance Coordinator assists in ensuring the organization maintains compliance with applicable federal and state regulations, payer requirements, accreditation standards, and internal policies. Working under the direction of organizational leadership, this individual coordinates compliance activities, maintains documentation, assists with audits, tracks corrective action plans, and supports ongoing education and quality improvement initiatives.

Primary Job Responsibilities

1. Assists with the day-to-day administration of the organization's Compliance Program.
2. Coordinates compliance activities and maintains compliance calendars, work plans, and required documentation.
3. Assists with the development, maintenance, and distribution of compliance policies and procedures.
4. Monitors regulatory updates and communicates changes to appropriate leadership.
5. Coordinates required compliance education and annual training for physicians, providers, and staff.
6. Maintains compliance records, training documentation, and policy acknowledgements.
7. Assists with internal compliance audits, chart reviews, and monitoring activities.
8. Coordinates requests and documentation for external audits, accreditation surveys, and regulatory reviews.
9. Tracks corrective action plans and follows up to ensure timely completion.
10. Assists with investigations of compliance concerns and maintains confidential documentation.
11. Supports HIPAA privacy and security activities, including tracking incidents and required documentation.
12. Assists with quality improvement, patient safety, and risk management initiatives by collecting and organizing performance data.
13. Prepares compliance reports, dashboards, and meeting materials for leadership and committees.
14. Coordinates Compliance Committee meetings, agendas, and meeting minutes.
15. Maintains strict confidentiality regarding compliance investigations and organizational information.
16. Performs other duties as assigned.

Education

Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, or a related field preferred.

Experience

• Two to four years of healthcare administrative experience preferred.
• Experience in physician practice operations, compliance, quality improvement, revenue cycle, or healthcare administration preferred.
• Experience with electronic health records and healthcare regulations is desirable.

Performance Requirements

Knowledge

1. Basic understanding of healthcare compliance principles and regulatory requirements.
2. Working knowledge of HIPAA privacy and security requirements.
3. Familiarity with Medicare, Medicaid, commercial payer requirements, and physician practice operations.
4. Basic understanding of quality improvement and risk management concepts.

Skills

1. Excellent organizational and project coordination skills.
2. Strong written and verbal communication abilities.
3. Excellent attention to detail and accuracy.
4. Strong analytical and problem-solving skills.
5. Ability to prioritize multiple projects and deadlines.
6. Proficiency in Microsoft Office Suite, particularly Excel, Word, PowerPoint, and Outlook.

Abilities

1. Ability to maintain confidentiality and exercise sound judgment.
2. Ability to work collaboratively with physicians, leadership, and staff.
3. Ability to organize large volumes of documentation and maintain accurate records.
4. Ability to interpret policies, procedures, and regulatory guidance under supervision.
5. Ability to work independently while escalating complex issues appropriately.