Review a hospital or clinic's procedures to make sure everything's legal.
What does a Healthcare Compliance Officer do?
Healthcare Compliance Officers monitor medical facilities from the inside to ensure that they abide by regulations laid out by government agencies. These regulations encompass everything from billing procedures and medical coding to staff ethics and patient rights. They are devised by organizations like the Occupational Safety and Health Administration and the Centers for Medicare and Medicaid Services, as well as state and local governments.
It’s easy to think of Healthcare Compliance Officers as wannabe Police Chiefs or hard-nosed sticklers. But there is a difference between uncompromising ethics and a rigid attitude. When you choose a career as a Healthcare Compliance Officer, the reality is that you must be flexible and cooperative. The main purpose of your efforts is to help your organization improve.
Though you are ethically bound to note when and how your medical facility has broken a regulation, you also help it get back up to code. To do this, you need to have a thorough knowledge of how divisions interact, who makes the decisions, and how to set a timeline for completion. It requires big picture thinking and the ability to set staggered goals to meet those objectives by the deadline.
Ultimately, you also prevent noncompliance from happening in the first place. Regular communication of new or updated regulations across every department is essential, as is maintaining employee education programs. Your superior communication skills also come into play during issues of employee welfare. Employees will report to you if they feel a Supervisor is violating regulations. You handle the situation deftly and discreetly, with the best interests of the employees and the facility in mind.