Job Details

Job Title

Clinical Compliance Officer

Agency

Texas A&M University Health Science Center

Department

Risk Management

Proposed Minimum Salary

Commensurate

Job Location

Bryan, Texas

Job Type

Staff

Job Description

Our Commitment

Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & lived experiences. Embracing varying opinions and perspectives strengthens our core values ( which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.

Who we are

As one of the fastest-growing academic health centers in the nation, Texas A&M Health encompasses five colleges and numerous centers and institutes working together to improve health through transformative education, innovative research and team-based health care delivery.

What we want

The Compliance Officer III position is responsible for monitoring, developing, executing, facilitating, and overseeing clinical compliance programs with federal, state, and Texas A&M University System (TAMUS) regulatory and governing standards, including but not limited to laws, regulations, statutes, codes, policies, procedures, rules, and directives, as well as compliance with own internal and external policies and procedures. Providing compliance expertise for clinical activities as they relate to the standard of care, physician and provider credentialing, insurance payor credentialing and reimbursements, safe practices, controlled substances, sterilization practices, OIG, CDC guidelines, accreditation, and other industry standards.

What you need to know

Salary: Will be commensurate based on the selected hire's education and experience.

Special Instructions: A cover letter, resume, and contact information for three professional references (to include at least one previous supervisor) are strongly recommended. You may upload all three on the application under CV/Resume or upon answering the questionnaire you may attach the documents.

Qualifications

Required Education and Experience

• Bachelor's degree in applicable field or an equivalent combination of education and experience.

• Six years of related experience in administering compliance programs and/or activities.

Preferred Qualifications

• Experience in developing and/or administering centralized compliance programs.

• Experience in an academic setting or environment.

• Advanced or graduate degree in an applicable field.

• Prefer some License or Certification: CPCO, CHC, CMOM, CHCO, Certified Coder

• Program implementation and management skills.

Knowledge, Skills, and Abilities

• Knowledge of word processing, spreadsheet and database applications.

• Strong verbal and written communication skills.

• Ability to multitask and work cooperatively with others.

Responsibilities

Clinical Assessment and Monitoring Program

• Performs onsite inspections to assure appropriate clinical compliance.

• Conducts assessments of patient care areas and monitors OIG compliance, charting and coding, and clinical activities to enhance compliance.

• Prepares reports and maintains records of clinical compliance inspections documenting discrepancies and corrective actions, as necessary.

• Provides support to ensure correction of related violations, inadequacies, objectives, and programs

• Review Patient incidents and coordinate to ensure proper recording and record management.

• Assist in monitoring Peer Review programs for clinical departments.

• Assist in coordinating and routing adequate responses to Subpoenas and licensure complaints

• Supports the Clinical Walkthrough Assessment Program in establishing compliance coordination among HSC Clinical Operations, the College of Medicine, and the College of Dentistry

• Facilitates the continued growth of the Clinical Walkthrough Assessment Program

Policy and Procedure Development and Review

• Assists clinical departments in the development and review of clinical manuals, guides, checklists, policies and procedures to assure health care services are in accordance with the applicable standard of care, physician and provider credentialing standards, insurance payor credentialing and reimbursements requirements

• Monitors exposures related to medical malpractice, controlled substances and sterilization practices as referenced in OIG, OSHA, CDC guidelines, accreditation bodies and other industry standards

• Attends respective compliance committees within the college/department structure to provide expertise and guidance related to clinical compliance

• Maintains and develops communications between partners by attending meetings and conference calls

• Tracks regulatory changes and monitors laws and regulations that might affect the organization's clinical policies and procedures

• Implements changes and revisions accordingly

• Assist with developing the required policy and procedure manual for Clinical Operations

Compliance Investigations/General Compliance

• Conducts investigations of alleged compliance violations in accordance with Federal, State, local rules and regulations, system regulations and department procedures

• Writes comprehensive investigation reports

• Assists with investigations of patient incidents, as needed

• Provides expertise about clinical related research during review related to regulatory and institutional guidelines

• Assists with and coordinates of TAMHSC quarterly compliance reporting

• Assists with Institutional Compliance initiatives

Knowledge, Skills, and Abilities

• Knowledge of word processing, spreadsheet and database applications.

• Strong verbal and written communication skills.

• Ability to multitask and work cooperatively with others.

Why Texas A&M University?

We are a prestigious university with strong traditions, Core Values, and a community of caring and collaboration.  Amenities associated with a major university, such as sporting and cultural events, state-of-the-art recreation facilities, the Bush Library and Museum, and much more await you.  Experience all that a big city has to offer but with a reasonable cost-of-living and no long commutes. 

• Medical, ( prescription drug, dental, ( vision, life and AD&D, ( flexible spending accounts, and long-term disability insurance ( with Texas A&M contributing to employee health and basic life premiums

• 12-15 days ( of annual paid holidays

• Up to eight hours of paid sick leave (  and at least eight hours of paid vacation (  each month

• Automatic enrollment in the Teacher Retirement System of Texas (

• Health and Wellness: Free exercise programs and release time (

• Professional Development: All employees have access to free LinkedIn Learning (  training, webinars, and limited financial support to attend conferences, workshops, and more

• Educational release time and tuition assistance (  for completing a degree while a Texas A&M employee

• Living Well, ( a program at Texas A&M that has been built by employees, for employees

Instructions to Applicants: Applications received by Texas A&M University must either have all job application data entered or a resume attached. Failure to provide all job application data or a complete resume could result in an invalid submission and a rejected application. We encourage all applicants to upload a resume' or use a LinkedIn profile to pre-populate the online application.

All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution's verification of credentials and/or other information required by the institution's procedures, including the completion of the criminal history check.

Equal Opportunity/Veterans/Disability Employer.