REGULATORY COMPLIANCE SPECIALIST
Summary
Develops and coordinates regulatory compliance and quality improvement initiatives, supports accreditation and survey readiness, writes and revises policies, and trains staff. Requires a bachelor’s degree, 2+ years of healthcare policy/procedure/documentation experience, and knowledge of CMS, AHRQ, CDC, ICD-10, and Microsoft Office.
Highlights
- Experience
- 2+ years healthcare experience in policy, procedure, documentation, and technical writing; regulatory and survey readiness experience required
- Education
- Bachelor’s degree preferred in Public Policy, Health Policy, or Healthcare
Job description
Summary
GENERAL SUMMARY/BASIC PURPOSE OF JOB: Develops, facilitate and coordinate quality improvement initiatives related to regulatory compliance, resulting in improved patient care, operations and patient experience. Collaborates with hospital staff on initiatives to improve the integrity of the environment of care and emergency preparedness of the organization. Supports the team with accreditation and regulatory compliance initiatives, including the Environment of Care Committee and Accreditation Committee for the System. The Regulatory Compliance Specialist will write new and revise existing SHS policies and will assist SHS leadership with writing departmental procedure, in addition to training all staff within the organization on the policy program and ensuring leadership has trained staff on new and/or revised guidelines and requirements. The Regulatory Compliance Specialist will also chair and lead the Policy Committee meeting.
MINIMUM EDUCATION:
· Bachelor’s degree, preferably in Public Policy or Health Policy or Healthcare field with relevant
Work experience required
MINIMUM WORK EXPERIENCE:
· Minimum 2+ year’s healthcare related experience in policy, procedure, documentation and
technical writing or equivalent work experience. Experience in regulatory and survey readiness
and response activities required. Quality & Regulatory experience preferred.
KNOWLEDGE & SKILLS:
· Computer skills, including mastery of Microsoft Office products, data analytic software and
Modeling, electronic mail and the worldwide web/ internet. Ability to learn new systems
Software. Self-motivated and continuous learning abilities are required.
· Knowledge on ICD 10 coding with awareness of risk and mortality adjustment methodologies
· Knowledgeable of CMS, AHRQ, CDC and other reportable agencies’ clinical performance
Measures.
· Demonstrated knowledge of facilitating and coordinating healthcare improvement projects with
Previous quality improvement project experience.
· Proven results driven improvement experience preferred
· High-level analytic skill in the use of complex quality data in business/value development and
The display of findings is desired.
· Excellent oral, written, “platform” and interpersonal communication skills.
· Ability to work independently.
· High degree of creativity in problem-solving