Compliance Training Coordinator - Sacramento, CA 

Position Summary:

This position serves as a member of the California Rural Indian Health Board, Inc. (CRIHB) Compliance Team. The Compliance Training Coordinator participates in Compliance activities at CRIHB and member programs. Primarily responsible for providing or assuring provision of HIPAA, compliance, and Institutional Review Board (IRB) training for CRIHB and member programs. Develops procedures for privacy, compliance and IRB activities; may develop policies as assigned by supervisor. The Compliance Training Coordinator is the lead in planning for, and is an active participant in, the annual Billing and Compliance Conference. May read, assess, and comment on proposed laws or regulations as assigned. Incumbent is an alternate member of IRB; may read and comment requests for IRB approval. In addition, the Compliance Training Coordinator may answer the Compliance Hotline as scheduled. The incumbent will conduct audits and reviews and coordinate special projects at CRIHB and member programs as assigned by Supervisor. Position requires frequent travel.

Essential Functions:

1. Under direction of the Chief Compliance Officer, participate in Compliance Program, including:

• Keep current and abreast of all Federal and State healthcare related laws and regulations, including research, that impact CRIHB and its member health programs.
• Develops, delivers, or ensures delivery of initial and annual privacy and compliance training to CRIHB staff, volunteers, and identified contractors.
• Develops, delivers, or ensures delivery of periodic privacy and compliance training to member health programs staff and volunteers.
• Develops, delivers, or ensures delivery of protecting human subjects training for IRB members and research study staff as required by IRB. Resource to IRB members and research study staff related to IRB process and training.
• Is a resource and advisor for CRIHB member health programs staff within areas of responsibility. Provides other training and technical assistance to CRIHB member health program staff, and as directed.
• Performs CRIHB Options reviews.
• Assist in monitoring internal compliance with grants/contracts, HIPPA, policies and regulations.
• Lead interdepartmental team to coordinate the annual Billing & Compliance Conference.
• Develop compliance communication system to provide electronic updates to member programs related to new and developing compliance and privacy issues.
• Answer Compliance Hotline complete reports.
• Maintain confidentiality of information obtained from compliance program, CRIHB, and member programs.
• Assist in development of annual CRIHB Compliance Work Plan.
• Perform audits, reviews, and/or investigations as required.
• Assist with IRB administration and reviewing research projects to assure adequate privacy and consent protections will be in place. Serves as an alternate member on the IRB.

2. Conduct reviews at CRIHB and member programs, as assigned. These reviews may include:

• Provide written records of findings and suggestions for change to clinic Executive Director, or designee, and to onsite contact.
• Assist in developing clinic data collection and reporting forms and training guides related to compliance or privacy

3. Assist in the planning, coordination and operation of special programs, committee meetings, conferences, workshops and other functions as assigned.

4. Coordinate with Supervisor, and clinic representatives to identify data and information needs for compliance program.

5. Keeps records and files of activities and findings, as required by supervisor.

6. Regular and predictable attendance.

7. Other duties as assigned.

Additional Responsibilities:

1. Maintain a valid, unrestricted California Driver’s license and ability to be insurable under CRIHB’s automobile insurance. If employee has a valid license from another state, he/she must obtain a CA license within 2 months of hiring date.

2. Position requires overnight travel, mainly within CRIHB’s service area.

3. Requires ability to drive up to 7 hours a day.

4. Public speaking ability.

Qualifications:

1. Bachelors Degree in health related field and Health Care Compliance (CHC) certification with two (2) years experience in a health care organization, or a Bachelors Degree in a health related field with five (5) years experience in a health care organization and the ability to obtain the Health Care Compliance Association (HCCA) certification in Health Care Compliance (CHC) within two (2) years of hire.

2. Excellent interpersonal and writing skills.

3. Must be able to maintain the confidentiality of information obtained.

4. Ability to work effectively with a wide variety of people within health care settings, state and federal agencies and private organizations.

5. Knowledge of professional standards for health record documentation standards.

6. Knowledge of insurance billing requirements and processes.

7. Knowledge of current trends in health care – corporate compliance, coding & billing.

8. Ability to coordinate a number of projects, personnel and clinics to meet specified objectives, and to maintain detailed records of these activities and projects.

9. Must be able to relate to, understand, and have a working knowledge of the American Indian community.

10. Must have an interest in and commitment to assisting member health programs in addressing the healthcare needs of American Indians and Alaska Natives in California.

This position requires an awareness and keen appreciation of American Indian traditions, customs and socioeconomic needs and the ability at all times to meet and deal effectively in contacts with Indian organizations which requires tact, courtesy, discretion, resourcefulness, and good judgment in handling functions of a sensitive nature.

Preference in hiring is given to qualified American Indians in accordance with the Indian Preference Act (Title 25, U.S. Code, Sections 472 and 473). Applicants claiming Indian Preference must submit Indian verification, certified by Tribe of affiliation or other acceptable documentation of Indian heritage.

Job Type: Full-time

Salary: $63,404.00 /year

Required education:

• Bachelor's

Required experience:

• health record documentation standards: 2 years
• coding & billing: 2 years
• health care compliance: 2 years
• public speaking: 2 years

Required licenses or certifications:

• Health Care Compliance Association (HCCA) certification
• unrestricted driver’s license
• Health Care Compliance (CHC) Certification

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