Spartanburg Regional Healthcare System · 1 month ago
Coord-Regulatory MGC
Spartanburg Regional Healthcare System is seeking a Regulatory Coordinator who will guide and support over 100 MGC practices through Regulatory and Compliance processes. The role involves facilitating regulatory preparation, conducting audits, and ensuring compliance with state and federal standards.
DeliveryHealth CareHospital
Responsibilities
Serve as an internal resource for compliance of all state and federal regulatory standards, excluding financial compliance
Serve as liaison between internal leadership and the following regulatory agencies:
SC DHEC
Department of Health and Human Services (DHHS)
Office of Inspector General (OIG)
Centers for Medicare and Medicaid (CMS)
Det Norske Veritas (DNV)
South Carolina LLR
FBI
The Compliance Team
Improve Regulatory Compliance throughout the MGC organization by ensuring practices are following regulatory/certification standards:
Using regulatory audit tool, perform auditing processes in all MGC practice locations to ensure compliance with requirements of regulatory/certifying agencies and report findings to Compliance Manager, Practice Manager, and Director and implement corrective action(s) as appropriate
Perform chart audits to ensure inclusion of required elements: identification, social data, evidence of consent forms, pertinent medical history, assessment of the health care status and health care needs of the patients, summary of the episode, disposition, and instructions to the patient, reports of physical examinations, diagnostic and laboratory test results, consultative findings, and Provider signature
Monitor quality improvement, compliance, and regulatory initiatives data and report findings to leadership and implement corrective action(s) as appropriate
Per certification requirements, prepare and present quality and performance improvement data during required Quality/Performance Improvement practice meetings
Prepare and present findings of regulatory audits during required Staff and Provider meetings and implement corrective action(s) as appropriate
Prepare and provide instruction and competency assessment on high level disinfection processes in the practices and implement corrective action(s) as appropriate
To ensure compliance with SCDHEC Title B Regulations, perform Imaging audits and communicate findings to Compliance Manager, Practice Manager, Director, and Imaging Services Quality Specialist and implement corrective action(s) as appropriate
In addition to auditing processes, maintains radiographic equipment and staffing logs
Ensure CLIA documentation is maintained in all practices and communicates with SCDHEC to correct areas of deficiency
Serve as a resource for clinical quality and process improvement strategy development
Work collaboratively with Enterprise Intelligence to prepare quarterly and annual data for Provider Quality Engagement Incentive (QEI) contract measures and AOP/LEM reporting
Establish and maintain good networking relationships with Physician Practices, Human Resources, Enterprise Intelligence, IT, Imaging Services, Facilities, Laboratory Services, Corporate Integrity, Environmental Services
Assist practices in preparation for Rural Health Clinic site surveys through on-going site assessments
Must be able to respond calmly and efficiently in crisis situations
This job description documents only the most essential duties and responsibilities of the job and does not relieve the employee from performing other job-related duties as assigned
Qualification
Required
High school graduate or equivalent
Three years clinical experience
Certification as Medical Assistant (AAMA) or Registered Medical Assistant (AMT)
Preferred
Associate Degree or higher
Three to five years clinical experience
N/A
Company
Spartanburg Regional Healthcare System
Founded in 1921, Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through six hospital campuses: Spartanburg Medical Center, Spartanburg Medical Center — Mary Black Campus, Pelham Medical Center, Cherokee Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center.
Funding
Current Stage
Late StageRecent News
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