Director of Regulatory Affairs Job in Tarrytown, New York

ENT and Allergy Associates/Quality Medical Management Services, New York & New Jersey's premier ENT and Allergy medical practice, is seeking Director of Regulatory Affairs.

Reports to: Chief Legal Officer

Administrative Liaison to Medical Management Committee

•      Oversee and monitor the implementation of the compliance program
•   Report on a regular basis to the CEO, Board of Trustees, and Medical Management Committee Chair on the program status
•        Periodically revise the program in light of changes in the practice’s needs and in the law and policies and procedures of Government and private payer health plans
•      Ensure employees have received, read and understood the code of conduct
•      Develop, coordinate, participate in multifaceted educational and training programs that focus on elements of compliance and seek to ensure that all appropriate employees and management are knowledgeable of, comply with, pertinent Federal and State standards.
•       Coordinate personnel issues with the human resources department to ensure that employees do not appear in List of Excluded Individuals/Entities and the General Services Administration list of disbarred contractors
•      Coordinate and conduct internal compliance review and monitoring activities, including annual or periodic reviews of departments
•      Independently investigate and act on matters related to compliance, including the flexibility to design and coordinate internal investigations and any resulting corrective actions with all departments
•       Develop policies and programs that encourage managers and employees to report suspected fraud and other improprieties without fee of retaliation
•        Provide administrative support for and participate on Medical Management Committee
•       Provide coding advisement for clinical and billing staff on a regular basis
•         Provide compliance program in-service for all new physicians and perform pre-employment/merger chart reviews as requested
•       Coordinate, implement and review all OSHA compliance education and documentation requirements practice wide
•       Serve as practice Privacy Officer to ensure compliance with HIPAA Privacy Regulations
•        Interpret all related regulatory guidance (e.g. Federal Register) and work with other senior management to implement policies and procedures to ensure practice-wide compliance

EHR Implementation Project Leader

•     Management of EHR Implementation Team to ensure successful implementation and adherence to timeline
•         Assist and advise on all EHR customization decisions to ensure compliance standards are met.
•       Participate on EHR Committee and work closely with EHR Committee Chair and key team members on continuous quality improvement efforts of the EHR system
•       Work with EHR Team and Senior Management to coordinate efforts for system and template upgrades and ensure overall comprehensive testing of the EHR

OASIS and Medical Malpractice Claims Administration

•        Maintain a database and files of all current OASIS and non-OASIS medical malpractice claims, alerts and occurrences
•         Provide administrative support for OASIS SAC including drafting correspondence to insureds as well as outside entities
•        Coordinate and oversee Office Risk Assessments
•       Provide advisement to physicians and other clinical staff regarding occurrences
•        Communicate with third party administrator (HIC) and OASIS SAC on all current OASIS claims to ensure timely reporting.
•        Provide written responses in a timely manner to all written patients complaints to attempt to diffuse or minimize the risk of a possible medical malpractice allegation
•        Account Manager for Section 111 CMS Coordination Of Benefits Secure Website (COBSW) and communicate with our Authorized Representative at HIC for timely reporting
•          Attend OASIS RRG business meetings
•          Assist and develop risk management educational programs
•         Draft and implement risk management related policies and procedures and ensure compliance