Radiology Compliance Director
Atrium Health
Job Description
Hours Per Week: • 40 Schedule Details/Additional Information: • N/A Pay Range • 8.20 - 02.30 The Radiology Compliance Director is responsible for leading and managing compliance activities within the radiology service line to ensure adherence to federal and state regulations, industry standards, and organizational policies. This role partners with operational leaders to mitigate risk, promote ethical conduct, and maintain a culture of compliance and patient safety.
Key Responsibilities
• Direct and monitor compliance for all radiology services, ensuring alignment with CMS, Joint Commission, and imaging-specific standards, including radiation safety and modality accreditation. • Conduct radiology-specific risk assessments and audits, identify compliance vulnerabilities, and implement corrective actions to reduce organizational risk. • Lead investigations into compliance concerns related to imaging protocols, billing/coding accuracy, and patient safety; analyze root causes and drive process improvements. • Develop and deliver targeted compliance
education
for radiology staff and physicians, including guidance on regulatory
requirements
, documentation standards, and ethical practices. • Collaborate with radiology leadership to develop and maintain policies and procedures that support compliance and accreditation for imaging modalities. • Ensure adherence to radiation protection standards, including ALARA principles, equipment calibration, and staff credentialing, to safeguard patients and team members. Major
Responsibilities
• Directs and monitors the compliance program across Advocate Health within applicable areas of responsibility, ensuring the program aligns with industry standards and promotes compliance with federal and state laws, regulations, rules, and applicable guidelines. • Directs and conducts compliance investigations and resolution of identified compliance concerns, regulatory violations, and policy violations within applicable areas of responsibility. Analyzes root causes and trends and facilitates process improvement to prevent recurrence. • Reduces organizational risk by directing and conducting risk assessments within applicable areas of responsibility as part of the enterprise-wide compliance risk assessment process and by defining and overseeing audits and other compliance work plan activities to mitigate identified risks. • Directs, creates and delivers
education
and awareness activities, including compliance
education
, guidance documents and other reference tools, designed to prevent and correct issues related to regulatory compliance and ethical conduct. • Serves as internal expert and advisor in compliance matters related to regulations within applicable areas of responsibility. Communicates new developments that affect specific departments and/or the entire organization. • Partners with operational leaders and other key partners to develop, maintain and direct implementation of policies and procedures related to compliance and ethical conduct within areas of responsibility. • Responsible for understanding and adhering to the organizations Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organizations business.
Requirements
License/Registration/Certification Required: • Health Care Compliance (CHC), Health Care Privacy Compliance (CHPC), Health Care Privacy and Security (CHPS), Health Care Research Compliance (CHRC) or comparable certification
Education
Requirements
• Bachelors degree in health care administration, medical coding, health information management, clinical practice, clinical research, or related field
Experience
Requirements
• Typically requires 7 years of
experience
in a health care compliance/regulatory role within a complex environment. Knowledge,
Skills
& Abilities Required: • Demonstrated ability to lead diverse work teams in a complex matrix management structure. • Advanced knowledge of federal and multiple state health care regulations related to applicable areas of responsibility and the ability to analyze regulations to determine appropriate action in applying them to operational procedures and practices. • Demonstrated ability to manage sensitive and/or complex interactions with physicians, leaders, internal and outside legal counsel and regulatory agencies. • Knowledge of risk analysis and risk management principles. • Excellent organizational and prioritization
skills
, including expertise in leading multiple large projects simultaneously. •
Skills
in developing sound proposals and in implementing a comprehensive program. • Excellent written and verbal communication
skills
, including the ability to effectively communicate with all levels of team members and leadership and to address difficult and controversial issues. • Strong planning, problem-solving and change management
skills
. • Demonstrated ability to function as a mentor, role model and teacher. • Demonstrated ability to take initiative and work collaboratively with others. • Proficiency in Microsoft Office Suite software. Demonstrated ability to prepare spreadsheets and presentation materials. Physical
Requirements
and Working Conditions: • This position requires travel, therefore, will be exposed to weather and road conditions. • Operates all equipment necessary to perform the job. • Exposed to a normal office environment. This
job description
indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities,
duties
or
responsibilities
required of the incumbent. Incumbent may be required to perform other related
duties
. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards:
benefits
and well-being programs, competitive
compensation
, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
• Base
compensation
listed within the listed pay range based on factors such as
qualifications
,
skills
, relevant
experience
, and/or training • Premium pay such as shift, on call, and more based on a teammates job • Incentive pay for select positions • Opportunity for annual increases based on performance
Benefits
and more • Paid Time Off programs • Health and welfare
benefits
such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family
benefits
such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs •
Education
al Assistance Program