The Compliance Manager is responsible for overseeing regulatory, clinical, and operational compliance across Retina Consultants of South Carolina, with added responsibility for IT-related compliance and audit management. This role ensures adherence to federal and state regulations, protects patient data, supports secure and compliant use of technology, and manages internal and external audits while promoting a culture of accountability, patient safety, and continuous improvement.Â
Compensation:$70,000 - $95,000 per year
Responsibilities:Regulatory & Compliance Program OversightÂ
- Develop, implement, and maintain a comprehensive compliance program for the companyÂ
- Ensure compliance with HIPAA, OSHA, CMS, Medicare/Medicaid, and applicable state regulationsÂ
- Monitor ophthalmology-specific regulatory and payer requirementsÂ
- Track regulatory changes and translate them into operational guidanceÂ
Clinical & Operational ComplianceÂ
- Provides leadership and support for the clinic office staff and physicians Â
- Conduct scheduled and unannounced audits of ophthalmology clinics (clinical workflows, documentation, safety, and equipment)Â
- Review medical records and clinical documentation for compliance and accuracyÂ
- Monitor infection control standards, exam room readiness, and equipment protocolsÂ
- Partner with leadership to implement corrective action plans and monitor follow-throughÂ
- Prepare clinics and departments for audits, including documentation review and staff readinessÂ
- Track audit findings, corrective action plans, and resolution timelinesÂ
- Report audit results, trends, and risk assessments to executive leadershipÂ
- Provide on-site training for all staff on best practicesÂ
- Work closely with EHR systems for any system changes, outages, or updatesÂ
- Assist the accounting department with real estate projectsÂ
Coding ComplianceÂ
- Collaborate with billing teams to ensure accurate coding, documentation, and modifier usageÂ
- Monitor ophthalmology-specific CPT, ICD-10, and payer policiesÂ
- Support investigations of denials, payer audits, and billing-related risksÂ
- Conducting Scribe meetings for relevant informationÂ
IT & Data Security ResponsibilitiesÂ
- Serve as a liaison between Compliance, IT vendors, and clinic leadershipÂ
- Support HIPAA Security Rule compliance related to electronic protected health information (ePHI)Â
- Monitor access controls, user permissions, and role-based system accessÂ
- Assist with oversight of EHR systems, imaging software, and practice management platformsÂ
- Support cybersecurity initiatives, including password standards, device security, and secure remote accessÂ
- Participate in incident response related to data breaches, system outages, or security eventsÂ
- Ensure IT-related policies and procedures are documented, followed, and auditedÂ
- Provide regular compliance and audit status reports to leadershipÂ
- Controls security access for all buildings Â
Qualifications:- Bachelor’s degree in healthcare administration, compliance, information systems, or related field requiredÂ
- 3–5 years of healthcare compliance experience requiredÂ
- Experience in ophthalmology or clinical settings strongly preferredÂ
- Working knowledge of HIPAA Privacy & Security Rules, healthcare IT systems, and audit processesÂ
- Strong analytical, organizational, and documentation skillsÂ
- Ability to manage multiple audits and initiatives simultaneouslyÂ
- Excellent communication and interpersonal skillsÂ
About CompanyBenefits:
- Paid Time Off + Holidays
- Medical Insurance
- Vision, Dental
- 401(k)
- Life Insurance