The Compliance Managerย is responsible forย 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.ย
Compensation:$70,000 - $95,000 per year
Responsibilities:Regulatory & Compliance Program Oversightย
- Develop, implement, andย maintainย a comprehensive compliance program for the companyย
- Ensure compliance with HIPAA, OSHA, CMS, Medicare/Medicaid, and applicable state regulationsย
- Monitor ophthalmology-specific regulatory and payer requirementsย
- Track regulatory changes and translate them into operational guidanceย
Clinical & Operational Complianceย
- Provides leadership and support for the clinic office staff and physiciansย ย
- Conduct scheduled and unannounced audits of ophthalmology clinics (clinical workflows, documentation, safety, and equipment)ย
- Review medical records and clinical documentation for compliance and accuracyย
- Monitor infection control standards, exam room readiness, and equipment protocolsย
- Partner with leadership to implement corrective action plans andย monitorย follow-throughย
- Prepare clinics and departments for audits, including documentation review and staff readinessย
- Track audit findings, corrective action plans, and resolution timelinesย
- Report audit results, trends, and risk assessments to executive leadershipย
- Provide on-site training for all staff onย best practicesย
- Work closely with EHR systems for any system changes, outages, or updatesย
- Assistย the accounting department with real estate projectsย
Coding Complianceย
- Collaborate with billing teams to ensureย accurateย coding, documentation, and modifier usageย
- Monitor ophthalmology-specific CPT, ICD-10, and payer policiesย
- Support investigations of denials, payer audits, and billing-related risksย
- Conducting Scribe meetings for relevant informationย
IT & Data Security Responsibilitiesย
- Serve as a liaison between Compliance, IT vendors, and clinic leadershipย
- Support HIPAA Security Rule compliance related to electronic protected health information (ePHI)ย
- Monitor access controls, user permissions, and role-based system accessย
- Assistย with oversight of EHR systems, imaging software, and practice management platformsย
- Support cybersecurity initiatives, including password standards, device security, and secure remote accessย
- Participate in incident response related to data breaches, system outages, or security eventsย
- Ensure IT-related policies and procedures are documented, followed, and auditedย
- Provide regular compliance and audit status reports to leadershipย
- Controls securityย access for all buildingsย ย
Qualifications:- Bachelorโs degree in healthcare administration, compliance, information systems, or related fieldย requiredย
- 3โ5 years of healthcare compliance experienceย requiredย
- Experience in ophthalmology or clinical settings strongly preferredย
- Working knowledge of HIPAA Privacy & Security Rules, healthcare IT systems, and audit processesย
- Strong analytical, organizational, and documentation skillsย
- Ability to manage multiple audits and initiatives simultaneouslyย
- Excellent communication and interpersonal skillsย
About CompanyBenefits:
- Paid Time Off + Holidays
- Medical Insurance
- Vision, Dental
- 401(k)
- Life Insurance