Regulatory Compliance Specialist
Physicians Surgical Hospitals, LLC.
Amarillo, TX
06.2016 - 02.2020
- Responsible for oversight of CMS Quality Assessment Performance Improvement (QAPI) program.
- Led policy committee, review, and implementation per regulatory standards.
- Oversight of CMS and DNV regulatory requirements for hospital system.
- Worked closely with Privacy/Compliance Officer, Infection Prevention, Physician Committees, CEO, CNO, and CMO.
- Oversight of Radiation Safety program for surgery, inpatient, and outpatient radiology department.
- Use of Microsoft Applications: Word, Outlook, Powerpoint, and Excel to include presentations for staff and physician committees.
- Performed scheduled internal audits and developed coordinating data for presentation.
- Led corrective action plan development, performance monitoring, and reporting when deficiencies were identified.
- Collaborated on identifying best practices and streamlined survey preparation.
- Served as primary regulatory compliance support for both routine and complex operations for multi campus system.