Margaret Noll
Niles,MI
Summary
Experienced healthcare compliance leader with a strong background in privacy, security, and regulatory oversight. Proven success as a Director of Compliance in developing and implementing comprehensive programs that align with federal and state healthcare regulations. Recognized for upholding the highest standards of ethics and integrity while fostering a culture of accountability and transparency. Skilled in engaging with regulatory agencies, managing external audits, and providing timely, accurate responses. Brings a proactive mindset, strong analytical skills, and a commitment to continuous improvement. Seeking an opportunity to apply compliance expertise and principled leadership to support organizational excellence and regulatory alignment.
Overview
16
16
years of professional experience
Work History
Director of Compliance
Lighthouse Autism Center
04.2022 - Current
- Developed and implemented a comprehensive Compliance Program aligned with the OIG’s Seven Elements of an Effective Compliance Program, ensuring organizational adherence to regulatory requirements and industry best practices.
- Report monthly to the Board of Directors on compliance concerns, organizational risks, and recommended process improvements.
- Monitor, investigate, and report HIPAA violations in accordance with OCR regulations and requirements.
- Provide strategic guidance on regulations impacting organizational operations.
- Develop company-wide policies and maintain a centralized policy repository, ensuring timely updates and annual reviews. Enforce internal standards and policies to strengthen compliance and mitigate companywide risk.
- Coordinate and prepare responses to external payor audit requests, successfully disputing payor initial findings and achieving an average recoupment reduction of 90%
- Conduct regular audits and policy reviews across 40 centers to proactively identify and address compliance, billing and privacy risks.
Licensed Nursing Home Administrator
The Peplinski Group, Inc. / West Woods of Niles
10.2015 - 04.2022
- Ensured full compliance with CMS SNF federal regulatory requirements, state health regulations, and HIPAA privacy and security mandates issued by governmental agencies.
- Partnered with local hospitals and insurance entities to align care delivery with regulatory expectations, enhance member satisfaction, and establish the facility as a preferred SNF provider.
- Launched and managed Quality Assurance and Performance Improvement (QAPI) initiatives in alignment with CMS guidelines, driving measurable improvements in service quality and regulatory compliance.
- Ensured ongoing compliance with CMS participation requirements by accurately submitting Payroll-Based Journal (PBJ) data and timely Plan of Correction (PoC) responses, supporting uninterrupted Medicare and Medicaid certification.
- Provided regulatory leadership and daily operational oversight for a 121-bed skilled nursing facility, mentoring 14 direct reports to uphold compliance, safety, and quality standards.
- Monitored HIPAA compliance, as the Privacy and Security Officer for the center.
Licensed Nursing Home Administrator
Atrium Centers Inc / Fairview Nursing & Rehab
04.2010 - 10.2015
- Launched and managed Quality Assurance and Performance Improvement (QAPI) initiatives in alignment with CMS guidelines, driving measurable improvements in service quality and regulatory compliance.
- Maintained ongoing compliance with Centers for Medicare and Medicaid Services (CMS) regulations by ensuring timely and accurate submission of Plans of Correction (PoCs), supporting successful audits and uninterrupted program certification.
- Contributed to talent acquisition efforts, including the recruitment, hiring, and onboarding of staff, ensuring regulatory training and policy adherence from day one.
- Deficiency Free Annual State Health Inspection Survey (2013)
- Recipient, AHCA/NCAL National Quality Silver – Achievement in Quality Award
- Monitored HIPAA compliance, as the Privacy and Security Officer for the center.
Licensed Nursing Home Administrator
Atrium Centers Inc / Heritage Nursing & Rehab
09.2009 - 04.2010
- Maintained ongoing compliance with Centers for Medicare and Medicaid Services (CMS) regulations by ensuring timely and accurate submission of Plans of Correction (PoCs), supporting successful audits and uninterrupted program certification.
- Led monthly Quality Assurance meeting.
- Implemented successful strategies for employee management, census and revenue growth, expense control and quality of services.
- Completed Investigations on State Mandated Reportable Events, assuring compliance with applicable regulations and mitigating risk to the residents served.
- Monitored HIPAA compliance, as the Privacy and Security Officer for the center.
Education
MBA - Business Administration, Healthcare
University of Southern Indiana
Evansville, IN06-2021
Bachelor of Science - Biomedical Science, Chemistry
Grand Valley State University
Allendale, MI12.2008
Skills
- HIPAA privacy and security, HITECH Act compliance
- OCR Requirements and Regulations
- CMS, payor and state regulatory requirements
- Healthcare clinical and billing audit preparation
- Experienced in navigating and ensuring compliance with the False Claims Act, Anti-Kickback Statute, Stark Law, and regulations related to fraud, waste, and abuse
- Quality assurance management
- Strong ethical standards
- Policy and procedure development
- Risk assessment and mitigation
- Skilled in clinical documentation practices
License and Certifications
- Certified Healthcare Compliance (CHC), HCCA December 2023
- Health Services Executive (HSE) Certification; HSE1871 NAB March 2020
- Licensed Nursing Home Administrator, State of Michigan, 4801013609 July 2009
Timeline
Director of Compliance
Lighthouse Autism Center
04.2022 - Current
Licensed Nursing Home Administrator
The Peplinski Group, Inc. / West Woods of Niles
10.2015 - 04.2022
Licensed Nursing Home Administrator
Atrium Centers Inc / Fairview Nursing & Rehab
04.2010 - 10.2015
Licensed Nursing Home Administrator
Atrium Centers Inc / Heritage Nursing & Rehab
09.2009 - 04.2010
Bachelor of Science - Biomedical Science, Chemistry
Grand Valley State University
MBA - Business Administration, Healthcare
University of Southern Indiana
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