Summary
Overview
Work History
Education
Skills
Timeline
Generic

MELISSA CHIEFFO

Summary

Seasoned Director of Compliance with expertise in developing comprehensive compliance frameworks and leading privacy programs. Proven track record in enhancing compliance and privacy procedures, reflecting a strong commitment to excellence and extensive knowledge of regulatory requirements. Demonstrates exceptional communication skills alongside the ability to effectively manage complex compliance risks.

Overview

21
21
years of professional experience

Work History

System Director of Compliance, Compliance Officer

Olean Hospital
12.2021 - 01.2025
  • Developed and managed the compliance framework required under OMIG/OIG requirements; creating policies, procedures and controls to ensure compliance
  • Developed the annual compliance organization's system goals
  • Oversaw billing and coding audits in compliance with CMS rules and regulatory required disclosures
  • Identified potential compliance risks and areas of vulnerability and developed mitigation strategies
  • Monitor and track areas of risk within the organization
  • Compliance Training; Design and deliver training programs to educate employees on compliance policies, procedures and ethical standards
  • Independently conduct thorough investigations of potential compliance violations and employee complaints
  • Delivered compliance updates to senior leadership and to the Audit and Corporate Compliance Committee of the Hospital Board of Directors
  • Lead the quarterly Compliance Committee meetings; Collaborate with various department leaders to build compliance into everyday operation
  • Oversaw and directed the Hospital Privacy Program

Privacy Manager

Kaleida Health, Buffalo NY
06.2018 - 12.2021
  • Responsible for the development, implementation and direction of a comprehensive privacy program
  • Oversee daily operations of the privacy program serving as the Privacy expert
  • Performs privacy risk assessments; if applicable, file regulatory reporting for a HIPAA Breach
  • Maintains process for receiving, documenting, tracking, investigating and taking appropriate action on all complaints regarding privacy issues and compliance with privacy policies and procedures
  • Ensures compliance with privacy practices and consistent applications for sanctions for failure to comply with privacy policies
  • Initiates, facilitates and promotes activities to foster information privacy awareness across the system
  • Performs and manages access audits and HIPAA walkthroughs
  • Maintains policies and procedures
  • Accomplished multiple tasks within established timeframes.

Privacy Specialist

BlueCross BlueShield of Western New York
01.2006 - 06.2018
  • Review and approve HIPAA authorizations and legal forms in order to release PHI to authorized individuals
  • Implement and maintain compliance policy and procedures
  • Review, research, and respond to state and federal regulatory inquiries and audit requests
  • Lead privacy breach investigations and mitigation internally and externally
  • Conduct and develop training as needed for business units
  • Collaborate with business operations to identify issues and implement changes

Research Analyst/Communication Specialist

08.2004 - 12.2005
  • Utilized print and web-based applications directed toward internal and external audiences
  • Maintained medical protocols to meet strict deadlines imposed by NCQA for mailing guidelines
  • Prepared medical protocols to HTML code format for uploading to CSCO Central
  • Developed and maintained a tracking system for medical inquiries
  • Entrusted to process confidential employee’s records such as salary changes, vacation reports, and performance appraisals

Customer Service Representative

10.2003 - 08.2004
  • Advised members on aspects of their specific health plan including; doctors, eligibility, coverage benefits, procedures and cost to individuals
  • Entrusted with security access for employee inquiries and appointed as a dedicated representative for the large employer accounts
  • (i.e
  • General Motors)
  • Oversaw the open report log that I delegated work items to appropriate staff
  • Main contact designated for any internal or external visitors in the customer service unit

Education

M.S. - Multidisciplinary Studies, Public Relations Management

Buffalo State College
01.2009

Certified HIPAA Administrator (CHA) -

HIPAA Academy, endorsed by the American Hospital Association
01.2007

B.A. - Communications

University at Buffalo
01.2003

Skills

  • Excellent communication and interpersonal skills
  • Collaborative Relationship Management
  • Independent work
  • Effective Time Management
  • Effective Team Collaboration

Timeline

System Director of Compliance, Compliance Officer

Olean Hospital
12.2021 - 01.2025

Privacy Manager

Kaleida Health, Buffalo NY
06.2018 - 12.2021

Privacy Specialist

BlueCross BlueShield of Western New York
01.2006 - 06.2018

Research Analyst/Communication Specialist

08.2004 - 12.2005

Customer Service Representative

10.2003 - 08.2004

Certified HIPAA Administrator (CHA) -

HIPAA Academy, endorsed by the American Hospital Association

B.A. - Communications

University at Buffalo

M.S. - Multidisciplinary Studies, Public Relations Management

Buffalo State College
MELISSA CHIEFFO