Compliance Manager

Responsibilities

• Develop, implement, and maintain a comprehensive compliance program for the company
• Ensure compliance with HIPAA, OSHA, CMS, Medicare/Medicaid, and applicable state regulations
• Maintain awareness of ophthalmology-specific regulatory and payer requirements
• Monitor regulatory changes and translate them into operational guidance
• Provide leadership and support for the clinic office staff and physicians
• Conduct scheduled and unannounced audits of ophthalmology clinics (clinical workflows, documentation, safety, and equipment)
• Review medical records and clinical documentation for compliance and accuracy
• Monitor infection control standards, exam room readiness, and equipment protocols
• Partner with leadership to implement corrective action plans and monitor follow-through
• Prepare clinics and departments for audits, including documentation review and staff readiness
• Track audit findings, corrective action plans, and resolution timelines
• Report audit results, trends, and risk assessments to executive leadership
• Provide on-site training for all staff on best practices
• Work closely with EHR systems for any system changes, outages, or updates
• Assist the accounting department with real estate projects
• Collaborate with billing teams to ensure accurate coding, documentation, and modifier usage
• Monitor ophthalmology-specific CPT, ICD-10, and payer policies
• Support investigations of denials, payer audits, and billing-related risks
• Conduct scribe meetings for relevant information
• Serve as a liaison between Compliance, IT vendors, and clinic leadership
• Support HIPAA Security Rule compliance related to electronic protected health information (ePHI)
• Monitor access controls, user permissions, and role-based system access
• Assist with oversight of EHR systems, imaging software, and practice management platforms
• Support cybersecurity initiatives, including password standards, device security, and secure remote access
• Participate in incident response related to data breaches, system outages, or security events
• Ensure IT-related policies and procedures are documented, followed, and audited
• Provide regular compliance and audit status reports to leadership
• Controls security access for all buildings

Qualifications

• Bachelor’s degree in healthcare administration, compliance, information systems, or related field required
• 3–5 years of healthcare compliance experience required
• Experience in ophthalmology or clinical settings strongly preferred
• Working knowledge of HIPAA Privacy & Security Rules, healthcare IT systems, and audit processes
• Strong analytical, organizational, and documentation skills
• Ability to manage multiple audits and initiatives simultaneously
• Excellent communication and interpersonal skills

Pay

$70,000 - $95,000/year

About Retina Consultants of South Carolina

Benefits:

• Paid Time Off + Holidays
• Medical Insurance
• Vision, Dental
• 401(k)
• Life Insurance