Pathology Compliance Officer - Part Time
Company: Physicians Practice Enhancement Llc
Location: Red Bank
Posted on: February 17, 2026
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Job Description:
Job Description Job Description In this role, the candidate
supports Clinical Laboratory and Pathology in maintaining
inspection readiness for all laboratory sites. Assists with
assigning staff training and assessing compliance with assigned
training. Maintains records and licensure required for regulatory
inspections. Documents audit findings to assess compliance with
standards for The Joint Commission, Department of Health, College
of American Pathologists, Environmental Protection Agency, etc.
Assists with approval, training, and modification of department and
system wide policies. Assists with annual reapplications to
accrediting agencies and orders for proficiency testing and
educational activities. Essential Functions Assists the Regulatory
Compliance manager with performing all departmental regulatory
audits for assessment of compliance with CAP, DOH, CMS, JC, and EPA
regulations. Issues detailed reports with findings and suggests
corrective actions for each non-compliant finding. Performs follow
up audits to assess compliance with corrective actions stemming
from regulatory inspections and quality improvement initiatives
Facilitate and monitor staff compliance with required trainings
including Regulatory training, Lab Manual training, Environmental
Health & Safety training. Follows up with any individuals that are
out of compliance. Keeps track of licenses for MD, PhD, Technical
staff and Reference Labs and ensure they are within the expiration
date. Ensure staffs and MD files, including licenses, are up to
date and accurate. Data Compilation: Critical Values, dashboard
data, quarterly internal QIC submission Reviews any reports of
diagnosis of communicable diseases and reports them as required by
city and/or state law. Special projects: Assists with projects and
special assignments as requested. Minimum Qualifications Bachelors
Degree with 2 years experience in clinical hospital setting.
Certified in Healthcare Compliance (CHC) by the Compliance
Certification Board or eligible to sit for certification within 6
months of hire date Experience interpreting regulations and
preparing for regulatory inspections in the field of healthcare.
Healthcare specific compliance work experience required. Must have
excellent Microsoft Office suite computer skills (Outlook, Word,
Excel, PowerPoint, etc.) and superb organization skills. Preferred
Qualifications Masters degree in business and or healthcare related
discipline. Legal background a plus. Experience with hospital
regulatory compliance. Knowledge of the laboratory sciences.
Familiarity with lab/pathology specific regulatory issues a bonus
Qualified candidates must be able to effectively communicate with
all levels of the organization.
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