Clinical Compliance Manager

Texas Health Action (THA) is a community-informed non‑profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with expertise in serving LGBTQIA+ people and those impacted by HIV. Kind Clinic proudly serves Texas with four vibrant locations: two in Austin, one in San Antonio, and another in Dallas plus virtual care services available to all residents across Texas.

Bolstered by Waterloo Counseling Center and a passionate team of over 250 dedicated employees and volunteers, THA is at the forefront of promoting healthcare equity and accessibility throughout the state. Read more about THA here: (Use the "Apply for this Job" box below)..

The Clinical Compliance Manager provides advanced leadership in clinical compliance, clinical risk mitigation, documentation integrity, and regulatory preparedness. The role ensures that all clinical operations adhere to federal and state regulations, payer requirements, accreditation standards (e.g., URAC, Joint Commission, PCMH), infection prevention protocols, and internal quality expectations.

• Lead clinical documentation, coding, and medical necessity audits (E/M, telehealth, specialty services, risk adjustment) and deliver actionable findings, provider education, and trend analysis
• Provide compliance oversight of provider competency, onboarding, credentialing, and privileging processes in alignment with regulatory and accreditation requirements
• Support clinical governance through participation in peer review, performance reviews, quality councils, and multidisciplinary committees
• Oversee infection prevention and clinical safety compliance, including immunization protocols, exposure control, incident reporting, and environmental rounds
• Identify clinical safety risks, conduct incident reviews and root‑cause analyses, and track remediation to completion
• Drive regulatory readiness for accreditation surveys, payer audits, and inspections through gap analysis and compliance assessments
• Provide governance and oversight for peer review and utilization review programs to ensure appropriateness of care and adherence to payer and evidence‑based standards
• Lead development, review, and implementation of clinical policies, procedures, and practice guidelines aligned with evidence‑based standards
• Develop and deliver system‑wide education on clinical compliance, documentation accuracy, emerging regulations, and quality standards
• Monitor, analyze, and report clinical compliance metrics, audit results, and risk trends to clinical and executive leadership
• Partner closely with Continuous Quality Improvement (CQI), Risk, and Corporate Compliance teams to translate regulatory findings into sustainable quality improvement initiatives

Based on the position’s duties and requirements, this role has a starting annual salary of $102,335. The initial salary will be determined by the selected candidate’s qualifications and relevant experience.

• Bachelor’s degree in nursing, health information management, healthcare administration, or a related field required; clinical licensure (RN, PA, NP, LVN, RT, etc.) is strongly preferred.
• Certification preferred: CIC, CPHQ, CCS, RHIA/RHIT, CHC, or other clinical/quality/compliance credentials.

• 3–5 years of experience in clinical compliance, quality management, HIM/coding, infection control, or clinical operations.
• Strong working knowledge of clinical documentation standards, coding regulations, accreditation requirements, and payer medical necessity guidelines.
• Experience with EHR systems, audit tools, incident reporting systems, and clinical quality analytics.
• Prior experience working with LGBTQIA+ and/or other marginalized communities strongly preferred.

• Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word, and Excel.
• Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.
• Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and…