Directs and monitors the institutional healthcare compliance program, with specific emphasis on healthcare compliance of the university health system.
Responsibilities
- Provide day-to-day management of assigned staff and direct staff regarding audits and healthcare rules, laws, and regulations.
- Coordinate and facilitate committee meetings, including compliance subcommittees that oversee compliance of the university health system.
- Stay current on federal and state rules, laws, regulations, policies, and procedures applicable to healthcare, third-party billing policies and procedures for federal payers, and coding updates.
- Develop, implement, and maintain system-wide programs, policies, and procedures to ensure compliance with applicable healthcare rules and regulations.
- Develop and present training, as needed, to support institutional healthcare compliance at both group and individual levels.
- Investigate and review allegations of compliance plan violations as needed or directed.
Work Conditions
- Occasional hours beyond regularly scheduled hours
- Occasional travel to offsite locations
- Frequent sitting, standing, walking, and twisting
- Occasional bending, lifting/carrying up to 50 pounds, crouching/stooping, driving, and reaching
Requirements & Qualifications
Education and Experience
- Bachelor's degree
- 5 years of compliance experience in a healthcare setting
Preferred Qualifications
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification from AHIMA
- Supervisory experience
Knowledge and Skills
- Advanced knowledge of medical billing, including billing policies and procedures for federal payers
- Advanced knowledge of medical coding and coding guidelines for professional and facility/institutional billing
- Knowledge of federal and state healthcare rules, laws, regulations, and policies/procedures
- Knowledge of accounting and business principles
- Strong verbal and written communication skills
- Ability to speak in public settings and forums
- Analytical and critical thinking skills
- Ability to work independently and in a team setting
- Proficiency with basic business software applications
Location
Mississippi, US
Employment Type
Full-time
Experience Level
Director
Remote work allowed
No
Posted
3 months ago
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