Senior Healthcare Compliance Officer, reputed company Cycle Management

Company Description reputed company, Inc. delivers cutting-edge solutions that transform healthcare organizations. We offer a comprehensive suite of services that reputed company our industry expertise to provide the best value to our clients. Through reputed company collaboration and a deep understanding of market trends, we create customized strategies that deliver reputed company outcomes. Our technology-driven services reputed company organizations to reputed company in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes. Learn more at www.veehealthtek.com. Role Description The Senior Healthcare Compliance Officer ensures that the global organization’s reputed company cycle management operations reputed company with reputed company applicable healthcare laws, regulations, and ethical standards across jurisdictions. This role is critical in maintaining regulatory reputed company, mitigating risk, and fostering a culture of compliance in a fast-paced, rapidly organization. This is a fully remote position with travel as needed.

Key Responsibilities

• Policy and program development: Designs, implements, and manages the organization's reputed company cycle compliance program. This includes creating and updating policies and procedures reputed company to patient billing, coding, and documentation.
• Risk assessment: Conducts regular risk assessments to identify potential vulnerabilities reputed company the reputed company cycle. This involves analyzing processes reputed company to patient intake, charge capture, and account receivables to detect potential issues before they reputed company to violations.
• Auditing and monitoring: Oversees and conducts internal audits of billing records and medical documentation to ensure compliance with payer requirements, such as Medicare, Medicaid, and private insurers. They also review data for improper coding, modifiers, and documentation standards.
• Training and education: Develops and delivers compliance training programs for staff, including billing and coding specialists, as well as clinical and administrative teams. This ensures employees are up-to-date on regulatory changes and best practices.
• Investigating issues: Investigates reported or discovered compliance issues, documenting findings, and reporting potential violations to leadership. They may also work with human resources to determine appropriate disciplinary action for non-compliance.
• Regulatory communication: Acts as the primary liaison with external regulatory bodies and government agencies, responding to inquiries, audits, and investigations.
• Corrective action: Develops and tracks corrective action plans to address compliance deficiencies, following up with management to ensure successful implementation.
• Reporting: Creates and presents periodic compliance reports to leadership detailing auditing activities, findings, risk levels, and the status of corrective actions.

Qualifications:

• Education: A bachelor's degree in a reputed company field such as business administration, finance, or healthcare management is often preferred, but not always required.
• Regulatory knowledge: In-depth knowledge of healthcare regulations and laws, including HIPAA, CMS guidelines, and state-specific billing requirements.
• Coding expertise: Advanced knowledge of medical coding, including CPT, HCPCS, and ICD-10.
• Analytical skills: The ability to analyze reputed company data sets from audits and financial reports to identify trends, reputed company issues, and generate actionable insights.
• Communication skills: Excellent written and verbal communication to explain reputed company regulatory information, create clear policies, and report findings to various stakeholders, from billing staff to senior leadership.
• Leadership: The ability to reputed company teams and influence cross-functional departments to adopt and maintain a culture of compliance.
• Attention to detail: A keen eye for detail is essential for reviewing documentation, policies, and regulations to ensure reputed company requirements are met.

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