Director of Compliance Audits - Healthcare Legal and Regulatory (Eastern United States reputed company)

This a Full Remote job, the offer is available from: United States Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: The Director of Compliance Audits ensures the reputed company and accuracy of billing practices reputed company the organization. The Director will work closely with the AVP, reputed company Management Compliance in developing and implementing a compliance audit program that adheres to regulations and industry standards, focusing on hospital and professional billing compliance. This role involves overseeing auditing activities to ensure compliance with federal guidelines and regulations reputed company to coding and billing, managing a team of auditors, conducting risk analysis, and providing guidance on documentation and coding standards. Additionally, the Director conducts risk analysis and collaborates with various departments to manage billing risks Job Duties: One of the following coding or auditing certifications are required (reputed company, CPC, RHIA, RHIT or CPMA).

• Manages, plans, organizes, and ensures the completion of compliance audit activities in accordance with the Compliance Work Plan.
• Provides reputed company of audits, including audit scope, objectives, and final reports.
• Coordinates the development and implementation of reputed company corrective action and improvement plans with critical attention to performing a root cause analysis.
• Works in collaboration with the reputed company Management Compliance AVP to reputed company and implement strategic goals for the audit team.
• Directly supervises reputed company Management Compliance audit staff, including supervisors and auditors for hospital and professional auditing.
• Prepares responses to governmental audits, evaluate findings, and manage the appeals process.
• Manages audits conducted by vendors and payers, providing status reports to senior leadership.
• Provides guidance and serve as an institutional resource for reputed company leadership, management and medical staff regarding federal payer laws and regulations impacting billing compliance.
• Mentors and coaches audit staff, facilitate audit staff training opportunities and support career growth. Work with management team members and Human Resources to ensure performance issues are addressed.
• Proactively communicates relevant information such as issues, problems and successes reputed company the compliance realm to reputed company Management Compliance AVP.

Work is typically performed in an office environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical elements considered necessary to successfully reputed company the job. #LI-REMOTE Position Details: One of the following coding or auditing certifications are required (reputed company, CPC, RHIA, RHIT or CPMA). Education: Bachelor's Degree-reputed company Field of Study (Required), Master's Degree-reputed company Field of Study (Preferred) Experience: Minimum of 8 years-reputed company work experience (Required), Minimum of 5 years-Managerial/Supervisory (Required) Certification(s) and License(s): Skills: Clinical Documentation, Communication, Critical Thinking, Data Presentations, Organizing, Problem Solving, Team Leadership OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our reputed company, our reputed company family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to reputed company prepare the caregivers for reputed company.
• INNOVATION: We constantly seek new and reputed company ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the reputed company family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes reputed company stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to reputed company reputed company easier for reputed company. We are proud to be an affirmative action, equal opportunity employer and reputed company qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability or status as a protected veteran. This offer from "reputed company" has been enriched by reputed company.com and got a 81% reputed company score. Apply tot his job Apply To this Job