Compliance Coordinator

🕒 Setembro 29

🗽 New York – Remoto

🗽 New York – Remote

💵 $63.000 - $78.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 10%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Rochester Regional Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

⚕️ Seguro de Saúde

📚 Educação

Healthcare • Healthcare Insurance • Education

Rochester Regional Health é uma organização integrada de serviços de saúde que atende a população do oeste de Nova York. Opera múltiplos hospitais e unidades de saúde, oferecendo uma ampla gama de serviços de saúde, incluindo atendimento de emergência, cuidados primários, clínicas especializadas e atendimento de urgência. A organização é comprometida com a educação médica e a pesquisa, oferecendo programas de treinamento, residências e ensaios clínicos. Rochester Regional Health foca em cuidados abrangentes com ênfase no tratamento respeitoso dos pacientes e na satisfação de suas diversas necessidades médicas em todas as fases da vida.

Descrição

• Conduct Corporate Compliance audits, investigations and training throughout all affiliates • Guide system administration and RGHS management on compliance with local, state and federal laws, regulations and contract obligations • Act as subject matter expert for building and continually optimizing the system’s EMR • Manage projects independently, prepare governmental disclosures and facilitate external regulatory audits • Coordinate and conduct audits covering revenue cycle, clinical documentation, EMR workflows, registration, coding, charging, billing, payments, denials, financial statements, grants, employees and contractors • Interview staff to identify causes of compliance issues • Collaborate with healthcare professionals to discuss audit findings and provide compliance education • Develop audit reports and present findings to the Compliance Director, RGHS Administration and management • Develop corrective action plans and assist with implementation • Perform follow-up audits to ensure monitoring is implemented and effective • Analyze government and professional-association studies to assess risk and opportunity • Identify compliance benchmarks and perform risk assessments • Monitor regulation changes affecting assigned departments • Research and assist with approvals for new system business growth • Support margin improvement initiatives while ensuring compliance • Present to clinicians on appropriate EMR documentation • Design and implement compliance training on fraud, waste and abuse, revenue cycle, documentation, coding, billing and denial appeals • Perform and manage internal fraud, waste and abuse investigations • Facilitate corrective action and monitor affected departments • Facilitate and manage external investigations by OIG, DOJ, OMIG, FBI, Medicare and third-party payer fraud units

🎯 Requisitos

• AAS or BS in Health Information Management, Health Care Administration, Finance, or Accounting, and experience with healthcare compliance; a combination of healthcare work experience, credentials and/or education will be considered • Minimum five years of healthcare experience with CMS and local payers regulations • RHIT, RHIA, CCS or CCS-P preferred • Relevant health care related certification or other experience may be considered in lieu of above certifications • Compliance Board Certification a plus • Strong analytical skills • Project management experience • Training skills • Strong communication skills • Attention to detail, critical thinking and decision-making ability • Ability to handle confidential and sensitive work professionally • Knowledge of local, state and federal laws and regulations and contract obligations • Experience with healthcare compliance, audits, investigations, payer regulations, revenue cycle, clinical documentation, EMR workflows, coding, charging, billing, payments, denials, financial statements, grants, governmental exclusions and payment agreements