Technical Lead, Corp Compliance – Lab

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $78k - $119k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

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DaVita Kidney Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1994

⚕️ Healthcare Insurance

💰 Post-IPO Debt on 2021-02

Healthcare Insurance

DaVita Kidney Care is a leading healthcare company that provides dialysis and related treatments for patients with kidney disease. Committed to improving the quality of life for its patients, DaVita focuses on offering integrated kidney care and supporting its diverse team of healthcare professionals, including nurses, dietitians, social workers, and patient care technicians. The company emphasizes a strong culture, career development, and comprehensive benefits to create an inclusive and supportive work environment for its employees.

📋 Description

• Compliance Program Management: Support the annual compliance risk assessment and implementation of the compliance plan. Develop, review, and update policies, training materials, and other communications to address compliance risks. • Auditing and Data Analysis: Develop and conduct focused assessments of billing, laboratory, and clinical systems to ensure compliant practices. Perform complex data analysis to identify trends and risks, conduct post-audit reviews of system updates, and develop comprehensive written reports on findings for stakeholders. • Investigation and Case Management: Assist in compliance investigations to identify root causes and implement corrective action. Lead the full lifecycle of monitoring and inquiry cases within the case management system, including tracking corrective actions through completion. • Strategic Collaboration: Develop strong, collaborative relationships with business partners, Senior Lab Leadership, and Legal to foster proactive compliance and implement strategies for process improvement. Provide daily compliance guidance on matters involving federal healthcare program laws. • Develop and maintain charge mapping oversight activities to ensure accurate chargemaster setup and maintenance. Manage communications regarding these systems across various laboratory and non-laboratory platforms. • Work independently on special projects, help with the implementation of new processes and controls, and maintain databases that support compliance reporting needs. • Support the development of quarterly Management Compliance Committee materials, preparing presentations on data findings and strategies. • Lead various compliance education and engagement initiatives. • Must be self-motivated, team player with proven ability to identify issues and manage priorities in a fast-paced environment while striving for practical business solutions. • Ability to handle confidential information and/or issues using discretion and judgment. • Other Duties as Assigned

🎯 Requirements

• Bachelor’s degree or equivalent relevant work experience required. • Minimum five (5) years of Revenue Cycle or relevant experience required, preferably in a healthcare business setting. • Minimum of three (3) years audit experience required • Preferred experience working with Medicare regulations, healthcare billing or coding and respective electronic health records and billing IT systems. • Intermediate knowledge of Structured Query Language (SQL) or Oracle PL/SQL preferred. • Healthcare Compliance Certification (e.g., CHC-HCCA, CPCO-AAPC) is preferred. • Certified Medical Coder certification preferred (CPC, CCS, CMC) • Data analytics or visualization certification (e.g., Tableau) or database certification (e.g., SQL, Oracle) preferred. • Fluent in the written and verbal skills necessary to successfully perform the essential functions, duties, and responsibilities of the position.

🏖️ Benefits

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out • Support for you and your family: Family resources, EAP counseling sessions, access Headspace ® , backup child and elder care, maternity/paternity leave and more • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.