Senior Healthcare Compliance Officer, Revenue Cycle Management

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November 5

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Vee Technologies

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Consulting • Healthcare • IT Services

Vee Technologies is a premier consulting and professional services company headquartered in New York and Bangalore, providing cutting-edge, technology-enabled solutions to organizations worldwide. The company specializes in Strategy & Consulting Services, Healthcare, Product Engineering, AEC Services & Solutions, IT Services, Logistics, Media, Finance & Accounting Services, Legal Process Outsourcing, and E-Governance. Vee Technologies serves businesses ranging from Fortune 500 companies to mid-size enterprises, helping them streamline operations, reduce costs, and achieve business objectives efficiently. With a strong emphasis on accuracy, competency, and teamwork, Vee Technologies focuses on delivering extraordinary outcomes across various industries.

5001 - 10000 employees

Founded 2000

📋 Description

• Designs, implements, and manages the organization's revenue cycle compliance program. This includes creating and updating policies and procedures related to patient billing, coding, and documentation. • Conducts regular risk assessments to identify potential vulnerabilities within the revenue cycle. • Oversees and conducts internal audits of billing records and medical documentation to ensure compliance with payer requirements, such as Medicare, Medicaid, and private insurers. • Develops and delivers compliance training programs for staff, including billing and coding specialists, as well as clinical and administrative teams. • Investigates reported or discovered compliance issues, documenting findings, and reporting potential violations to leadership. • Acts as the primary liaison with external regulatory bodies and government agencies, responding to inquiries, audits, and investigations. • Develops and tracks corrective action plans to address compliance deficiencies, following up with management to ensure successful implementation. • Creates and presents periodic compliance reports to leadership detailing auditing activities, findings, risk levels, and the status of corrective actions.

🎯 Requirements

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

🏖️ Benefits

• Flexible work arrangements • Professional development opportunities