Senior Compliance Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $66k - $85k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

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Rochester Regional Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Rochester Regional Health is an integrated health services organization serving the people of Western New York. It operates multiple hospitals and healthcare facilities, providing a wide range of healthcare services, including emergency care, primary care, specialty clinics, and urgent care. The organization is committed to medical education and research, offering training programs, residencies, and clinical trials. Rochester Regional Health focuses on comprehensive care with emphasis on treating patients respectfully and meeting their diverse medical needs across all stages of life.

📋 Description

• Mentor and train less experienced staff • Support resolution of complex issues and technical questions • Conduct Corporate Compliance audits, investigations, and training across affiliates • Guide system administration and RGHS management on compliance with laws, regulations, and contract obligations • Serve as subject matter expert for building and optimizing the EMR • Manage projects independently and prepare governmental disclosures • Facilitate external audits by regulatory agencies • Coordinate audits covering revenue cycle, financial statements, payments, attestations, grants, employees, contractors, exclusions, and payment agreements • Interview staff to identify root causes of issues • Collaborate with healthcare professionals to discuss findings and provide compliance education • Develop audit reports and present findings to Compliance Director, RGHS Administration, and management • Develop and assist with implementation of corrective action plans • Perform follow-up audits to verify monitoring effectiveness • Analyze government and professional association studies for risk and opportunity • Identify compliance benchmarks and perform risk assessments • Monitor regulatory changes affecting departments • Support new business growth initiatives • Approve and collaborate on margin improvement initiatives while ensuring compliance • Provide EMR documentation and workflow training to clinicians • Design and implement revenue-cycle compliance training for physicians, healthcare providers, HIM coders, and employees • Manage internal investigations involving fraud, waste, and abuse • Facilitate corrective action and monitoring in affected departments • Manage external investigations by OIG, DOJ, OMIG, FBI, Medicare, and third-party payer fraud units

🎯 Requirements

• AAS or BS in Health Information Management, Health Care Administration, Finance, or Accounting, and experience with healthcare compliance • Minimum five years of healthcare experience, including a minimum of 3 years of health care compliance experience • A combination of healthcare work experience, credentials and/or education will be considered • RHIT, RHIA, CCS, or CCS-P • Relevant health care related certification with experience may be considered in lieu of above certifications • Strong analytical skills • Project management experience • Training skills • High degree of mental and visual acuity, attention to detail, critical thinking, and decision-making • Sedentary work requirements, including prolonged sitting and computer, writing, and telephone use • May require flexible hours, TB screening, or a valid driver’s license