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Senior Manager of Billing Compliance Job in Memphis, Tennessee

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Job Title: Senior Manager of Billing Compliance

Employer:University Clinical Health
Type:Full-Time
Skills:Heavy Coding Knowledge,Billing,Compliance,Auditing
Specialties:Healthcare, Revenue Services
Preferred Certifications:Coding Certification,Medica Records Certification,Healthcare Compliance Certification
Required Experience:8 to 10 years
Preferred Experience:11 to 100 years
Location:Memphis, TN
Date Posted:8/2/2019

This role leads Professional Billing Compliance to support University Clinical Health compliance with all state and federal laws governing reimbursement for health care services. The role develops and maintains policies governing the billing practices of UCH, supports and monitors the effectiveness of Billing Compliance training and education, identifies and evaluates areas of risk and responds to potential violations of regulations or policies. The incumbent integrates compliance activities with physician leadership and works closely with UT Department Chairs and Division Heads, Directors of Operations, Revenue services functions and UCH clinic staff.

 

The incumbent tracks changes in billing compliance regulation and develops processes and programs to minimize billing compliance risk.

 

 


KEY RESULT AREAS (KRAs)

 

Track changes in PB regulations developments

Develop and maintain billing compliance policy

Develop risk assessment methodology

Develop and implement PB work plan.

Report on investigations related to PB compliance.

Develops and implements billing compliance learning resources.

Audit against contractual requirements and targeted risk areas.

Implement remedial action plans

Analysis of coding and billing trends

Implement programs to report billing practices concerns


Required Experience:

Bachelor’s degree and at least 7 years of directly related experience.

Ability to supervise and train employees, to include organizing, prioritizing and scheduling work assignments.

Strong interpersonal skills and the ability to communicate effectively, both orally and in writing.

Coding and/or medical record certification(s) preferred.

Healthcare Compliance Certification preferred.

Skilled in developing policies and procedures related to professional billing compliance.

Ability to develop and conduct compliance training programs.

Extensive knowledge of federal and state laws and regulations regarding Medicare and Medicaid and the ability to interpret, adapt and apply CMS guidelines and procedures.

Knowledge of statistical sampling and survey methodology and ability to gather and analyze medical records and billing data and generate reports.

Knowledge of computerized information systems used in compliance applications.


Applying

Contact: Mario C. Hunt
Phone: 901-866-8382
Email: Mario.hunt@uthsc.edu


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