1 Job in Lafayette, LA
SCP Health is Hiring a Manager, Compliance Near Lafayette, LA
- Strong track record of providing excellent work/life balance
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
- Oversees Compliance Audit functions by ensuring the development of and adherence to the annual billing/coding audit plan.
- Oversees the Regulatory Compliance monitoring function by ensuring that we are appropriately tracking and in compliance with all new, existing and proposed federal and state legislation, laws, and regulations as well as payor rules and contracts.
- Collaborates with Revenue Cycle Services (RCS) to review findings of audits on processes, coding/billing, etc.
- Collaborates with other departments to ensure education and process implementation with respect to existing or new federal and state laws, regulations, legislation, etc.
- Assists in the monitoring of vendors compliance with Company rules and applicable law, including RCS vendors.
- Assists, as needed, with new business ventures and ensures processes are set up to comply with applicable federal and state laws and payor rules.
- Contributes to the Compliance Department annual workplan to improve overall program effectiveness.
- Conducts billing/coding audits or internal audits, as needed.
- Reviews the results of audits conducted by compliance auditors to ensure accuracy of documentation summaries, results, and corrective action.
- Utilizes data analytics to improve audit effectiveness and efficiencies.
- Routinely reviews and revises, as necessary, policies and procedures.
- Contributes to Company-wide Risk Assessment process.
- Prepares status reports on regulatory oversight, billing and coding audits, or other internal reviews for Compliance Leadership, the Corporate Compliance Committee, Quality and Compliance Committee, and any other reports as needed.
- Exhibits the Company’s Core Values and complies with the Code of Conduct.
- Bachelors degree Required, Healthcare
- Masters degree Preferred, Healthcare
- CHC or RHIA Required
- CPC/CCS preferred
- 7 years of Healthcare Compliance experience
- 5 years of management experience in a healthcare setting
- 3 of professional coding and auditing experience
- Experience with regulatory review tools such as Lexis Nexis is preferred.
- Strong analytical and research skills. Must be able to recognize areas of the Company impacted by laws and regulations.
- Capacity to evaluate implications of laws, regulations, and related interpretations in the context of SCP Health’s clinical and business settings.
- Experience with communicating audit observations and recommendations.
- Experience with healthcare revenue management including auditing professional billing processes.
- Familiarity with healthcare revenue management processes and systems.
- Proven experience as a manager.
- Methodical and diligent with outstanding planning and record keeping skills.
- Excellent organizational and communication skills.
- Strong computer skills (excel, and handling large data sets)
- Ability to work independently and handle multiple tasks/projects at the same time.
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Job Summary
Full Time
$102k-134k (estimate)
04/18/2024
06/16/2024
The job skills required for Manager, Compliance include Regulatory Compliance, Leadership, Auditing, Internal Audit, Risk Assessment, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be a Manager, Compliance. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Manager, Compliance. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Manager, Compliance positions, which can be used as a reference in future career path planning. As a Manager, Compliance, it can be promoted into senior positions as a Compliance Manager, Senior that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Manager, Compliance. You can explore the career advancement for a Manager, Compliance below and select your interested title to get hiring information.
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