Billing Compliance Administrator
Detail-oriented professionals like you are setting standards for hospital compliance and privacy improvement. With your exceptional operational skills, you’ll gain insights that will help us enhance the patient experience and solidify our reputation for excellence. Find out how you can Make It Possible.
You will be a lead professional responsible for identifying, developing and implementing a physician compliance plan to ensure the integrity of all professional fee billing conducted by the Physician Services Organization (PSO).
This will include conducting investigations and mitigating compliance's issues relating to professional fee coding, billing documentation and reimbursement activities.
- Experience with physician practice management systems including electronic medical records and physician billing software and processes
- Master’s degree
- Bachelor's degree
- Minimum of 5 years of progressive experience in financial and compliance management of hospital based physician practice plans
- Extensive (multi-specialty) knowledge of the various coding systems used by physicians/providers including CPT, HCPS, and ICD-10-CM, as well as knowledge of CMS, OIG, OMIG and state compliance rules and regulations impacting professional fee coding, billing and reimbursement areas
- Extensive experience implementing and managing a professional fee billing audit program including the ability to develop and implement corrective action plans when needed
Security Clearance Required: No
Visa Candidate Considered: No
Base Salary - $84,155 to $115,713
Full-time Benefits - Full
Relocation Assistance Available - No
Commission Compensation - No
Bonus Eligible - No
Overtime Eligible - No
Interview Travel Reimbursed - No
5+ to 7 years experience
Seniority Level - Mid-Senior
Management ExperienceRequired - No
Minimum Education - Bachelor's Degree
Willingness to Travel - Always