Emanate Health

Compliance Program Audit Manager - Full Time Exempt - Days - QVH

Emanate Health$95K — $139K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Health Administration, Health Information Management, Public Health, Nursing or related field required.
  • Minimum of three years auditing experience, preferably in an ambulatory/clinic setting.
  • Knowledge of healthcare operations in hospital and clinic environments.
  • Strong time management and conflict resolution skills expected.
  • Detail-oriented with strong analytical abilities to identify trends and interpret results.
  • Proficient in MS Office applications.
  • CHC certification required; other health care certifications preferred.

Responsibilities

  • Oversee the Emanate Health Compliance Program audit initiatives across all enterprises.
  • Manage ambulatory services coding audits and ensure compliance in coding practices.
  • Supervise Managed Care Hierarchical Condition Coding (HCC) audits to maintain high-quality standards.
  • Conduct Chart-to-Charge audits to verify accurate billing and documentation.
  • Travel to multiple worksites as necessary for compliance audits and evaluations.

Benefits

  • Opportunity to work with a highly ranked health care system named the #1 in the U.S. in 2021.
  • Collaborative work environment focused on community strength and individual growth.
  • Engage in meaningful work that directly impacts patient care and health outcomes.
  • Potential for professional development and advancement within a recognized healthcare system.
Full Job Description
Current Emanate Health Employees - Please log into your Workday account to apply

Job Summary

The Compliance Program Manager is responsible for the oversight of the (Emanate Health Compliance Program) audit programs across the enterprise, including Emanate Health Medical Care Foundation (EHMCF) ambulatory services coding, Managed Care Hierarchal Condition Coding (HCC) and Emanate Health Chart-to-Charge audit programs. Required to travel to multiple worksites.

Job Requirements

Minimum Education Requirement:

Bachelor's and/or advanced degree in Health Administration, Health Information Management, Public Health, Nursing or a related field.

Minimum Experience Requirement:

Minimum of three (3) years of auditing experience required, in an ambulatory/clinic setting preferred. Knowledge in health care operations in hospital and ambulatory/clinic settings. Excellent time management, conflict management, and communication skills. Detail oriented and strong analytical skills with the ability to identify trends and interpret results. Proficient in MS office.

Minimum License Requirement:

Certification in Health Care Compliance (CHC) required. Certification in medical coding (e.g. CCS, CPC, etc.) preferred. Other health care certifications (e.g. RHIA, RHIT, etc.) preferred.

Pay Range:
$45.75 - $67.26

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