Are you a seasoned healthcare compliance professional ready to lead a dynamic billing team within a renowned organization? We are seeking a strategic and innovative Director of Billing Compliance to ensure the integrity of billing practices across hospital and professional services. This role offers an exciting opportunity to shape compliance programs, mentor future leaders, and work remotely-while making a difference in patient care and organizational excellence.
Compensation$185,000 annually
Responsibilities- Lead the development and execution of comprehensive billing compliance initiatives aligned with evolving healthcare regulations and industry standards.
- Oversee regular audits and monitoring processes to identify discrepancies and implement corrective measures with a proactive approach.
- Design and deliver training programs on clinical documentation, coding, and billing to a diverse range of healthcare personnel.
- Identify potential compliance risks and craft strategies to mitigate them, responding swiftly to any suspected violations.
- Maintain meticulous records of compliance activities, generating reports for senior leaders and regulatory bodies to ensure transparency.
- Collaborate closely with clinical, administrative, and financial teams to embed compliance into daily operations seamlessly.
- Supervise, mentor, and support team members, fostering professional growth and a high-performing work environment.
Requirements- Bachelor's degree required; Master's degree preferred.
- Minimum of 10 years of experience in healthcare billing compliance within a hospital setting-experience outside of health plan roles is essential.
- Proven leadership capabilities with demonstrated management success overseeing compliance teams.
- Extensive expertise in ICD-10-CM and CPT/HCPCS coding, healthcare billing regulations, and reimbursement systems.
- Deep understanding of Medicare, Medicaid, HIPAA, and related compliance standards.
- Exceptional communication skills for conveying complex compliance issues to varied audiences, including senior executives.
- Strong organizational and project management skills, with acute attention to detail.
- Proficiency in MS Office suite and other relevant computer systems.
- Education: Bachelor's degree mandatory; Master's preferred.
