5 - 7 years
Posted 176 days ago
Job Details: MaineHealth, the parent company of MaineMedicalCenter, has an immediate opening for a BillingCompliance Manager. As a key member of theAudit & Compliance Services Team, this position manages the billing compliance and medicalaudit functions for MaineHealth and its affiliates. This position coordinates various complianceaudits, conducts educational sessions and serves as a primary contact regarding billing compliance issues for MaineHealth and its affiliates.
Qualified candidates will possess a certified professional coder or an equivalent designation and have prior related managerial experience. Excellent written and verbal communication ability, and strong organization and analytical skills are also required.
Reporting to the Vice President of Audit & Compliance Services, this position manages the daily billing compliance audit functions of MaineHealth. Under minimal supervision, the Billing Compliance Manager is responsible for leading audits of MaineHealth’s billing processes to ensure that coding, billing and medical record documentation supports billing compliance with all Federal and State regulations and commercial payor contract terms. The Billing Compliance Manager assists the Vice President with both the ongoing corporate risk assessment process and the development of the annual Department work plan. The Billing Compliance Manager supervises a professional staff of six.
Minimum Knowledge, Skills and Abilities Required