Senior Compliance Operations Manager

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree or Bachelor's degree with extensive regulatory compliance experience
  • 4-6 years in compliance, legal, or regulatory issues related to medical billing
  • Proficient in medical billing and medical record systems
  • Advanced skills in Microsoft Office Suite (Word, Access, Excel, PowerPoint)
  • Required medical coding certification (CPC, CCS-P, RHIA, or RHIT)
  • Experience developing training programs for diverse audiences
  • Excellent verbal and written communication skills

Responsibilities

  • Lead the operational management of professional compliance programs
  • Promote adherence to federal, state, and local regulations
  • Identify and mitigate regulatory risks across the enterprise
  • Collaborate with compliance leadership on strategic initiatives
  • Develop and deliver compliance training sessions
  • Report to the Chief Compliance & Privacy Officer
  • Ensure compliance objectives align with corporate goals

Benefits

  • Opportunity to work with energetic and enthusiastic individuals
  • Regular employee benefits package under University Medical Associates
  • Engagement with various stakeholders across the enterprise
  • Chance to lead significant compliance initiatives
  • Exposure to complex regulatory environments
Full Job Description

Job Description Summary

Serves as the Senior Regulatory Compliance Operations Manager for all enterprise professional billing and employment entities (MUSCP, MHP, MCP, MAP, CDM) and the MUSC Health Alliance. Provides leadership and operational oversight of the professional compliance program to promote adherence to applicable federal, state, and local laws, regulations, accreditation standards, and internal policies. Partners with compliance leadership to identify, escalate, and mitigate regulatory risk across the enterprise. Reports directly to the MUSCP Chief Compliance & Privacy Officer.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC002046 UMA CORP COMP Compliance CC

Pay Rate Type

Salary

Pay Grade

Health-32

Scheduled Weekly Hours

40

Work Shift

Job Description

Education and Work Experience: Masters and greater than 4 years or bachelors and greater than 6 years experience in compliance, legal or research of regulatory issues. Knowledge of medical billing systems and medical record systems. Advanced knowledge of Word, Access, Excel, Power Point and the ability to support other users. Understanding of regulations and other laws and regulations regarding professional billing. Experience developing and delivering training programs to a diverse audience. Excellent speaking and writing skills. Requires ability to work on assigned projects independently and to be self-motivated in the furtherance of compliance objectives. Requires ability to work collaboratively to achieve corporate goals.

Licensures, Registrations, Certifications: CPC, CCS-P, RHIA, RHIT or other medical coding certification required.


Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted. Lift from 36 to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces.

Additional Job Description

Education: Bachelor's degree or equivalent education and/or relevant work experience Work Experience: 8 years progressive work experience and 3 years management experience

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

About MUSC Health & Medical University of SC

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Join the dedicated team at MUSC Health & Medical University of SC, a leader in medical innovation and education. This prestigious institution offers a variety of job opportunities that pave the way for professional growth and development in the healthcare sector.

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At MUSC Health & Medical University of SC, the potential for career enhancement is limitless. The institution's commitment to innovation, combined with its focus on creating a diverse and inclusive workplace, makes it an ideal place for professionals looking to make a significant impact in healthcare. Join MUSC Health & Medical University of SC and be part of a team that is shaping the future of medical science and patient care.
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