Manager Compliance Audit Services
Job Description
Biweekly Hours: 80.00
Shift: 9a-5p
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Summary:
Under the direction of the Director of Audit Services, oversees auditing and monitoring activities to ensure compliance with applicable hospital and professional billing, and coding rules and regulations. Collaborates with leadership to ensure execution of an effective compliance program. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Qualifications:
Required:
- Bachelor's degree in Business, Health Administration, or related field or minimum five years of equivalent work experience in lieu of degree.
- Five years of experience in coding (CPT-4/ICD-10)
- Working knowledge of healthcare reimbursement and revenue cycle management.
- One to two years of supervisory/management or demonstrated leadership experience.
- Proficient with Microsoft Office products.
- Strong quantitative skills.
- Excellent verbal and written communication skills.
- Possesses certification from the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).
Preferred:
- Certification in Healthcare Compliance (CHC) through Health Care Compliance Association (HCCA).
- Epic billing systems
Physical Demands:
- May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating.
- May need to remain still for extended periods, including sitting and standing.
- Ability to communicate in face-to-face, phone, email, and other communications.
- Ability to read job related documents.
- Ability to use computer.
Biweekly Hours: 80.00
Shift: 9a-5p
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Summary:
Under the direction of the Director of Audit Services, oversees auditing and monitoring activities to ensure compliance with applicable hospital and professional billing, and coding rules and regulations. Collaborates with leadership to ensure execution of an effective compliance program. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Qualifications:
Required:
- Bachelor's degree in Business, Health Administration, or related field or minimum five years of equivalent work experience in lieu of degree.
- Five years of experience in coding (CPT-4/ICD-10)
- Working knowledge of healthcare reimbursement and revenue cycle management.
- One to two years of supervisory/management or demonstrated leadership experience.
- Proficient with Microsoft Office products.
- Strong quantitative skills.
- Excellent verbal and written communication skills.
- Possesses certification from the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).
Preferred:
- Certification in Healthcare Compliance (CHC) through Health Care Compliance Association (HCCA).
- Epic billing systems
Physical Demands:
- May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating.
- May need to remain still for extended periods, including sitting and standing.
- Ability to communicate in face-to-face, phone, email, and other communications.
- Ability to read job related documents.
- Ability to use computer.
About The MetroHealth System
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments, more than 20 health centers and 40 additional sites.
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