Senior Corporate Compliance Consultant- Healthcare Billing

Baylor Scott & White Health • Annapolis, MD • 2h ago

Description - External

JOB SUMMARY

The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.

SALARY

The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience

ESSENTIAL FUNCTIONS OF THE ROLE

This position will be supporting Hospital and Professional areas of billing compliance:

· Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs.

· Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions.

· Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way.

· Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters.

KEY SUCCESS FACTORS

· Continually demonstrates initiative by learning business processes and applicable auditing techniques.

· Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity.

· Excellent written and oral communication skills based on level of expertise.

· Proficient in Microsoft Word and Excel.

· Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred.

BENEFITS

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

· Immediate eligibility for health and welfare benefits

· 401(k) savings plan with dollar-for-dollar match up to 5%

· Tuition Reimbursement

· PTO accrual beginning Day 1

Note: Benefits may vary based on position @type and/or level

Belonging Statement

We believe that all people should feel welcomed, valued, and supported.

QUALIFICATIONS

EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification

EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Go to Apply

Registered Nurse - Care Coordinator

Veterans Affairs, Veterans Health Administration • Baltimore, MD • 1d ago

Hospital & Medical

Summary Demonstrates proficiency in clinical practice through coordinating care, prioritizing patient education, self-management, and customer satisfaction across the entire continuum of care. Diligently follows establis...

1d ago

Go to Apply

Inpatient Medical Coding Auditor

Humana • Annapolis, MD • 1d ago

Hospital & Medical

Become a part of our caring community Are you a detail-driven coding expert who enjoys solving complex clinical puzzles and making a measurable impact on payment accuracy and provider satisfaction? Humana, a Fortune 100...

1d ago

Go to Apply

Medical Biller

Kelly Services • Baltimore, MD • 2d ago

Hospital & Medical

For those who want to keep growing, learning, and evolving. We at Kelly® hear you, and we're here for you! We're seeking a Medical Biller to work at a company in Baltimore, MD. Sound good? Take a closer look below. You o...

2d ago

Go to Apply

Physical Therapist (PT) - Mobile Outpatient

Genesis Healthcare • Bowie, MD • 2d ago

Hospital & Medical

Overview At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for ch...

2d ago

Go to Apply

Dietitian (Clinical)

Veterans Affairs, Veterans Health Administration • Baltimore, MD • 3d ago

Hospital & Medical

Summary The Dietitian (Clinical) will be involved in the professional practice of dietetics in accordance with the guidance set forth in Nutrition and Food Services (NFS) directives, policies and procedures, and VA regul...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)