Senior Healthcare Compliance Officer, Revenue Cycle Management

Job Description:• Designs, implements, and manages the organization's revenue cycle compliance program. This includes creating and updating policies and procedures related to patient billing, coding, and documentation. • Conducts regular risk assessments to identify potential vulnerabilities within the revenue cycle. • Oversees and conducts internal audits of billing records and medical documentation to ensure compliance with payer requirements, such as Medicare, Medicaid, and private insurers. • Develops and delivers compliance training programs for staff, including billing and coding specialists, as well as clinical and administrative teams.• Investigates reported or discovered compliance issues, documenting findings, and reporting potential violations to leadership. • Acts as the primary liaison with external regulatory bodies and government agencies, responding to inquiries, audits, and investigations. • Develops and tracks corrective action plans to address compliance deficiencies, following up with management to ensure successful implementation. • Creates and presents periodic compliance reports to leadership detailing auditing activities, findings, risk levels, and the status of corrective actions.Requirements:• A bachelor's degree in a related field such as business administration, finance, or healthcare management is often preferred, but not always required. • In-depth knowledge of healthcare regulations and laws, including HIPAA, CMS guidelines, and state-specific billing requirements. • Advanced knowledge of medical coding, including CPT, HCPCS, and ICD-10. • The ability to analyze complex data sets from audits and financial reports to identify trends, pinpoint issues, and generate actionable insights.• Excellent written and verbal communication to explain complex regulatory information, create clear policies, and report findings to various stakeholders, from billing staff to senior leadership. • The ability to lead teams and influence cross-functional departments to adopt and maintain a culture of compliance. • A keen eye for detail is essential for reviewing documentation, policies, and regulations to ensure all requirements are met. Benefits:• Flexible work arrangements• Professional development opportunities Apply tot his job