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Director - Billing Compliance - REMOTE

at MHM Support Services dba Mercy Healthcare System in Fort Smith, Arkansas, United States

Job Description

We're a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."

Overview:
This is a REMOTE position.
Identifies, investigates and resolves compliance issues relating to coding, billing, documentation and reimbursement activities. Serves as a subject matter expert and authoritative resource on interpretation and application of documentation and coding rules and regulations, medical necessity of services delivered, and conducts risk assessments of potential and detected compliance deficiencies. Researches, leads and directs the implementation of compliance with new billing rules, regulations, laws and payor contractual requirements. Leads and directs the Compliance Audit Team in developing and implementing the formal compliance audit plan and conducting compliance investigations/audits. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Qualifications:
Experience: Five to ten years progressive healthcare experience in compliance, facility and physician coding & documentation, business office/patient financial services, finance, information systems and/or health information management is required.
Required Education: Bachelor's Degree
Preferred Education: Master's Degree in Healthcare Administration or Business Administration
Preferred Experience: Understanding of Epic billing and documentation
Preferred Certifications: Certification in Healthcare Compliance (CHC)
Other:
Extensive knowledge of various compliance rules and regulations in the coding, billing and reimbursement areas.
Extensive knowledge of the various sources and resources for information at the federal, state and local level in the compliance area.
An overall understanding of financial management and reporting in health care.
An overall knowledge of the functions and activities of hospitals, medical clinics and post-acute care services.
Ability to effectively work with and coordinate the activities of outside consultants and auditors relative to formal compliance auditing and reviews.
Ability and skill to influence personnel through a matrix organization as opposed to line management authority.
Ability to develop and lead teams toward stated objectives and goals.
Highly skilled in Excel and proficiency in other Microsoft Office applications
Understanding criteria for report generation
Interpersonal communication skills for training and working with all levels of personnel in sometimes tense situations.
Strong problem-solving skills.

We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 48 hours or more per pay period!

We're bringing to life a healing ministry through compassionate care.
At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

EEO/AA/Minorities/Females/Disabled/Veterans

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Job Posting: 3391794

Posted On: May 22, 2022

Updated On: Jun 21, 2022