Job Opening in Alpharetta GA: Medical Billing & Compliance Manager

Posted: Feb 06 2015

Medical Billing & Compliance Manager  |  Claims Billing Office
RMC, RMM, RMA Certifications Desired

 

Position Summary: 

The Billing and Compliance Manager is responsible for the adherence of all HIPAA laws, CMS directives, and all other external and internal controls to ensure accurate billing and coding with assistance from billing team leaders. In addition, he/she is also responsible for the timely dissemination and/or training of personnel with respect to new and revised HIPAA laws, CMS directives, and external and internal control measures to facilitate accurate implementation.

 

Duties and Responsibilities: 

  • Design, develop, and implement an effective compliance program
  • Ensure conformance with all applicable laws, regulations, and polices
  • Act as a liaison between the billing staff and Practice Managers/Providers regarding billing issues and education
  • Actively monitor and audit coding functions based on current industry standards
  • Ensure all necessary employees are made aware of and are held accountable to coding and billing changes
  • Investigates and resolves issues relating to billing, coding, and documentation
  • Assist with internal and external audits and compliance reviews
  • Maintain relevant knowledge billing and coding laws and regulations

 

Desired Qualifications & Competencies:

  • Strong leadership capabilities with the ability to mentor and develop new leaders
  • Relevant knowledge of HIPAA laws and CMS directives
  • Strong analytical, written, and oral communication skills
  • Experience effectively managing a diverse set of employees
  • Ability to accurately recognize, evaluate, and solve problems in a timely manner
  • Experience and understanding of revenue cycle management and process optimization
  • Extensive knowledge of CPT-4, HCPCS, ICD-9, and ICD-10
  • Knowledge of radiation oncology a plus
  • Proficient in Excel

 

Desired Education & Certifications

  • Bachelor’s degree required, Master’s degree a plus
  • Minimum of 5 years in a similar role with comparable duties and responsibilities
  • A minimum of one professional certification (RMC, RMM, RMA, CCS-P, CPC, CPCO, CPPM, or similar)
  • Knowledge of multiple EMR, EHR, and EPMs a plus

 

How to Apply

Email your resume as a PDF attachment to applycbo@gmail.com

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