Director of Compliance Billing Integrity Audit Services
Director of Compliance Billing Integrity Audit Services
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Job Description
Job Description Summary
Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker SubType
RegularCost Center
CC002278 SYS Compliance ProgramPay Rate Type
SalaryPay Grade
Health35Scheduled Weekly Hours
40Work Shift
Job Description
The Compliance Director of Billing Integrity and Audit Services reports to the Chief Compliance and Privacy Officer for the Medical University Hospital Authority. The Director leads a team dedicated to helping the organization ensure compliance with payment policies including but not limited to coding billing and documentation to support medical necessity. The Director is responsible for executing the annual risk assessment and developing a comprehensive proactive audit plan carried out by a team of compliance auditors. The Director oversees the external audit program a variety of audits by third party contractors and programs including but not limited to Medicare/Medicaid Recovery Audit Contractors Quality Improvement Organizations CMS Comprehensive Error Rate Testing (CERT) and Palmetto GBA Targeted Probe & Education (TPE) audits. Under the directors guidance the department remediates or with assistance from Revenue Cycle remediates questions and concerns related to compliance with billing coding and documentation. The Director stays abreast of coding billing and documentation requirements and provides education and training as well as operational assistance when applicable.
Additional Job Description
Education: Bachelors Degree or Equivalent Work Experience: 9 years progressive work experience and 4 years management experienceIf you like working with energetic enthusiastic individuals you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.
Medical University of South Carolina participates in the federal EVerify program to confirm the identity and employment authorization of all newly hired employees. For further information about the EVerify program please click here: Experience:
Director
Employment Type
Full-Time
Key Skills
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