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Manager, Compliance Coding Audit

Company: CaroMont Health
Location: Gastonia
Posted on: May 23, 2020

Job Description:

The Compliance Coding Audit Manager has a high-profile role leading a team tasked with promoting a culture of ethical behavior through auditing and monitoring compliance with established healthcare regulations. The Manager exhibits strong leadership skills including the ability to lead and collaborate. The Manager serves as a subject matter expert on interpretation and application of documentation and coding rules and regulations and conducts enterprise risk assessment of potential and detected compliance deficiencies. Working collaboratively with the Corporate Audit & Responsibility Officer, the Manager plans, leads and performs complex audits, and effectively manages and coordinates coding audits and compliance education activities. This position serves as a coach and mentor to Compliance and Coding Auditors while managing team productivity and quality, including adherence to CaroMont policy and all applicable Federal/State laws and regulations. Monitors relevant resources and publications related to high risk compliance areas. Makes recommendations to leadership of areas of audit opportunities.------Qualifications:---- BA/BS degree in Finance, Accounting, Nursing or other Healthcare related field and a minimum of seven years of experience directly related to compliance, auditing, charge master, or finance is required. Requires CPC and CEMC or specialty medical coding certification or CPMA.-- Experience conducting moderate to complex coding and billing compliance audits, including analysis of findings and preparing written reports. Experience researching, interpreting and comprehending federal and state rules and regulations applicable to clinical documentation. Ability to effectively and accurately respond to coding questions. Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.-- Advanced interpersonal skills for collaborating effectively with professional practitioners, managers and staff at all levels across the organization and to effectively and accurately respond to coding questions. Skilled in coaching and mentoring. Excellent communication skills, time management skills, attention to detail, and ability to prioritize workload and meet deadlines are essential.-- Must be self-directed, team oriented, organized, and be able to lead meetings and communicate effectively with Senior Leadership, Directors and staff at all levels.-- Proficiency with Microsoft Office.-- Must be able to maintain highest level of confidentiality.EOE AA M/F/Vet/Disability

Keywords: CaroMont Health, Gastonia , Manager, Compliance Coding Audit, Accounting, Auditing , Gastonia, North Carolina

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