Us Healthcare Compliance Officer - Remote, India - Healthcare Hiring Firm
Description
Job Summary:
We are looking for a Compliance Officer who can support us part-time for conducting scheduled and unscheduled patient and professional audits and projects related to billing and payment integrity, workflow, and duties in order to ensure accurate and timely responses.
Must have deep understanding and knowledge of CMS regulatory landscape as it pertains to the following:
- Outpatient services, E&M coding, CPT codes, CCI, MIPS, MACRA
- Sleep and other diagnostics
- CMS Audits
- DME billing requirements and compliance requirements
- Population health services like CCM. PCM, RPM and RTM
- Healthcare cybersecurity and HIPAA
Must-Have Qualifications:
- Bachelor's Degree with 10 years experience in a compliance office or the equivalent;
- The American Academy of Professional Coders (AAPC) recognized coding certification (CPC, CPC-H, ACS, CCS-P/H, RHIA);
- Knowledge of medical auditing, State and Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD10, CPT, HCPCS, DRG coding;
- Demonstrated human relations and effective communication skills also required.
Essential Functions:
- Oversees, coordinates, and conducts scheduled and unscheduled billing and coding audits to ensure compliance with Organization, State and Federal guidelines
- Assist our organization in preparation for regulatory audits, by developing, monitoring, and updating quality controls and recommends actions to maintain compliance
- Recommends enhancements to facility and professional operating policies and procedures, based on audit results and/or billing and payment integrity data.
- Teams with providers, managers and staff to assist in implementing, coordinating, and monitoring compliance practices.
- Serves as an expert resource in issue resolution
Pay:
₹50, ₹75,000.00 per month
Schedule:
- Monday to Friday
Supplemental pay types:
- Performance bonus
Application Question(s):
- What would be your pay expectation?
Education:
- Bachelor's (required)
Experience:
Healthcare Compliance: 10 years (required)
Language:
- English (required)
License/Certification:
- AAPC recognized coding certification (required)
Work Location:
Remote
More jobs from Healthcare Hiring Firm
-
Remote Clinical Admin Support Staff for Us Based
Bengaluru, India - 4 days ago
-
Virtual Medical Assistant
Remote, India - 4 days ago
-
Medical Scheduler
Remote, India - 3 days ago
-
Remote Support Nurse
Remote, India - 5 days ago
-
Medical Biller
Remote, India - 2 weeks ago
-
Remote Support Nurse
Remote, India - 4 days ago