An industry leading integrated eye care provider is looking to add a Director of Compliance to their team! While reporting to the General Counsel, this role is aimed to maintain the Compliance program with proficiency in Revenue Cycle. This role will sit hybrid in the Los Angeles Metro area.
Responsibilities:
Draft policies and procedures, maintaining compliance with state and federal rules and regulations
Monitoring potential billing and coding issues, conducting investigations as necessary
Draft audit plans for scheduled and unscheduled audits and investigations
Preform audits on billing and coding directly from an EMR system, ensuring compliance with CPT coding standards and guidelines set forth by the Centers for Medicare & Medicaid services
Develop training and corrective action plans
Educate staff of compliance measures based on audit results and corrective action plans
Qualifications:
Bachelor's degree in Business Administration, Accounting, or a related field
5+ years experience working in compliance and revenue cycle within a healthcare system
Managerial experience
Experience in medical compliance auditing
CPT, ICD-10, HCPCS coding experience
Experience in Ophthalmology is a plus
CPMA, CHC preferred
Benefits:
Comprehensive healthcare
Continuing education opportunities
Hybrid (3 days in office)
