University of Mississippi Medical Center
Introduction:
Directs and monitors the institutional healthcare compliance program, with specific emphasis on healthcare compliance of the university health system.
Job Description:
- Provides day-to-day management of assigned staff and provides direction to staff regarding audits, healthcare rules, laws and regulations .
- Coordinates and facilitates committee meetings, to include those compliance subcommittees that oversee compliance of the university health system.
- Stays abreast of federal and state rules, laws, regulations, policies/procedures, etc. that are applicable to healthcare, third-party billing policies/procedures to include specifically federal payers, and coding updates.
- Develops, implements, and maintains system-wide programs, policies and procedures to ensure compliance with federal and state rules, laws, regulations, policies/procedures, etc. that are applicable to healthcare.
- Develops/implements/presents training, as needed, to ensure institutional healthcare compliance. This will include both group and individual training, as necessary.
- Investigates/reviews allegations of alleged compliance plan violations, as needed or directed.
Required Qualifications:
Bachelor’s degree in business, healthcare or related field plus five years’ related compliance experience in a healthcare setting to include two years of supervisory experience.
Preferred Qualifications:
Certification in Healthcare Compliance (CHC)
Registered Health Information Administrator (RHIA)
Education Qualifications:
Advanced knowledge of medical billing, to include billing policies and procedures for federal payers; advanced knowledge of medical coding and coding guidelines, for both professional billing and facility/institutional billing; knowledge of federal and state rules, laws, regulations, policies/procedures, etc. that are applicable to healthcare; knowledge of accounting/business principles; verbal and written communication skills; possess the ability to speak in public settings/forums; analytical/critical thinking skills; ability to work independently and in a group setting; have knowledge about and be skilled in utilizing basic business software applications.