Senior Corporate Compliance Consultant- Healthcare Billing

Description - External JOB SUMMARY

The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.

The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced). The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.

• Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs.
• Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions.
• Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way.
• Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters.

• Continually demonstrates initiative by learning business processes and applicable auditing techniques.
• Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity.
• Excellent written and oral communication skills based on level of expertise.
• Proficient in Microsoft Word and Excel.
• Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred.

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note:

Benefits may vary based on position type and/or level.

• EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
• EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.