Audit/Policies & Procedures Coordinator - Regulatory Affairs
About The Position
This position is responsible for the coordination of the organization’s compliance program and policy and procedure activities. For compliance duties include staying up-to-date on all relevant regulations, serving as a resource to the organization for regulatory guidance, monitoring the audit activities of payors and regulatory agencies, conducting ad hoc audits to determine organizational risks and vulnerabilities, maintaining the organization’s compliance log, and submitting provider enrollment applications to the payors as needed. For policy and procedure activities, duties include providing assistance with maintenance of the organization’s Policy Manager database; providing policy assistance; and providing education assistance on the policy and procedure process and system.
Requirements
- Bachelors degree or five (5) years experience in healthcare billing, coding, nursing or related area
- One (1) year of experience in healthcare billing, coding or related area
Nice To Haves
- Bachelor’s Degree in a health-related field
- Masters degree/ten (10) years experience in healthcare billing, coding, nursing or related area
- Coding Certification: AAPC or CCS
- Registered Nursing/BSN
Responsibilities
- Staying up-to-date on all relevant regulations
- Serving as a resource to the organization for regulatory guidance
- Monitoring the audit activities of payors and regulatory agencies
- Conducting ad hoc audits to determine organizational risks and vulnerabilities
- Maintaining the organization’s compliance log
- Submitting provider enrollment applications to the payors as needed
- Providing assistance with maintenance of the organization’s Policy Manager database
- Providing policy assistance
- Providing education assistance on the policy and procedure process and system
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
