Compliance Program Audit Manager - Full Time Exempt - Days - QVH (On-Site)

Emanate Health • West Covina, CA

1d • $46 - $67 • Onsite

About The Position

Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.

The Compliance Program Manager is responsible for the oversight of the (Emanate Health Compliance Program) audit programs across the enterprise, including Emanate Health Medical Care Foundation (EHMCF) ambulatory services coding, Managed Care Hierarchal Condition Coding (HCC) and Emanate Health Chart-to-Charge audit programs. Required to travel to multiple worksites.

Requirements

• Bachelor’s and/or advanced degree in Health Administration, Health Information Management, Public Health, Nursing or a related field.
• Minimum of three (3) years of auditing experience required.
• Knowledge in health care operations in hospital and ambulatory/clinic settings.
• Excellent time management, conflict management, and communication skills.
• Detail oriented and strong analytical skills with the ability to identify trends and interpret results.
• Proficient in MS office.

Nice To Haves

• Auditing experience in an ambulatory/clinic setting preferred.
• Certification in medical coding (e.g. CCS, CPC, etc.) preferred.
• Other health care certifications (e.g. RHIA, RHIT, etc.) preferred.

Responsibilities

• Oversight of the Emanate Health Compliance Program audit programs across the enterprise.
• Overseeing ambulatory services coding audit programs for Emanate Health Medical Care Foundation (EHMCF).
• Managing Managed Care Hierarchal Condition Coding (HCC) audit programs.
• Conducting Emanate Health Chart-to-Charge audit programs.
• Traveling to multiple worksites as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager