The Compliance Consultant responsibilities include, but are not limited to, the following:
* Provides compliance expertise and advice to all Corporate Health entities
* Performs compliance reviews utilizing discretion, latitude and independent judgment
* Develops compliance educational programs, policies and procedures
* Documents findings and makes written recommendations for corrective action needed to maintain compliance
* Designs and conducts education/training for employees regarding billing, coding and other compliance matters
* Maintains extensive knowledge and experience pertaining to regulatory compliance and coding and billing of services to Federal healthcare programs
* Conduct training presentations in formal and informal settings
Qualifications:
* RHIA, RHIT, CCS, or CPC with minimum 3 years coding experience
* Expert knowledge of ICD-9 and CPT-4 coding and UB-04 and/or CMS-1500 claim billing
* Previous compliance experience strongly preferred
* Thorough understanding of regulatory compliance issues
* Advanced knowledge of Microsoft Office
* Must be able to communicate effectively in English (verbal/written)
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