HackensackRecruiter
the smart solution for Hackensack jobs

Physician Practice Compliance Specialist, Corporate Complian

Company: Hackensack University Medical Center
Location: Hackensack
Posted on: May 4, 2018

Job Description:

Physician Practice Compliance Specialist, Corporate Complian Job Description:Job Summary and Responsibilities: The Physician Prac Compliance Spec is responsible for assuring on-going compliance by actively participating in the Compliance Program for the Hackensack University Medical Group (HUMG) and for affiliated services. The Physician Prac Compliance Spec assures the integrity of the practice regulatory environment in consultation with the Chief Compliance Officer. This position proactively assesses changes in the regulatory environment; researches, investigates and responds to issues related to documentation, coding and any required licensure or accreditation. Ensures the accurate and timely documentation of professional services provided by HUMG. This position reviews claims, assesses adequacy and recommends enhancements to policies, procedures and internal controls for documentation and billing in order to assure compliance with payer and regulatory requirements including but not limited to those of Medicare, Medicaid and the State of New Jersey.1. Facilitates the timely submission of accurate claims through daily interaction with practice leadership, physicians, advanced practice nurses, coders, the Physician Billing Department, clerical and practice staff. 2. Performs retrospective and concurrent audits and performance improvement reviews to ensure compliance with regulatory and payer requirements. a. Reviews physician documentation in the medical record for appropriateness and to assure that the bill is reflective of the services provided. b. Reviews records to assess appropriate ICD-10 and CPT-4 assignment for Medicare, Medicaid and commercial payers for the purpose of reimbursement.3. Is an active participant in the development of workflow in the practice and in the Electronic Health Record in order to insure compliant documentation and billing.4. Maintains current knowledge of payer and regulatory requirements, including competency with ICD-10 and CPT-4 coding and for payer billing rules.5. Develops content and conducts training for physicians and staff to include issues identified through audits, payer activities, performance improvement reviews and changes in regulatory or payer requirements.6. Develops and maintains documentation and billing compliance manual for the physician practice.7. Monitors all aspects of the revenue cycle in order to assure complaint reimbursement to the group, provides reports as needed.8. Participates in committee assignments and reports to the Compliance Executive Committee as needed.9. Adheres to the standards identified in the Medical Center's Organizational Competencies.Working Conditions: Lifts a minimum of 10 lbs., pushes and pulls a minimum of 20 lbs. and stands a minimum of 2 hours a day. Education, Knowledge, Skills and Abilities Required: 1. BA/BS.2. Minimum of 5 years coding and/or audit experience in a hospital, consulting firm or practice management setting.3. Proficiency with ICD-9 (ICD -10) and CPT-4 methodologies. 4. Proficiency with physician documentation and reimbursement methodologies.5. Proficiency in the use of an electronic health record, preferably Epic Ambulatory.6. General computer proficiency and organization skills required.Education, Knowledge, Skills and Abilities Preferred: 1. Familiarity with JCAHO, NJ State DHSS and CMS regulations required with corporate compliance implementation.Licenses and Certifications Required: 1. CCS or CPC or equivalent coding credential.Licenses and Certifications Preferred:

Keywords: Hackensack University Medical Center, Hackensack, Physician Practice Compliance Specialist, Corporate Complian, Healthcare, Hackensack, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!


I'm looking for
in category
within


Other Healthcare Jobs


Physician / psychiatry / new york / locum tenens / adult psychiatrist job
Description: New York area facility seeks a BE/BC, NYS-licensed General
Company: FCS - Psychiatric Recruitment
Location: New York
Posted on: 05/25/2018

Endoscopy Nurse - RN Registered Nurse
Description: Endoscopy Nurse - RN White Glove Placement Inc. is a nurse staffing agency. We staff many major hospitals, nursing homes, correctional facilities and other healthcare institutions.
Company: White Glove Placement
Location: New York
Posted on: 05/25/2018

Virtual Health Coach (Entry-Level- Full Time Temp)
Description: Job DescriptionEffectively deliver a program that has the power to make tens of millions of people healthier and happier. Hack willpower, save lives, and have fun doing it.Noom, Inc. is a mobile solutions (more...)
Company: Noom, Inc.
Location: New York
Posted on: 05/25/2018


Permanent Cardiology Noninvasive Physician in New york, New York
Description: Cardiology Noninvasive physician employment in New York : Western New York State Non-Invasive General Cardiology PositionWe are
Company: Enterprise Medical Recruiting
Location: New York
Posted on: 05/25/2018

Physician: Adult Psychiatrist Needed in Manhattan, NY
Description: Join a prestigious health system in Manhattan, NY. This position
Company: CompHealth
Location: New York
Posted on: 05/25/2018

Travel Registered Nurse New York RN Jobs (Bayside,NY)
Description: Hiring for Registered Nurses Only br Seasonal Nationwide HealthCare Traveler RN Jobs - All RN Specialties Use our short More Information request form to get the information needed to choose your next (more...)
Company: HealthCare Traveler Jobs
Location: Bayside
Posted on: 05/25/2018

Psychiatric Nurse Practitioner (Wayne,NJ)
Description: Psychiatric mental health nurse practitioner needed for part-time locum tenens
Company: LocumTenens.com
Location: Wayne
Posted on: 05/25/2018

Physician / surgery - general / new york / permanent / new york, ny job
Description: Hair Replacement Surgery in New York. All outpatient
Company: The Curare Group
Location: New York
Posted on: 05/25/2018

Access Center RN Coordinator
Description: Do you have a Hospice Heart br br If your answer is yes, then you are just the nurse we are looking for. When days cannot be added to a life, we add life to remaining days. Our multidisciplinary (more...)
Company: MJHS
Location: New York
Posted on: 05/25/2018

RN Supervisor
Description: Job DescriptionJob DescriptionRN Supervisor Needed Day Shift - Dobbs Ferry, NY Day ShiftTop Pay Excellent BenefitsNurse Supervisor Job Duties: ul li Accomplishes nursing human resource objectives (more...)
Company: United Staffing Solutions
Location: Dobbs Ferry
Posted on: 05/25/2018

Log In or Create An Account

Username:
Password:
 

Forgot password?


Find us on Facebook

Find us on LinkedIn

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

Hackensack RSS job feeds