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Compliance Coordinator - Coding/HIM
Compliance Coordinator - Coding/HIM-February 2024
Rochester
Feb 2, 2025
About Compliance Coordinator - Coding/HIM

  Description

  HOW WE CARE FOR YOU:

  At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

  Pension PlanRetirement PlanComprehensive Benefits PackageTuition ReimbursementBenefits Effective Date of HireSame Day Pay through Daily PaySUMMARY

  Minimizes risk to the organization by conducting Corporate Compliance audits, investigations and training throughout all affiliates. Guides system administration and RGHS management to ensure compliance with local, state and federal laws and regulations; in addition to contract obligations. Acts as subject matter expert for building and continually optimizing the system's EMR. Work is often confidential and sensitive; therefore requires a high level of professionalism and strong communication skills. Requires a high degree of mental and visual acuity as attention to detail, critical thinking and decision making is required. Errors greatly impact the hospital's compliance risk, including legal fines, loss of revenue and statistics. Strong analytical skills, project management experience, and training skills to guide Physicians, staff and system Management in interpretation of rules and regulations are essential.

  STATUS: Full time

  LOCATION: Riedman Campus

  DEPARTMENT: Corporate Compliance

  SCHEDULE: Monday - Friday days

  ATTRIBUTES

  RHIT, RHIA, CCS, or CCS-P preferred. Relevant health care related certification with experience may be considered in lieu of above certifications.AAS or BS in Health Information Management, Health Care Administration, Finance, or Accounting, and experience with healthcare compliance. A combination of healthcare work experience, credentials and/or education will be considered.RESPONSIBILITIES

  Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association. As senior member, applies mastery of skills in area of specialization, provides guidance and general oversight to less experience employees and may train new employees. The duties and tasks of this senior position reflect substantial variety and complexity. The senior serves as a resource to others in the resolution of complex issues and technical skills.Manages projects independently, prepares governmental disclosures and facilitates external audits by regulatory agencies while working with RGHS Administration and Management.Coordinates and conducts audits to assess compliance with payer regulations and contract obligations. Audits include, but not limited to revenue cycle (Clinical documentation, EMR work flows, registration, coding, charging, billing, payments and denials), financial statements, payments and attestations; grants, RGHS employees and contractors for governmental exclusions and payment agreements.Interviews key staff with professionalism and respect in order to identify cause analysis of issues identified.PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

  PAY RANGE: $66,000.00 - $82,000.00

  The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

  Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

  Minimum Salary: 66000.00Maximum Salary: 82000.00Salary Unit: Yearly

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