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Healthcare Revenue Cycle Compliance Manager

Company: Northeast Healthcare Recruitment, Inc.
Location: Brooklyn
Posted on: February 12, 2024

Job Description:

Large,multi-system 1199 Union hospital in Brooklyn offering competitive pay,tremendous opportunities for growth with an excellent Major Medical, PTO,Vision, dental plans. We are seeking a highly qualified andexperienced Revenue Cycle Compliance Manager to oversee the operations of theRevenue Cycle Billing and Reimbursement Compliance function across theenterprise. The primary responsibility of this role is to ensure that theorganization is in compliance with federal, state, and company guidelines.Additionally, the Revenue Cycle Compliance Manager will conduct audits ofmedical record documentation billed to third-party payers to verify compliancewith regulations and standards. Brooklyn's unique blend of cultural richness, diversity, andcommunity spirit makes it a dynamic and appealing borough within the bustlingmetropolis of New York City. Key Responsibilities: Oversee the Revenue Cycle Billing andReimbursement Compliance function across the enterprise. Ensure adherence to federal, state, and companyguidelines in billing and reimbursement processes. Conduct audits of medical record documentationbilled to third-party payers. Determine whether billed services provided topatients align with medical record documentation. Stay updated on government regulations relevantto healthcare billing and reimbursement. Implement and communicate changes in regulationsto ensure ongoing compliance. Verify that billed services are consistent withmedical record documentation. Ensure compliance with appropriate third-partybilling regulations and standards. Education and Experience: Bachelor's Degree in Healthcare Finance/Businessor a related field. Minimum of 4 years of experience in regulatoryand/or compliance in a healthcare setting. CHC Certification or other Coding Certification(e.g., CCS, CPC, etc.).

Keywords: Northeast Healthcare Recruitment, Inc., New York , Healthcare Revenue Cycle Compliance Manager, Healthcare , Brooklyn, New York

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