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Revenue Cycle Audit & Compliance Manager - PBS Compliance

Requisition # 19004696 Apply Now

The Revenue Cycle Audit & Compliance Manager develops, monitors and directs the audit and compliance programs for Cedars-Sinai Medical Network, in coordination with Cedars-Sinai Health System Corporate Integrity Program. Primary focus is to ensure professional coding, audit, documentation and data quality is in compliance with all regulatory Federal and state requirements and Cedars-Sinai standards and policies. The position is directly responsible for assuring the key elements of an effective revenue cycle compliance program are in place and operationalized as it relates to the Corporate Integrity Program (e.g., policies, education, risk assessments, profiling, work plan monitoring, audit, reporting and corrective/remedial actions and daily operations). Provides guidance and education designed to promote regulatory compliance related to charge capture, documentation, coding and billing within Cedars-Sinai’s Medical Network, Faculty Departments, Enterprise Information Systems and all departments responsible for professional documentation and revenue. This leadership position is responsible for achieving the goals of the Revenue Cycle Compliance program which are designed to further advance the Cedars-Sinai Medical Network mission of providing quality health care to all patients, while ensuring prevention of fraud, waste and abuse in our health care delivery system.

Education:
High School diploma or GED requirement. Bachelors degree in healthcare, business, finance or related field preferred.

License:
CPC or CCS required. HCCA certification preferred.

Experience:
At least five (5) or more years’ experience working in physician billing compliance in a large, preferably academic institution.  Experience with the Compliance Program for Physician Practices from the Office of Inspector General. At least five (5) years experience in researching complex coding compliance issues and questions, and ability to develop effective education programs for adult learners (coders, physicians, nurses) is required.
  • Working Title: Revenue Cycle Audit & Compliance Manager - PBS Compliance
  • Department: MNS PBS Compliance
  • Business Entity: Medical Network
  • City: Beverly Hills
  • Job Category: Clinical Operations
  • Job Specialty: Clinical Operations
  • Position Type: Full-time
  • Shift Length: 8 hour shift
  • Shift Type: Day
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Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.

About Our Location

Beverly Hills, California

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