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Director of Compliance and Coding - Hilo

Company: On Time Talent Solutions
Location: Hilo
Posted on: May 12, 2022

Job Description:

Director of Compliance and CodingHilo, HawaiiAlso known as "The Big Island", Hilo is the largest island in the Hawaiian Islands and is home to rainforests, volcanoes and breathtaking state parks. Also, home to Hilo Medical Center and a variety of other nationally ranked healthcare clinics, the City of Hilo has different roles that can fit what you're looking for in your next role.On Time Talent Solutions is seeking a Director of Compliance and Coding who will be responsible for developing and executing key performance indicators with the Coding department.Director of Compliance and Coding Responsibilities:

  • Conduct periodic training workshops to promote awareness of governance, risk management, and internal controls
  • Direct programs, policies, and practices to ensure that all business units are in compliance with financial policy and reporting regulations
  • Oversees preparation and presentation of reports to the Audit Committee and/or the Compliance Committee, as applicable, and recommends solutions, guidance, and remedies
  • Maintain knowledge of current technical and professional coding certification requirements and promote recruitment and retention of certified staff in coding positions
  • Conduct meetings with providers to review coding and documentation issues, and educate on governmental and managed care specific requirements
  • Oversees activities around the annual independent audit and works closely with the independent audit firm to ensure a smooth, successful and timely auditDirector of Compliance and Coding Qualifications:
    • Bachelor's Degree in Nursing, Health Administration, Business Administration, or other appropriate field is required. Masters Degree is preferred
    • Requires a professional level of knowledge of medical, ICD9CM, ICD10, CPT and HCPCS coding terminology and documentation standards and guidelines
    • Five (5) years of professional experience as an auditor including two (2) years in healthcare industry
    • Requires knowledge of relational databases; previous SQL experience preferred
    • Certification in Healthcare Compliance a plus
    • Information systems audit or other experiences a plus
    • Experience using computerized audit tools such as IDEA a plus

Keywords: On Time Talent Solutions, Hilo , Director of Compliance and Coding - Hilo, Executive , Hilo, Hawaii

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