Children's Health System of Texas
Sr Billing Compliance Analyst
Children's Health System of Texas, Dallas, Texas, United States, 75215
Sr Billing Compliance Analyst
At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being. Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all. Responsibilities:
Maintains knowledge of system policies and organizational processes that support the seven elements of an effective compliance program. Serves as a key department representative for potential payor audit program contacts and agencies. Develops general compliance educational activities. Works with leaders in the implementation of Billing Compliance program initiatives. Assists with internal monitoring and preparation of compliance reporting. Provides support to ensure that all billing compliance regulatory information is accurately communicated. Supports Corporate Compliance program efforts and initiatives. Coordinates with contractors, vendors, and delegated entities to provide assistance on key Corporate Compliance initiatives. Analyzes statistical data and reports to identify and determine health care compliance issues. Conducts retrospective coding & billing audits. Assesses and recognizes self-development needs. Work Experience:
At least 3 years relevant healthcare industry experience or equivalent experience in another highly regulated environment required. At least 2 years working knowledge of compliance, auditing and monitoring techniques and standards required. At least 2 years experience in Revenue Cycle or Health plan setting preferred. At least 1 year experience auditing activities and interacting with auditors and government agencies preferred. Education:
Four-year Bachelor's degree or equivalent experience required. Graduate or professional work or advanced degree; or equivalent experience preferred. Licenses and Certifications:
Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or nursing license (RN/BSN) upon hire required. Healthcare Compliance or equivalent Corporate Compliance Certification (ex. CHC, CHRC, CHPC, CHC-F, or CCEP) at time of hire, or within 3 years of hire preferred. We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute. Holistic Benefits How We'll Care for You: Employee portion of medical plan premiums are covered after 3 years. 4%-10% employee savings plan match based on tenure Paid Parental Leave (up to 12 weeks) Caregiver Leave Adoption and surrogacy reimbursement
At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being. Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all. Responsibilities:
Maintains knowledge of system policies and organizational processes that support the seven elements of an effective compliance program. Serves as a key department representative for potential payor audit program contacts and agencies. Develops general compliance educational activities. Works with leaders in the implementation of Billing Compliance program initiatives. Assists with internal monitoring and preparation of compliance reporting. Provides support to ensure that all billing compliance regulatory information is accurately communicated. Supports Corporate Compliance program efforts and initiatives. Coordinates with contractors, vendors, and delegated entities to provide assistance on key Corporate Compliance initiatives. Analyzes statistical data and reports to identify and determine health care compliance issues. Conducts retrospective coding & billing audits. Assesses and recognizes self-development needs. Work Experience:
At least 3 years relevant healthcare industry experience or equivalent experience in another highly regulated environment required. At least 2 years working knowledge of compliance, auditing and monitoring techniques and standards required. At least 2 years experience in Revenue Cycle or Health plan setting preferred. At least 1 year experience auditing activities and interacting with auditors and government agencies preferred. Education:
Four-year Bachelor's degree or equivalent experience required. Graduate or professional work or advanced degree; or equivalent experience preferred. Licenses and Certifications:
Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or nursing license (RN/BSN) upon hire required. Healthcare Compliance or equivalent Corporate Compliance Certification (ex. CHC, CHRC, CHPC, CHC-F, or CCEP) at time of hire, or within 3 years of hire preferred. We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute. Holistic Benefits How We'll Care for You: Employee portion of medical plan premiums are covered after 3 years. 4%-10% employee savings plan match based on tenure Paid Parental Leave (up to 12 weeks) Caregiver Leave Adoption and surrogacy reimbursement