Compliance Manager
-Manage mitigation of potential billing risks to ensure compliance with False Claims Act, 60-Day Rule, payer requirements and corporate integrity agreement. Coordinate with Revenue Operations and Legal teams to analyze and reduce risk through controls and monitoring around claim setup, formatting and submission; payer responses; credit balance review and evaluation. -Partner with Revenue Operations to draft and update internal policies and procedures and process documents. Review… Show more -Manage mitigation of potential billing risks to ensure compliance with False Claims Act, 60-Day Rule, payer requirements and corporate integrity agreement. Coordinate with Revenue Operations and Legal teams to analyze and reduce risk through controls and monitoring around claim setup, formatting and submission; payer responses; credit balance review and evaluation. -Partner with Revenue Operations to draft and update internal policies and procedures and process documents. Review violations and recommend corrective action as needed-Worked with operations, IT and legal teams to develop and roll out IT update with impact to clinical and Revenue Operations teammates workflow; developed and managed communication strategy around update release-Coordinate with Chief Compliance Officer and administrator to develop agenda for department monthly meeting; compile deck for meeting and schedule speakers Show less