Billing Compliance Network Manager - Audit & Training Leader

Westchester Medical Center; Town of Mount Pleasant (NY); In loco; USD 120.000 - 160.000; Tempo pieno

Descrizione del lavoro

Westchester Medical Center is seeking a Network Manager, Billing Compliance, to lead enterprise-wide billing compliance programs ensuring adherence to CMS and state requirements. You will oversee audits, education initiatives, and corrective action plans, collaborating with providers and leaders to reduce risk and support accurate reimbursement.

The role requires strong leadership, extensive audit experience, and the ability to influence change across departments while maintaining compliance

Competenze

• 5 years of billing compliance experience is required.
• 3 years of leadership or management experience with a team of at least three to five people.
• Experience within a large academic medical center is preferred.

Mansioni

• Manage system-wide billing compliance programs and monitoring activities while ensuring adherence to CMS and state regulatory requirements.
• Direct routine and targeted billing audits for professional, hospital, and ancillary services.
• Analyze and quality assess audit findings to identify trends, risks, and opportunities and provide feedback to staff and internal leaders.
• Oversee corrective action plans and monitor effectiveness of remediation efforts.
• Monitor regulatory and payer policy changes that may impact billing and reimbursement practices.
• Support external audits, government inquiries, and payer investigations with cross-department collaboration for timely, compliant responses.
• Develop and deliver billing compliance training programs for revenue cycle staff, providers, managers, and operational leaders.
• Lead and mentor a team of compliance analysts, auditors, and specialists.
• Promote and establish departmental goals while improving staff KPIs.

Conoscenze

Billing compliance

Leadership

Audit & monitoring

Staff coaching

Formazione

Bachelor's Degree

Strumenti

EPIC

Cerner

Workday

Navex

MD Audit

Descrizione del lavoro

Westchester Medical Center is seeking a Network Manager, Billing Compliance, to lead enterprise-wide billing compliance programs ensuring adherence to CMS and state requirements. You will oversee audits, education initiatives, and corrective action plans, collaborating with providers and leaders to reduce risk and support accurate reimbursement.

The role requires strong leadership, extensive audit experience, and the ability to influence change across departments while maintaining compliance