Manager Compliance - Physician Services

Lee Health; Fort Myers (FL); On-site; USD 53,000 - 69,000; Full time

Job summary

Lee Health in Fort Myers, FL, seeks a Compliance Manager to lead physician services compliance initiatives, oversee coding and reimbursement activities, and mentor the Compliance Analysts. You will contribute to risk assessments and work plans while coordinating with senior leadership on investigations and education.

Requirements include a Bachelor's degree (Masters preferred), 3 years in healthcare coding, billing, and reimbursement, plus CPC and CHC certifications.

Qualifications

• Bachelor's degree required; Masters preferred.
• 3 years experience in healthcare coding, billing and reimbursement.
• 3 years experience in compliance preferred.
• CPC certification required; CHC certification required.

Responsibilities

• Plans and implements key initiatives for the compliance program related to physicians, advanced providers, coding, billing, and reimbursement.
• Identifies and investigates potential compliance concerns and provides guidance to operational staff.
• Supervises daily work of Compliance Analysts and leads physician compliance investigations as delegated.

Skills

Compliance knowledge

Leadership

Analytical skills

Communication

Education

Bachelor's degree

Master's degree

Tools

EPIC EMR

Microsoft Office

Job description

Location:Westlinks -12801 Westlinks DriveFort Myers FL 33913

Department: Compliance

Work Type: Full Time

Shift: Shift 1/8:00:00AM to 4:30:00PM

Minimum to Midpoint Pay Rate:$38.48 - $50.01 / hour

Summary

Plans and implements key initiatives for the compliance program related to physicians, advance providers, coding, billing, and reimbursement. Identifies/Investigates potential compliance concerns and provides compliance guidance and education to operational staff related to professional coding, billing, documentation, and reimbursement activities. Responsible for contributing to the development of the Biannual Compliance risk assessment and work plan as it pertains to physician services issues. Supervises the daily work of Compliance Analysts and serves as team leader for physician compliancerelated investigations as delegated by the System Director Compliance Audit & Investigation.

Requirements

Education: Bachelors required; Masters preferred.

Experience: 3 years experience in healthcare coding, billing, reimbursement required. 3 years experience in compliance preferred.

Certification: CPC (Certified Professional Coder) required. Compliance certification (CHC) required.

License: N/A

Other: Ability to work effectively and collaboratively with others at any level of leadership. Possess appropriate, professional judgment to plan and accomplish goals. Ability to perform a wide variety of tasks. Possess resilience and flexibility to perform in a fast-paced (internal and external) environment of growth and change. Extensive knowledge of various compliance rules and regulations in the professional coding, billing, and reimbursement areas. Extensive knowledge of the various payment concepts including ICD-10, CPT, and managed care capitated arrangements. Extensive knowledge of electronic medical record (EPIC) for review of compliance with professional coding, billing, and reimbursement. Ability to participate with upper management in a decision support role through the development of appropriate management information. Ability to effectively coordinate the activities of outside consultants, at times under the attorney-client privilege and work product doctrine. Ability to supervise and lead teams toward the accomplishment of goals. Possess skill in using Microsoft office for analysis and report generation.

US:FL:Fort Myers