Manager Audit Compliance
Company: Cone Health
Location: Greensboro
Posted on: April 24, 2024
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Job Description:
Manager Audit Compliance
ID
2023-21253
Location
Cone Health
Work Location
US-NC-Greensboro
Division : Name
System Wide
Department : Name
SW-Pt Acct Rev Integrity
Category
PROFESSIONAL/MNGMNT
Position Sub-Category
PROFESSIONAL/MNGMNT
Position Type
Full Time (40 hours/week)
Employment Type
Employee
Exempt/NonExempt
Exempt
FTE
1.00
Workforce Status
Hybrid I
Work Hours
40.00
Provider Schedule (specific schedule)
8-5, MONDAY TO FRIDAY
On call Required
No
Sub Category
Professional/Management
Overview
Manages compliance reviews for audit testing to ensure established
laws, regulations and policies are met. Works with departments in
the development of action plans or potential compliance issues that
have been identified. Ensures that policies related to Revenue
Cycle are updated and remain current.
Talent Pool: Corporate Services/Professional
Responsibilities
Manages assigned staff. Selects and hires qualified employees.
Conducts staff meetings (group and one-on-one) to ensure all
employees are kept up to date regarding process improvements and
key measures. Conducts consistent employee rounding sessions to
discuss any current departmental opportunities or successes.
Measures staff performance and recommends appropriate evaluation
results. Motivates and strengthens staff performance through
effective communications. Creates an environment conducive to
strong employee engagement and positive employee retention;
monitors results and creates action plans to address deficiencies
when needed.
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Sets key productivity and quality objectives. Identifies process
improvements; ensures department objectives are met. Conducts
audits and monitors achievement of quality and productivity
benchmarks. Monitors staff performance and provides coaching and
training where appropriate. Performs continuous quality monitoring
of compliance with all regulatory requirements which may include
compliance reports, denial reports, underpayment reports, credit
balances (ensuring all self-pay refunds are completed within
acceptable timeframes), vendor reconciliations and data
requests.
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Prepares and controls financial objectives. Plans, budgets and
utilizes resources in the most efficient manner. Assists with
operating and capital budget preparation; monitors expenditures and
prepares variance reports as needed. Monitors payroll (Kronos) and
labor productivity reports; makes adjustments in staffing levels as
needed. Assures that staff understand and comply with constraints
pertaining to spending and overtime.
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Directs, organizes and plans day-to-day operations of the
department to ensure maximum reimbursement, productivity and
efficiency. Supervises daily workflow to ensure accuracy of work.
Reviews work queues to ensure appropriate and consistent follow up
and resolution. Conducts audits to ensure that procedures and work
flows are efficient. Sets an example of professionalism and
courtesy in interactions with patients, families and team
members.
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Communicate policies and procedures to all staff; provide timely
updates when changes are made in policies and procedures. Conduct
audits to ensure that policies and procedures are being followed.
Ensure that difficult accounts and/or customer situations are
resolved by analytically applying health system policies and
procedures.
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Promotes staff knowledge of and compliance with regulations as they
pertain to Revenue Cycle performance. Develop training sessions as
needed on legal and regulatory guidelines. Inform staff of rules
and regulation changes that will affect daily operations of Revenue
Cycle. Schedule regular meetings with major payer groups to ensure
we have appropriate communication to resolve backlogs of
outstanding issues and account resolution.
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Maintains professional and technical knowledge. Remains informed of
professional issues and developments. Establishes positive personal
networks with healthcare affiliates both within and outside the
health system. Attends continuing education workshops and seminars
relevant to the healthcare industry or management. Takes
responsibility for own actions, avoiding blame or excuses.
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Qualifications
EDUCATION:Bachelors, Business Administration, Required
Bachelor Degree in Business Administration or Healthcare Management
preferred or High School Graduate or GED with ten years of
healthcare revenue cycle experience.
EXPERIENCE:3-6, Required
Minimum of 3 years of supervisory experience and 6 years of
healthcare revenue cycle experience required.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
N/A
PREFERRED
N/A
Keywords: Cone Health, Greensboro , Manager Audit Compliance, Executive , Greensboro, North Carolina
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