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Baylor Scott & White Health · 1 day ago

Senior Corporate Compliance Consultant- Healthcare Billing

United States

Full-time

Remote

Mid, Senior Level

$31.73/hr - $54.90/hr

3+ years exp

Baylor Scott & White Health is seeking a Senior Corporate Compliance Consultant specialized in Healthcare Billing. This role involves ensuring compliance with established policies and regulations through audits, assessments, and the development of training materials.

FitnessHealth CareMedicalSports

Responsibilities

Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs

Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions

Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way

Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters

Qualification

Healthcare ComplianceBilling ComplianceAuditing TechniquesMicrosoft WordMicrosoft ExcelCertified in Healthcare ComplianceDependabilityObjectivityWritten CommunicationOral CommunicationAttention to DetailIntegrity