South Shore Health ยท 5 hours ago
Compliance Coding/Billing Manager
Weymouth, MA
Full-time
Onsite
Mid, Senior Level
$93K/yr - $140K/yr
5+ years expSouth Shore Health is seeking a Compliance Coding and Billing Manager to promote ethical coding and billing practices. This leadership role involves overseeing coding and compliance auditors, ensuring compliance with laws and regulations, and coordinating billing audit activities.
Health CareHome Health CareHospitalNon Profit
Responsibilities
Monitors organization wide compliance with federal and state billing regulatory guidance
Conducts prospective or retrospective coding and billing compliance audits
Serves as an independent resource to clinical or operational departments on coding, documentation and regulatory guidelines
Develops, prepares and reports compliance metrics to the Compliance Audit and Risk Committee and as needed
Assists the Chief Compliance Officer with the development and implementation of the annual compliance risk assessment and internal work plan
Participates in development training tools and materials
Delivers education to providers, clinical and department staff on compliant documentation and regulatory guidelines
Manages the Compliance audit team within the Compliance office
Identifies trends in billing, coding and documentation errors. Recommends and monitors implementation of corrective action plans
Develops SSH compliance policies and procedures as required
Performs other related duties as assigned
Qualification
Required
Bachelor's Degree
5 plus years of work experience
CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or
CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or
CCS-P - Certified Coding Specialist-Physician Based (AHIMA-American Health Information Management Assoc) or
CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or
CPMA - Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or
RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Assoc)
In depth knowledge and experience with Centers of Medicare and Medicaid Services regulatory guidance
Audit methodology
Ability to develop and effectively deliver coding/billing education to physicians and organization colleagues
Proficiency with Microsoft Office applications
Company
South Shore Health
South Shore Health System is a not-for-profit charitable health system offering primary & specialty care, hospital care & community care.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Allen L. Smith
President/CEO
Recent News
2025-12-02
2025-11-26
2025-09-12
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