Senior Healthcare Compliance Associate jobs in United States
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Baylor College of Medicine · 2 days ago

Senior Healthcare Compliance Associate

Baylor College of Medicine is responsible for conducting activities related to healthcare compliance programs within the College. The Senior Healthcare Compliance Associate will analyze billing documentation, coordinate corrective actions, develop audit routines, and provide guidance and training to team members.

EducationHigher EducationPharmaceutical
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H1B Sponsor Likelynote

Responsibilities

Analyzes billing provider documentation for completeness and compliance with governmental rules and regulations
Identifies trends, gaps, and areas of improvement for each reviewed provider and summarizes by department
Coordinates corrective action with individual providers and assists coordinating training with the Education Manager
Develops audit routines in high-risk areas such as telehealth including evolving guidelines, government policy, and College policy
Responsible for performing daily documentation and coding audits to ensure correct compliance billing requirements are being followed by physicians, residents, and Advanced Practice Providers
Responds to billing compliance questions from providers of multiple specialties and entities for the entire breadth of Baylor clinical operations
Assists in preparing and providing summary audit results to the chairs of departments and individual faculty members
Analyzes chart documentation to perform compliance, billing and coding audits to ensure compliance and accuracy standards are being met
Performs record reviews to clarify missing, incomplete, or conflicting documentation to ensure accurate diagnosis and procedure code assignment as well as appropriate documentation
Attends related training and conferences and keeps abreast of any regulatory changes, policies, or procedures
Provides guidance and training for other team members
Performs other job-related duties as assigned

Qualification

Professional Coder CertificationCertified Professional Medical AuditorAdvanced experience in Epic EHRHealthcare compliance programsAnalytical skillsTrainingGuidanceCommunication skills

Required

Bachelor's degree
Four years of relevant experience
Professional Coder Certification (AAPC, AHIMA)

Preferred

Certified Professional Medical Auditor Certification (CPMA)
Advanced experience in Epic EHR

Company

Baylor College of Medicine

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Baylor College of Medicine, located in the Texas Medical Center, is a health sciences university located in Houston, Texas

H1B Sponsorship

Baylor College of Medicine has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (252)
2024 (208)
2023 (164)
2022 (196)
2021 (126)
2020 (136)

Funding

Current Stage
Late Stage
Total Funding
$10.85M
Key Investors
National Human Genome Research InstituteNational Heart, Lung and Blood InstituteCancer Prevention and Research Institute of Texas
2024-12-05Grant· $3.5M
2024-09-26Grant
2024-09-19Grant

Leadership Team

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Paul Klotman
President, CEO and Executive Dean
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Peggy Smith
Professir and CEO. Teen Health Clinics
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Company data provided by crunchbase