Position Purpose

Contributes to the fulfillment of the Renown Health purpose by promoting a culture of ethical and compliant billing behaviors and practices accomplished through planning, coordinating, implementing and maintaining a system-wide billing compliance program as part of the Renown Health Corporate Compliance Program. This billing compliance program provides education, guidance, audits and monitoring of billing activity for Renown Health entities.Serves as the primary Renown Health resource regarding issues related to billing compliance, which includes appropriate business practices for patient registration, documentation, coding, and claim submission.In collaboration with the Internal Audit Department also supports projects related to compliance risk assessments, compliance audit and self-monitoring programs, and compliance audits conducted by independent outside firms.

Nature and Scope

This position is responsible for identifying and assessing areas of compliance risk; assisting with the development and implementation of compliance training and education programs; serving as a point of contact for Renown Health employees regarding potential compliance concerns and questions; researching federal and state regulations; monitoring and communicating regulatory changes that impact Renown Health entities; and supporting the Corporate Compliance Officer in timely detection, response, investigation, analysis and applicable corrective action pertaining to any compliance matter.

The Billing Compliance Coordinator shall chair the Coding and Documentation Compliance Sub-Committee, the CBO Billing Compliance sessions, and participate in the Renown Health Compliance Steering Committee.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.The responsibilities of this position may include the performance of other duties.

This position does not provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. A Bachelor's degree in Business Administration or related field is preferred.

Experience:

Requires a minimum of five years of health care billing or regulatory experience. Preference will be given to those applicants with experience in more than one setting (i.e. skilled nursing facilities, acute hospital, home health, physician office, etc.) and/or clinical experience.

License(s):

None

Certification(s):

CHC certification preferred.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook,PowerPoint, Excel and Word andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.