Compliance Coordinator

Job Summary:

This position is accountable for collaborating with and assisting the Valley Children's Healthcare Corporate Compliance Officer and the Compliance Manager with the development, implementation and facilitation of comprehensive healthcare corporate compliance, risk management and creating and performing improvement programs and compliance training for Valley Children's Healthcare professional service providers. . Provides content expertise with organization of projects and teams, statistical reports, and analyzing medical records for completeness, timeliness and accuracy. The Coordinator plans, organizes and implements the monitoring, evaluation and continuous improvement activities and works collaboratively to facilitate the organizational goals, mission and corporate culture of Valley Children's Healthcare.

Qualifications:

Job Details:

This role offers hybrid flexibility; however, candidates should expect a regular on-site presence, as determined by management.

Education

• High School Diploma/G.E.D. (required)

• College Degree - 4 year Healthcare related field (preferred)

Licenses and Certifications

• CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders (required)

• CPMA - Certified Professional Medical Auditor - AAPC - American Academy of Professional Coders within 18 months of hire or transfer into position (required)

Work Experience

• Minimum four (4) years Experience in a healthcare environment (required)

• Experience with researching, evaluating, interpreting and tracking changes in laws, regulations and guidelines and implementing changes in policies and procedures. (required)

• Experience with Medi-Cal and commercial payer guidelines preferred, particularly Evaluation and Management. (preferred)

• Experience with hospital (facility) coding and billing (preferred)

Skills and Abilities

• Public speaking skills highly recommended.

• Must have excellent verbal and written communication skills and able to communicate effectively providing verbal feedback in a professional manner.

• Demonstrate strong interpersonal skills and professional acumen with the ability to adapt in dealing with a variety of people at various levels within and outside of organization.

• Must have strong skill sets to learn new documentation and coding requirements in a fast-paced manner for services that are added to the healthcare system and the ability to educate to these for the professional providers.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation Range:

$38.25 - $56.60

Workshift:

Day (United States of America)

Position Exempt:

Yes

FTE %:

100

Scheduled Weekly Hours:

40

Daily Hours:

8

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