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Revenue Cycle Compliance Manager (Remote)

Company: Kaiser Permanente
Location: Pasadena
Posted on: January 11, 2021

Job Description:

Revenue Cycle Compliance Manager (Remote)Location: Pasadena, CADate posted: 12/04/2020View Disability AccomodationsNavigating the Hiring ProcessWe're here to support youHaving trouble with your account or have questions on the hiring process?Please visit the FAQ page on our website for assistance.Need help with your computer and browser settings?Please visit the Technical Information page for assistance or reach out to the web manager at kp-hireskp.org.Do you need a reasonable accommodation due to a disability?A reasonable accommodation is any modification or adjustment that enables you to fully participate in completing the following:Online SubmissionsPre-Hire AssessmentsInterview ProcessPlease submit your accommodation request and an HR Representative will contact you. Description:Responsible for leading compliance initiatives both within the compliance function as well as across functions across the enterprise, as well as managing relationships and maintaining communications with stakeholders at all levels, both internally and externally. Accountable for brokering agreements and gaining support for compliance initiatives from decision makers at all levels. Leads and directs the researching, planning, implementation, and monitoring, validation, and reporting for a broad portfolio of compliance systems and initiatives to enable organizational compliance with all applicable Federal, state, and local regulations/laws, as well as overseeing the protection of organizational assets. On an on-going basis, oversees the researching and interpretation of regulations and laws to establish compliance standards, and may direct the development and/or delivery of training and communications/change management relative to new standards. Is responsible for the Assessment of organizational systems (both physical and process or data related) to determine gaps in compliance and determine opportunities for remediation. Advises the organization on all compliance matters. May direct the investigation of violations of compliance policy, laws, regulations, etc. or on-going monitoring and reporting to ensure remediation. May be responsible for project management relative to new compliance, ethics and integrity initiatives, products, or annual processes.Essential Functions:- Personnel Management: Manages the efforts of direct reporting, as well as matrix reporting, positions. Responsible for selecting, developing, and deploying personnel in the most effective manner to meet assigned objectives. Responsible for performance management, compensation decisions, and providing on-going, regular developmental feedback.- Communications, Stakeholder Management, and Facilitation: Facilitates communications, manages relationships with stakeholders, and garners support and agreement from involved parties for compliance initiatives and programs in assigned functional areas.- Issue Management, Response, and Mitigation: Responsible for issue management, response, and mitigation in assigned functional areas. Anticipates issues through regular communication with reporting positions, mitigating risk or escalating issues for resolution by more senior levels as necessary.- Change Management: Responsible for leading change management efforts related both to specific functional areas as well as larger departmental goals or objectives. Identifies and acts upon opportunities to leverage direct reporting team in change management activities; ensures direct reporting team is engaged in change management as appropriate.- Project Management: Responsible for management of project plans for individual objectives or projects as well as ensuring project timelines and objectives are met for projects managed by reporting positions.- Strategic development: Provides information relative to the identification and development of objectives, goals, and strategy relative to individual functional area. May participate in development of same.Basic Qualifications:Experience- Minimum two (2) years of management experience.- Minimum eight (8) years of compliance-related experience.Education- Bachelor's or clinical degree, OR four (4) years of experience in a directly related field.- High School Diploma or General Education Development (GED) required.License, Certification, Registration- N/A.Additional Requirements: - Expert knowledge of compliance policies, practices and systems.- Develops advanced compliance principles, theories, and concepts.- Expert knowledge of compliance-related practices and standards.- Project management skills.- Must be able to work in a Labor/Management Partnership environment.Preferred Qualifications:- CCS, CPC or other Coding CertificationCHC CertificationSignificant experience managing billing, coding or revenue cycle compliance functionsThorough understanding of Medicare and Medicaid billing regulationsExperience managing billing, coding and documentation auditsExperience with revenue cycle compliance or operations in the inpatient or outpatient settingExperience with risk identification, mitigation and remediation in the revenue cycle spaceMust be able to manage and delegate incoming requests for guidance or investigate reported issuesMust be comfortable developing and presenting revenue cycle compliance education and trainingPrimary Location: California,Pasadena,East Annex - ParsonsScheduled Weekly Hours: 40Shift: DayWorkdays: Mon, Tue, Wed, Thu, FriWorking Hours Start: 8:00 AMWorking Hours End: 5:00 PMJob Schedule: Full-timeJob Type: StandardEmployee Status: RegularEmployee Group/Union Affiliation: NUE-PO-01-NUE-Non Union EmployeeJob Level: Manager with Direct ReportsJob Category: Compliance / Privacy / RegulatoryDepartment: Revenue Management Compliance - Revenue CycleTravel: Yes, 5 % of the TimeKaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

Keywords: Kaiser Permanente, Pasadena , Revenue Cycle Compliance Manager (Remote), Executive , Pasadena, California

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