Revenue Cycle Compliance Manager (Remote)
Company: Kaiser Permanente
Location: Pasadena
Posted on: January 11, 2021
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Job Description:
Revenue Cycle Compliance Manager (Remote)Location: Pasadena,
CADate posted: 12/04/2020View Disability AccomodationsNavigating
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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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