HireMO

Job Summary

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Corporate Compliance Consultant works under the Coding Compliance Manager Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies. These activities ensure adherence to federal, state, and local laws and regulations.

Pay Range

The pay range for this position is $31.28/hour ($65,062/year) for those with entry-level qualifications up to $46.93 ($97,614) for those highly experienced. The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

Essential Functions of the Role

+ Identifies appropriate projects for audits and schedules audits with appropriate personnel.

+ Conducts auditing, monitoring, and investigating activities to establish compliance with BSWH policies and procedures, and federal, state and local laws.

+ Provides written audit and investigation reports, identifying risks and recommending appropriate steps to improve effectiveness and mitigate risks.

+ Obtains corrective action plans for identified deficiencies and follows through to establish effective implementation is completed.

+ Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness.

+ Provides and coordinates coding education with providers regarding audit trends. and training for compliance initiatives.

+ Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Key Success Factors

+ Demonstrates excellent written and oral communication skills with the ability to provide education to providers based on level of expertise.

+ Proficient in Microsoft Word and Excel.

+ Exercises good judgment, attention to detail, integrity, dependability, and objectivity.

+ Possesses exceptional critical thinking skills.

+ Demonstrates professional growth by obtaining continuing education and seeking certifications.

+ Demonstrates initiative by learning business processes and applicable auditing techniques.

+ HCCA Certification Preferred.

+ Advanced knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing and documentation requirements.

+ Experience auditing E/M services, surgical procedures, office-based procedures, and diagnostic services for multiple specialties.

Qualifications:

+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification

+ EXPERIENCE - 2+ Years of Experience, preferably in the Auditing space.

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Apply Externally

Jobs

Corporate Compliance Consultant 1

Summary

You Need a MO Jobs Account First

Jobs

Jobs

Corporate Compliance Consultant 1

Summary

Do You Have a MO Jobs Account?

First, Let's Find Your MO Jobs Account

Create an Account to Apply

You Need a MO Jobs Account First

HireMO Terms of Use

1. Acceptance and Changes

2. A No-Cost Public Workforce Service

3. Eligibility, Youth, and Authority

4. Accounts and Security

5. Accuracy Attestation and Program Information

6. Job Seeker Terms

7. Employer Terms

8. Assessments and Matching

9. Artificial Intelligence Features

10. Public Records and Required Notices

11. User Content and Permissions

12. Acceptable Use

13. Intellectual Property and Government Marks

14. Other Users and Third-Party Services

15. Electronic Communications

16. Suspension, Termination, and Records

17. Disclaimers

18. Limitation of Liability and Sovereign Immunity

19. Employer Indemnification

20. Governing Law and General Terms

21. Contact, Accessibility, and Complaints