![RadNet](https://media.trabajo.org/img/noimg.jpg)
Senior Director of Auditing and Coding Compliance
2 months ago
Responsibilities
The Senior Compliance Director oversees the Radnet Compliance department’s billing and coding compliance auditing activities and assures the timely performance and consistent collection and analysis of compliance audit data and documentation. The Director identifies areas to audit, develops tools to perform audits and works with the Coding and Auditing Manager and Coding Auditor Specialists to deliver results to the Corporate Compliance Committee. The Director reports directly to and works closely with the Senior Vice President, Compliance and Regulatory Affairs (SVPCRA).
The Director will develop audit policy, procedures and related audit reports, standards, and tools. They will also maintain awareness of federal and state payer integrity program contractor activities, research federal and state regulations and guidelines for impacted related matters and review/draft policy and procedures, providing federal and state regulatory guidance and compiling subject matter research. The Senior Compliance Director will work closely with and support the Manager, Compliance Auditing & Projects and the Compliance department’s compliance auditing.
- Oversee compliance department auditing and monitoring functions.
- Create, integrate and implement new protocols, guidelines, policies and procedures and audit tools
- Oversee and manage the Compliance Manager and auditing team.
- Ensure timely performance and consistency of the collection and analysis of data and documentation.
- Prepare documents of compliance audit findings and recommendations for Quarterly Compliance Committee meetings
- Communicate findings and recommendations for corrective action to the Corporate Compliance Committee.
- Manage the corrective action process encourage timely follow up across departments.
- Support the Senior Vice President of Compliance and Regulatory Affairs (SVPCRA) with compliance matters.
- Maintain collaborative relationship with Revenue Cycle Operations leadership on compliance and reimbursement matters.
- Research and provide answers to questions asked about regulation, regulators and impacted business practices.
- Review and assist with drafting of policies and procedures on behalf of Compliance.
- Assist in the development and implementation of other components of the compliance program.
- Update Compliance and compliance related training and awareness- raising programs and materials.
- Maintains awareness of federal and state payer Integrity Program contractor activities.
- Assist with responding to government investigations, probes, audits and queries in coordination with General Counsel and associated leadership.
PLEASE NOTE: This is not an exhaustive list of all duties, responsibilities and requirements of the position described above. Other functions may be assigned and management retains the right to add or change duties at any time.
Minimum Qualifications, Education and Experience
- A four-year degree in business administration or health care administration or six or more years of experience in the radiology service industry and management experience.
- Must have current and maintain certification as one of one of the following Radiology Certified Coder (RCC), Certified Professional Coder (PCP, Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P).
- Knowledge of state and federal health regulations.
- Understands how external forces in the healthcare industry affects operations and revenues.
- Ability to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.
- Ability to communicate effectively through verbal and written communication.
- Ability to share information effectively and provide appropriate direction to team members.
- Ability to delegate responsibility and authority to team members.
- Ability to maintain proactive relationship with referring physicians.
- Respond to compliance and training attestations requested by third party payors.
- Knowledge of developing budgets, general computer skills, and Microsoft Office knowledge.
- Demonstrates leadership skills in interactions with peers in senior management.
- Maintains a “team” mentality within Compliance and Quality Assurance teams and as a member of senior management.
- Knowledge and understanding of CMS Regulatory, MAC and Medicaid/Medical guidelines as well as knowledge of payment schemes for out- patient encounters.
- Knowledge and ability to follow standard practices in coding and reimbursement with knowledge of CPT, ICD, and HCPCS codes.
-
Los Angeles, United States RadNet Full time $160,000 - $180,000Job DescriptionJob DescriptionResponsibilitiesArtificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience....
-
Senior Director, Regulatory Compliance
2 months ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $149,502.00 (Min.) - $201,827.00 (Mid.) - $254,152.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...
-
Senior Director, Regulatory Compliance
2 months ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $149, Min.) - $201, Mid.) - $254, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Senior Audit Specialist
1 week ago
Los Angeles, California, United States Bank of Hope Full timePosition Overview: As a Senior Internal Auditor at Bank of Hope, you will play a crucial role in evaluating and enhancing our operational and compliance frameworks. Key Responsibilities: Conduct thorough operational, compliance, credit, or financial audits under the guidance of the Audit Manager or Audit Director, which may encompass various audit...
-
Director of Compliance
1 month ago
Los Angeles, United States Los Angeles Center for Ear Nose Throat and Allergy Full timeJob DescriptionJob DescriptionDescription:Job Summary: The Director of Compliance is responsible for developing, implementing, and overseeing compliance programs related to medical standards including HIPAA and Occupational Safety and Health Administration (OSHA) regulations. This role ensures that the organization adheres to all relevant federal, state, and...
-
Director, Regulatory Compliance
3 weeks ago
Los Angeles, CA - Health Sciences Campus, United States Keck Medicine of USC Full timeThe Director, Regulatory Compliance (Medical Group) is responsible for implementing and maintaining a comprehensive provider compliance program. The position will be responsible for developing and leading training, policy development, monitoring auditing, reporting and enforcement efforts necessary to effectuate an effective provider compliance program....
-
Director of Internal Audit
2 months ago
Los Angeles, United States Pailin Group Psc Full timeDirector of Internal Audit — The Pailin Group Professional Search Consultants THE PAILIN GROUP PROFESSIONAL SEARCH CONSULTANTS About Us Job Search Client Services Diversity Candidate Services Pailin Group Store Contact Us February 17, 2019 Director of Internal Audit California Pailin Group Executive Search Director of Internal Audit Los Angeles, CA Job...
-
Senior Audit Supervisor
1 week ago
Los Angeles, California, United States Bridgeway Professionals Full timeCompany Overview: Bridgeway Professionals is a well-established and highly profitable regional CPA firm committed to delivering exceptional audit services. We pride ourselves on maintaining a healthy work-life balance and providing our employees with excellent benefits, including substantial bonuses and a 5% employer contribution to the 401K program.Position...
-
Senior Audit Supervisor
1 week ago
Los Angeles, California, United States Crescent City Recruitment Group Full timeSENIOR AUDIT SUPERVISOR Crescent City Recruitment Group is seeking a highly skilled Senior Audit Supervisor to join a well-respected and financially robust regional CPA firm. This role offers a commendable work-life balance, competitive benefits including substantial bonus potential, a 5% employer contribution to the 401K plan, and the opportunity to work...
-
Experienced Internal Audit Consultant
3 days ago
Los Angeles, California, United States Bank of Hope Full timePosition OverviewThe Senior Internal Auditor will be responsible for conducting various types of audits, including operational, compliance, credit, and financial audits, under the guidance of the Audit Manager or Audit Director. This role involves managing individual audit assignments and projects effectively.Key ResponsibilitiesConduct thorough audits,...
-
Senior Audit Supervisor
1 week ago
Los Angeles, California, United States SingerLewak Full timeSingerLewak stands as a prominent accounting and consulting firm recognized among the Top 100 in the western region. Since its inception in 1959, the firm has established a legacy of excellence and proficiency in the realms of accounting and management consulting. By offering a comprehensive suite of services akin to larger firms while fostering a diverse...
-
Music Audit Director
2 weeks ago
Los Angeles, United States Consultative Search Group Full timeA large and prestigious business management firm seeks a Music Audit Director to join their dynamic team. This is an excellent opportunity for an audit professional with music industry experience. Responsibilities: The Audit Director will be responsible for overseeing a team of auditors in executing royalty compliance procedures of record labels and music...
-
Lead Internal Audit Specialist
3 days ago
Los Angeles, California, United States Bank of Hope Full timePosition OverviewAs a Senior Internal Auditor at Bank of Hope, you will play a critical role in ensuring the integrity and compliance of our financial operations. Your expertise will contribute to the effectiveness of our audit processes and risk management strategies.Key ResponsibilitiesConduct operational, compliance, credit, and financial audits under the...
-
Director of QA
1 month ago
Los Angeles, United States RadNet Full timeJob DescriptionJob DescriptionResponsibilitiesJob SummaryThe Director of Quality Assurance & Safety Compliance is responsible for supervising all aspects of quality assurance and safety at all east coast RadNet centers, including annual QA reporting, mandatory annual compliance training, and regulatory compliance auditing and oversight. The position oversees...
-
Director of QA
2 weeks ago
Los Angeles, United States RadNet Full time $150,000 - $160,000Job DescriptionJob DescriptionResponsibilitiesJob SummaryThe Director of Quality Assurance & Safety Compliance is responsible for supervising all aspects of quality assurance and safety at all east coast RadNet centers, including annual QA reporting, mandatory annual compliance training, and regulatory compliance auditing and oversight. The position oversees...
-
Senior Audit Supervisor
1 week ago
Los Angeles, California, United States Integrity Placement Group Full timeSenior Audit SupervisorAbout Integrity Placement Group: Integrity Placement Group is a leading firm in the accounting and consulting sector, recognized for its commitment to quality and professional service. With decades of experience, we pride ourselves on delivering exceptional results and maintaining strong relationships with our diverse...
-
Senior Audit Supervisor
1 week ago
Los Angeles, California, United States Bridgeway Professionals Full timeCompany Overview: Bridgeway Professionals is a well-established and highly profitable regional CPA firm dedicated to providing exceptional audit services.Position Summary: We are seeking an experienced Audit Manager to enhance our dynamic team. This role offers a balanced work-life environment, competitive benefits including substantial bonus potential, and...
-
Director, Global HR Compliance
3 months ago
Los Angeles, United States FASTENER DISTRIBUTION HOLDINGS LLC. Full timeJob DescriptionJob DescriptionFDH Aero is a trusted global supply chain partner for aerospace and defense companies. With more than 55 years of experience, it specializes in c-class components that include hardware, electrical, chemical, and consumable products and services for global OEM and aftermarket customers. At FDH Aero, we understand that the...
-
Healthcare Coding Compliance Specialist
1 week ago
Los Altos, California, United States IDR Healthcare Full timeJoin IDR Healthcare as a Coding Compliance Specialist!IDR is on the lookout for a Coding Compliance Specialist to collaborate with one of our esteemed healthcare partners in a remote capacity. This role is perfect for those seeking to be part of a large organization that fosters a supportive and team-oriented environment.Position Overview:Coding Education...
-
Chief Audit Officer
1 week ago
Los Angeles, California, United States County of Orange Full timeDIRECTOR OF INTERNAL AUDIT POSITION OVERVIEWThe County of Orange is seeking applications for the role of Director of Internal Audit. This position is open to qualified candidates and will remain available until the vacancy is filled. ABOUT USThe County of Orange has been serving its community since 1889, providing essential services and benefits to its...