Associate Vice President Revenue Management Controls and Compliance
4 weeks ago
Job Title: Associate Vice President Revenue Management Controls and Compliance Location: Danville, Pennsylvania Job Category: Revenue Management Schedule: Days Work Type: Full time Department: Office of the Chief Revenue Officer Date Posted: 04/16/2024 Job ID: R-60513 Job Summary ?Provides direction and oversight for billing and coding compliance related activities of Revenue Cycle. Specifically manages the audits of practitioner coding and documentation and performs coding audits in support of Geisinger’s Corporate Compliance Plan. Manages the responses to all audits performed by governmental and commercial third-party payers. Manages regulatory audits. Additionally, provides analysis and recommendations on billing and compliance issues. Provides oversight for the team responsible for the objective appraisal and evaluation of Revenue Management’s system of internal controls with special focus on those that have been designated as key controls. The team maintains the narrative of the revenue cycle and provides and performs audits and internal control assessments on an ad hoc basis. Provides oversight for the team responsible reviewing, designing, and implementing processes for security testing and performing regular audits on the role-based user security assignments. Job Duties Manages all operations within the Compliance, Internal Controls and Security Department in conjunction with direction from leadership. Provides oversight, direction, and support of staff and all compliance related activities, including Internal Controls and Security Testing. Responsible for development, maintenance and implementation of Revenue Management’s Compliance Program. Interfaces with all relevant departments to coordinate and monitor consistency with Compliance Program and with applicable regulatory requirements and reports these results to the appropriate leader and administrative departments. Expected to be the subject matter expert regarding issues in the field of coding and billing compliance. Leads efforts within the organization to promote compliance through education, training, audits, and other means as appropriate. Coordinates external audits, including appropriate response and the preparation of operational improvement plans. Disseminates information to key stakeholders on a timely basis. Reports compliance activity to various internal compliance committees as needed. Responsible as Medicare compliance subject matter expert for understanding all regulatory requirements applicable to the Medicare line of business, and for tracking changes to such requirements. With respect to governmental payers, coordinates the development of and oversees the implementation and maintenance of an investigation and remediation process to ensure prompt response to an investigation of any action inconsistent with applicable regulatory requirements. Reports the results of internal control testing to leadership and makes recommendations on corrective action plans. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Education Bachelor's Degree- (Required), Master's Degree- (Preferred) Experience Minimum of 5 years-Managerial/Supervisory (Required), Minimum of 7 years-Related work experience (Required) Our Purpose & Values OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
-
Danville, United States Geisinger Health System Full timeJob Title: Associate Vice President Revenue Management Controls and Compliance Location: Danville, Pennsylvania Job Category: Revenue Management Schedule: Days Work Type: Full time Department: Office of the Chief Revenue Officer Date Posted: 04/16/2024 Job ID: R-60513 Job Summary Provides direction and oversight for billing and coding compliance related...
-
Danville, United States Geisinger Health System Full timeJob Title: Associate Vice President Revenue Management Controls and Compliance Location: Danville, Pennsylvania Job Category: Revenue Management Schedule: Days Work Type: Full time Department: Office of the Chief Revenue Officer Date Posted: 04/16/2024 Job ID: R-60513 Job Summary Provides direction and oversight for billing and coding compliance related...
-
Danville, Virginia, United States Geisinger Full timeJob Title: Associate Vice President Revenue Management Controls and ComplianceLocation: Danville, PennsylvaniaJob Category: Revenue ManagementSchedule: Days Work Type: Full timeDepartment: Office of the Chief Revenue OfficerDate Posted: 04/16/2024Job ID: R-60513Job SummaryProvides direction and oversight for billing and coding compliance related...
-
Danville, United States Geisinger Full timeJob Title: Associate Vice President Revenue Management Controls and ComplianceLocation: Danville, PennsylvaniaJob Category: Revenue ManagementSchedule: Days Work Type: Full timeDepartment: Office of the Chief Revenue OfficerDate Posted: 04/16/2024Job ID: R-60513Job SummaryProvides direction and oversight for billing and coding compliance related...
-
Danville, United States Geisinger Health System Full timeLocation: Geisinger Medical Clinic Buckhorn Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Provides direction and oversight for billing and coding compliance related activities of Revenue Cycle. Specifically manages the audits of practitioner coding and documentation and performs...
-
Vice President
1 week ago
Danville, Virginia, United States Geisinger Full timeJob Title: Vice President & Chief Nursing OfficerLocation: Danville, PennsylvaniaJob Category: Nursing Administration, Nursing and Nursing SupportSchedule: DaysWork Type: Full timeDepartment: Office of the Chief Administrative OfficerDate Posted: 05/21/2024Job ID: R-61787Job SummaryResponsible for coordinating and driving the resources and activities...
-
Danville, United States Commonwealth of Virginia Full timeJob Duties : Greets visitors and assists in directing them to the appropriate service(s). Coordinates meetings and appointments for the Vice President of Workforce Services. Interprets college policies and procedures to individuals and organizations seeking workforce educational services. Creates faculty personnel folders for adjunct lecturers and...
-
Danville, United States Geisinger Full timeLocation: Geisinger Office Building I (GOB I) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Provides vision, organization and leadership for Health Information Management (HIM) within the system. Responsibilities include strategic planning, resource planning and...
-
Danville, United States Geisinger Full timeLocation: Geisinger Office Building I (GOB I) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Provides vision, organization and leadership for Health Information Management (HIM) within the system. Responsibilities include strategic planning, resource planning and...
-
Associate Vice President Health Information
2 days ago
Danville, United States Geisinger Full time**Job Summary**: Provides vision, organization and leadership for Health Information Management (HIM) within the system. Responsibilities include strategic planning, resource planning and prioritization, budget forecasting and management, continuous process improvement, strategic planning and effective communications to all appropriate levels. **Job...
-
Revenue Audit Clerk
1 month ago
Danville, United States Golden Nugget Danville Full timeJob DescriptionJob DescriptionJob purposeUnder the direction of the Revenue Audit Lead, the incumbent is responsible for ensuring that revenue generated by all revenue centers of the property are properly calculated and reported.Duties and responsibilitiesExhibit conduct in accordance with all Illinois Gaming Board (IGB) Rules and Regulations, Federal and...
-
Revenue Audit Clerk
3 weeks ago
Danville, United States Golden Nugget Danville Full timeJob DescriptionJob DescriptionJob purposeUnder the direction of the Revenue Audit Lead, the incumbent is responsible for ensuring that revenue generated by all revenue centers of the property are properly calculated and reported.Duties and responsibilitiesExhibit conduct in accordance with all Illinois Gaming Board (IGB) Rules and Regulations, Federal and...
-
Service Line Specialist Revenue Management
2 weeks ago
Danville, United States Geisinger Full time**Job Duties**: - Performs professional and/or hospital billing and collection functions within the revenue management to include, but not limited to billing and collection functions, secondary collections, cash posting, A/R resolution, adjustments, credit balance resolution, revenue enhancement and cash flow for the various clinical service lines. -...
-
Service Line Specialist Revenue Management
1 week ago
Danville, United States Geisinger Full time**Job Duties**: - Performs professional and/or hospital billing and collection functions within the revenue management to include, but not limited to billing and collection functions, secondary collections, cash posting, A/R resolution, adjustments, credit balance resolution, revenue enhancement and cash flow for the various clinical service lines. -...
-
Vice President Chief Nursing Officer
1 week ago
Danville, Illinois, United States OSF HealthCare Full timeOverview Expected pay for this position is $ $102.52/hour. Actual pay will be determined by experience, skills and internal equity.POSITION SUMMARY:Reporting to the President of the Medical Center, the Chief Nursing Officer is responsible for planning, directing and evaluating the operations of the patient services division and ensuring the provision of...
-
Vice President Recruitment, Organization
1 month ago
Danville, United States Geisinger Full time**Job Summary**: Accountable for developing, implementing and measuring Geisinger’s talent strategies and programs related to talent identification, attraction, acquisition, selection, joining, and retention for all departments, entities, regions and service lines across Geisinger. Responsible for the achievement of the system’s regulatory compliance...
-
Danville, United States AeroFarms Full timeAutomation and Controls Engineer or Associate Engineer Location: Danville, VA ABOUT AEROFARMS: AeroFarms is transforming agriculture with people and the planet in mind. As a Certified B Corporation and a pioneer in indoor vertical farming, we have built a proprietary agriculture platform to grow products, delivering superior flavor, better quality, and...
-
Administrative Assistant
6 days ago
Danville, United States Vitality Bowls Full timeIn 2011 Vitality Bowls was created in northern California from a commitment to provide healthy, high quality superfoods, smoothies, acai bowls and hand-crafted juices to communities throughout the US. The company is fast paced, exciting and has grown to over 100 stores. The company has an amazing opportunity with benefits for an Administrative Assistant...
-
Danville, United States AeroFarms Full timeJob DescriptionJob DescriptionAutomation and Controls Engineer or Associate Engineer Location: Danville, VA ABOUT AEROFARMS: AeroFarms is transforming agriculture with people and the planet in mind. As a Certified B Corporation and a pioneer in indoor vertical farming, we have built a proprietary agriculture platform to grow products, delivering...
-
Danville, United States AeroFarms Full timeJob DescriptionJob DescriptionAutomation and Controls Engineer or Associate Engineer Location: Danville, VA ABOUT AEROFARMS: AeroFarms is transforming agriculture with people and the planet in mind. As a Certified B Corporation and a pioneer in indoor vertical farming, we have built a proprietary agriculture platform to grow products, delivering...
