Manager-Compliance

1 month ago

Springfield, United States Mercy Full time

Overview:

Were a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its Top 100 Places to Work.


Overview:

Responsible for the oversight and direction of Payor Audit & Denials Program initiatives and related implementation activities specific to the program. Provides leadership and supports executive decision-making. Ensures strategies are executed and operational with action plans and tools to track progress and monitor performance. This position is responsible for managing the day-to-day activities of the Payor Audit & Denials Program Support co-workers in a manner that produces quality outcomes.


Qualifications:

  • Education: A bachelors degree in business, healthcare administration or a related field.
  • Experience:
    • A minimum of 5 or more years of direct experience managing staff in a health care setting.
    • Proven ability to analyze and efficiently interpret data.
  • Preferred Certifications: Certification in Healthcare Compliance (CHC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Revenue Cycle Representative (CRCR), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)

OTHER SKILLS & KNOWLEDGE:

  • Advanced statistics skills and quantitative analysis ability.
  • Prior people management/supervisory experience.
  • Excellent analytical and report development skills; proven ability to apply analytical thinking in a business setting.
  • Experience within the revenue cycle function as it relates to billing, coding and denial management
  • Strong critical/conceptual thinking skills combined with the ability to synthesize information to see the big picture while effectively managing details.
  • Strong business acumen with the skills to challenge leaders across all functional disciplines
  • Experience summarizing data and building executive level presentations and communication packages utilizing tools such as MS PowerPoint.
  • Excellent interpersonal, communication and organizational skills to effectively work with others involved in the audit and appeal process.
  • Must possess the ability to prioritize, delegate, and organize various tasks/projects simultaneously to ensure departmental and Mercy-wide goals are timely met.
  • Possesses integrity, imagination and initiative as evidenced by self-improvement.
  • Demonstrates personal qualities such as kindness, compassion, understanding, integrity, interest and respect for others.
  • Ability to maintain confidentiality when working with sensitive information.
  • Ability to stay current on changing regulations related to Payer Contractors.
  • Knowledge of computer applications and their implications on the audit and appeal process.
  • Creative, results-oriented, well organized, task-driven, self-starter with high energy level, and ability to influence others
  • Ability to work in a fast-paced environment in an independent manner to accomplish and carry out goals/objectives in a collaborative manner.
  • Very high personal integrity and work ethic with the ability to demonstrate and obtain the respect of individuals who they manage and/or supervise.
  • Ability to travel periodically across the Ministry as required.

We Offer Great Benefits:


Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period

Were bringing to life a healing ministry through compassionate care.


At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. Were expanding to help our communities grow. Join us and be a part of it all.


What Makes You a Good Match for Mercy?


Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. Were also collaborative and unafraid to do a little extra to deliver excellent care thats just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

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