Compliance Analyst
2 months ago
Pay,Benefits, & Work Schedule
Full-time position available with the Fire Department, Billing Division located at 6750 Eastwood Trafficway
Salary Range: $5,794-$8,833/Month
Normal Work Days/Hours: Monday-Friday, 8:00 a.m.-5:00 p.m.
Application Deadline Date: June 24, 2024
Responsibilities
* Conducts periodic random audits of claims of both internal and external KCFD Billing activities to ensure compliance for ambulance billing, as it relates to Code of Federal Regulation (CFR).* Identifies potential HIPAA security and regulatory compliance risks and makes recommendations to mitigate risks.* Develops mechanisms to perform both internal and external audits and risk assessments and to respond to and adhere to regulatory and departmental policies and procedures.* Monitors industry trends related to medical billing laws, including but not limited to guidance and interpretative information provided by the Centers of Medicare/Medicaid Services,* Ensures the department's policies and procedures reflect current guidance.* Develops, implements, and monitors policies and procedures that align with HIPPA Medicare, Medicaid, and other applicable healthcare requirements to remain divisionally in compliance.* Provides technical guidance and training of work issues, and offers coaching and counseling, also conflict resolution to assist the Billing division reporting to KCFD senior leadership.* Reports audit results compliance efforts and other applicable activity to the Billing division and KCFD senior leadership.* Serves as the initial participant in the Billing divisions responses to external audits related to ambulance billing.* Serves as the principal entity to receive internal and external complaints regarding KCFD Medical billing to ensure practices are consistent with minimum necessary standards and all other relevant department policies.* Acts as liaison to external billing agents to ensure KCFD billing components are applied correctly and updated necessarily.
Qualifications
REQUIRES an accredited Master's degree in public or business administration, urban or regional planning, economics, organizational/development psychology, project management/or geography and 3 (OR an accredited Bachelor's degree and 5) years of professional experience in corporate/municipal finance, research, accounting planning, project/program management, or geographical information systems analytics.
Other Information
URGENT CRITICAL RECRUITMENT INFORMATION
Applications and/or resumes are evaluated on the information received by the application deadline. Please ensure that your application or resume clearly demonstrates how you meet the minimum qualifications for the position for which you are applying, this includes providing all relevant educational dates and a detailed description of relevant work experience, including months/years of employment. Applications and/or resumes may not be considered if information is incomplete.
In order for a resume to be used in lieu of an application the resume must have been submitted online via the City's Applicant Tracking System.
Positions requiring a high school diploma/GED certificate must be obtained from a school/program accredited by the Department of Education and recognized by the U.S. Secretary of Education.
The minimum education requirement for positions that allow for experience equivalency for an accredited degree is a high school diploma. Unless otherwise specified, an accredited degree must be obtained from a college or university listed with the U.S. Department of Education and recognized by the U.S. Secretary of Education.
For positions with a salary grade of EX6 or higher that require an accredited degree, qualifying professional experience must be obtained AFTER the accredited degree is obtained.
Successful completion of a pre-employment criminal history/background check is required for all positions. Some positions require a post offer drug screen and/or physical.
If appointed, non-residents must obtain residency inside Kansas City, Missouri's city limits within nine months.
The City of KCMO is an equal opportunity employer that values diversity and inclusion in the workplace.
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