Ethics & Compliance Business Unit Manager jobs in Oregon

Summary: 

The Medical Compliance Audit Analyst implements and maintains provider education programs related to coding regulatory and other administrative issues, as well, is responsible for the Medicare compliance program at the Clinic. Performs monthly and annual audits per provider and reporting those results to Professional Standards. Regularly reports the results of audits and performs ad hoc EHR audits upon request.

Principal Responsibilities:

1. Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards Handbook. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.

2. Implements and maintains the corporate Medicare compliance program.

3. Works as a liaison with Administration and other Clinic committees in reporting on compliance issues. Makes recommendations for improvement.

4. Performs monthly and annual provider chart audits and reports progress to ensure compliance to Professional Standards.

5. Implements and maintains provider education program for coding and billing regulations. Publishes coding newsletter for providers.

6. Improve the quality of care through continuing education and self-evaluation of the effectiveness of care. This includes attendance/participation in most in-services/department meetings and remaining current on department policies and procedures.

7. Participate in orientation and training of new employees.

Education, Licensure and Experience: 

• Experience in auditing medical records for office visit and procedures required.
• Certified Procedural Coder (Preferred CPC through AAPC) required.
• 2 years coding experience (Preferred Multi-Specialty) required.
• Experience with CMS regulations and Compliance required.
• Knowledge of Commercial, Federal and State Insurance Policies required.

Knowledge and Skills:

• Excellent verbal and written presentation skills.
• Attention to detail and analysis performance.
• Intermediate to advanced computer skills.
• Ability to work well with providers and other staff.
• Ability to work on multiple tasks simultaneously in a busy, fast-paced environment while maintaining quality of work.

Perks and Benefits:

• Work-life balance is a top priority at The Corvallis Clinic
• 7 holidays 2 floating holidays = 9 Paid Holidays! Early release on Christmas Eve and New Year's Eve
• Generous Personal Leave Accrual
• Benefits: Medical w/ HSA or HRA, Dental, Flexible Spending Acct (FSA)
• Employer contribution to HSA and HRA (when enrolled in Medical Plan)
• Employer paid Long Term Disability (LTD), Basic Life/AD&D, Employee Assistance Program (EAP)
• Voluntary Benefits (Vision, Life Insurance and AD&D, Pet Insurance, Aflac, Legal Shield)
• Retirement - 401k eligible and auto enrolled after 90 days, 100% vested from day 1, with clinic match after 1 year (w/hours requirement) and Discretionary Profit Share after 2 years (w/hours requirement)
• Pay on Demand (up to 2x per month)
• Casual Fridays (with clinic approved attire)
• Year-round employee engagement events and festivities
• Team centered culture, delivering exceptional medical care with compassion and a commitment to service