Manager Billing Compliance
Description
Job Summary
Responsible for the oversight and management of auditing and monitoring activities, policies and procedures, risk assessments, and development of risk-based educational materials to ensure compliance with federal / state laws and regulations, and Nicklaus Children's policies.
Responsibility involves the management of three (3) billing compliance personnel, workflow analysis, productivity, auditing, quality review, problem resolution, and hands on supervision.
Job Specific Duties
- Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department.
- Create audit schedules and manage workflows to adhere to the audit schedule.
- Oversee and supervise billing compliance personnel, including work allocation, production expectations, training, quality of work performance, and implement corrective action plans to improve performance, if needed.
- Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc.
- Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations.
- Conduct DRG validation (clinical / coding) audits to determine accuracy of billing through verification of coding and supporting clinical documentation.
- Consult and seek guidance and direction from the compliance directors and / or Chief Compliance Officer as necessary.
- Review, assesses, study, and analyze the overall coding, billing, documentation and reimbursement system for potential compliance problems.
- Serve as a point of contact for reports of billing compliance concerns or potential issues. Respond timely and professionally.
- Support the development and rollout of billing compliance educational materials and provide in-person or on-line training as needed.
- Investigate billing compliance matters filed with regulatory agencies at the direction of the compliance directors and / or Chief Compliance Officer.
- Conduct and / or manage special projects to include due diligence audits, government and payer audit investigations and queries, including, Recovery Audit Contractors (RAC) and Medicaid Integrity Program Contractors.
- Maintain current knowledge of changes in federal and state coding and billing regulations / guidelines and ensure staff is kept informed.
- Perform special audits and other duties as assigned.
Qualifications
Minimum Job Requirements
- Bachelor's Degree in Healthcare Administration, Business, or related field
- Certified Inpatient Coder (CIC) required upon hire
- Certified in Healthcare Compliance and / or other Coder certifications Hospital Fee and Professional Fee (e.g., CPMA, CPC, CCS, RHIT) required within one year in position.
- 4-7 years Experienced in billing compliance, medical coding, or other relevant experience
- 4-7 years Supervisor experience in compliance coding / billing audits
- Healthcare provider / payer experience
- Complex investigation and audit experience
Knowledge, Skills, and Abilities
- Thorough knowledge and understanding of diagnosis-related group (DRGs) and overall hospital billing, coding, and documentation.
- Knowledge and understanding of Centers for Medicare and Medicaid Services (CMS) guidelines.
- Ability to maintain highest level of confidentiality.
- Ability to follow-through, meet regulatory deadlines, and anticipate.
- Ability to lead in a team environment with minimal supervision.
- Strong analytical and problem-solving skills.
- Excellent time management and organization skills.
- Able to use considerable use of tact, diplomacy, discretion, and judgment.
- Systems knowledge of Cerner.
- Effective training and presentation skills.
- Knowledge of Federal and State regulations related to healthcare billing compliance.
Job : Management
Management
Primary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
Department :
COMPLIANCE-1000-910900
Job Status
Full Time
Related Jobs
Manager Billing Compliance
Description
Job Summary
Responsible for the oversight and management of auditing and monitoring activities, policies and procedures, risk assessments, and development of risk-based educational materials to ensure compliance with federal / state laws and regulations, and Nicklaus Children's policies.
Responsibility involves the management of three (3) billing compliance personnel, workflow analysis, productivity, auditing, quality review, problem resolution, and hands on supervision.
Job Specific Duties
- Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department.
- Create audit schedules and manage workflows to adhere to the audit schedule.
- Oversee and supervise billing compliance personnel, including work allocation, production expectations, training, quality of work performance, and implement corrective action plans to improve performance, if needed.
- Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc.
- Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations.
- Conduct DRG validation (clinical / coding) audits to determine accuracy of billing through verification of coding and supporting clinical documentation.
- Consult and seek guidance and direction from the compliance directors and / or Chief Compliance Officer as necessary.
- Review, assesses, study, and analyze the overall coding, billing, documentation and reimbursement system for potential compliance problems.
- Serve as a point of contact for reports of billing compliance concerns or potential issues. Respond timely and professionally.
- Support the development and rollout of billing compliance educational materials and provide in-person or on-line training as needed.
- Investigate billing compliance matters filed with regulatory agencies at the direction of the compliance directors and / or Chief Compliance Officer.
- Conduct and / or manage special projects to include due diligence audits, government and payer audit investigations and queries, including, Recovery Audit Contractors (RAC) and Medicaid Integrity Program Contractors.
- Maintain current knowledge of changes in federal and state coding and billing regulations / guidelines and ensure staff is kept informed.
- Perform special audits and other duties as assigned.
Qualifications
Minimum Job Requirements
- Bachelor's Degree in Healthcare Administration, Business, or related field
- Certified Inpatient Coder (CIC) required upon hire
- Certified in Healthcare Compliance and / or other Coder certifications Hospital Fee and Professional Fee (e.g., CPMA, CPC, CCS, RHIT) required within one year in position.
- 4-7 years Experienced in billing compliance, medical coding, or other relevant experience
- 4-7 years Supervisor experience in compliance coding / billing audits
- Healthcare provider / payer experience
- Complex investigation and audit experience
Knowledge, Skills, and Abilities
- Thorough knowledge and understanding of diagnosis-related group (DRGs) and overall hospital billing, coding, and documentation.
- Knowledge and understanding of Centers for Medicare and Medicaid Services (CMS) guidelines.
- Ability to maintain highest level of confidentiality.
- Ability to follow-through, meet regulatory deadlines, and anticipate.
- Ability to lead in a team environment with minimal supervision.
- Strong analytical and problem-solving skills.
- Excellent time management and organization skills.
- Able to use considerable use of tact, diplomacy, discretion, and judgment.
- Systems knowledge of Cerner.
- Effective training and presentation skills.
- Knowledge of Federal and State regulations related to healthcare billing compliance.
Job : Management
Management
Primary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
Department :
COMPLIANCE-1000-910900
Job Status
Full Time
General Manager
The beautiful and inspiring Mayfair House Hotel in Coconut Grove is seeking a General Manager for this very busy and highly rated hotel.
Crescent Hotels and Resorts is the industry leader in so many ways, and we celebrate your career and your contributions.
We offer a robust compensation package with includes industry leading benefits and bonus plans.
In this role, the General Manager creates and maintains a customer-driven hotel with a member-keeping vision that inspires the associates to do their best.
Oversee the quality process to ensure customer satisfaction by consistent delivery of both product quality and service in accordance with hotel's profitability goals.
ESSENTIAL JOB FUNCTIONS :
1. Perform administrative duties including : reading and writing reports, dictating memorandums and orally communicating with guests, managers, corporate office, local associations, etc.
Critically review reports of occupancy, revenue etc. Make judgments and implement changes to maximize profits. Supervise development of and revision to business plan, annual budget and annual and monthly forecasts, etc.
Formulate complex reports. Communicate with the public, staff, corporate office and owners.
2. Interview, hire supervise and counsel department managers in the efficient operation of their respective area(s). Meet with, develop and delegate improvement plans for operation and review performance of management team.
3. Interview, hire, train, recommend performance evaluations, resolve problems, provide open communication and approve discipline and all terminations.
4. Participate in community affairs and maintain positive public image for Crescent and hotel. Meet with potential and current clients and promote hotel.
5. Communicate both verbally and in writing to provide clear direction to staff.
6. Physically tour and visually inspect property on a daily basis. Monitor cost control, property condition, cleanliness and quality of product and service throughout hotel.
Greet and maintain rapport with associates and customers.
7.Travel to attend corporate meetings, sales trips and serve on committees such as Research, Development and Standards committee.
8. Appropriate handle associate issues in conjunction with Human Resources following Crescent policies.
9. Comply with attendance rules and be available to work on a regular basis.
10. Perform any other job related duties as assigned.
Manager
Are you a motivated leader in the spa industry who is looking for an opportunity to take a step up in your career? Join our team as a European Wax Center Center Manager and work in a modern, luxurious environment focused on revealing beauty and building confidence! If you share our passion for beauty, consistently exceeding guest expectations, thrive in an environment that rewards great performance and want to assist in leading a top performing team in the European Wax Center family, then this is the place for you! As an Center Manager, you will be assisting in all aspects of daily operations with a focus on achieving sales goals and delivering exceptional customer service.
As an EWC Center Manager, you will have the opportunity to develop a team of guest service associates and Wax specialists and help them achieve their personal best.
Additionally, your open and supportive management style will create a positive environment where you and your team will be excited to go to work each day! Your role will be to foster an atmosphere of confidence where every team member is able to chase their dreams!
In addition, you will have the opportunity to solve interesting challenges and bring new ideas to the table to continually offer guests a world-class experience.
Plus, you’ll enjoy a highly competitive salary with generous bonus potential (up to $12,000 a year)! Apply today.
WHAT WE NEED :
- Ensure an experience that exceeds guest expectations each and every visit
- Interview, hire and develop an all-star team of professionals who are passionate about our brand and continually achieve service and sales goals
- Work side-by-side with the district manager to take smart risks and identify value adds for our guests
- Clearly communicate business goals, contests and performance expectations to all team members
- Lead and inspire by example in all interactions with guests and team members
- Submit payroll and other operating reports as well as follow-up on store activities
- Maintain brand visual and cleanliness standards
- Manage and adjust schedules to meet business goals
- Minimize loss by following loss prevention best practices
REQUIRED SKILLS :
- Must have 1 year of previous management experience preferably in a specialty store or multi-service environment
- Must be confident and positive with excellent communication skills
- Must be analytical and detail-oriented
- Reliable means of transportation
SALARY / BENEFITS :
- Highly Competitive Salary with Bonus opportunities available
- Ongoing extensive European Wax Center operational training
- Paid time off
- 401k
- Medical / Dental / Vision Insurance available
- Employment growth opportunities
- Discount on waxing / products
Previous EWC, Massage Envy and / or Zenoti Software experience a plus
About European Wax Center :
The foundation of European Wax Center’s success is to get guests and keep them coming back. Everything we do and say revolves around this one, clear goal.
From our unique set of product and service offerings, to the unforgettable experience each associate provides, to our dedication to proper skin care education, our priority is to help each guest feel gorgeous and confident by revealing their beautiful skin.
How do we achieve this goal? It starts with articulating our goal and our vision for the future. It starts with everyone understanding our defined strategy and how they each fit into the bigger picture.
It starts with us being consistent in everything we do. And, finally, it starts with every Franchisee, Center Manager, Assistant Manager and Associates playing their special role in our STRUT community.
We want to be known as a brand people love working with, not only for the results, but because of how great it feels.
Apply today : https : / / apply.jobappnetwork.com / ewcpacificbells / en
European Wax Centers is an Equal Opportunity Employer'
Benefit Conditions :
Waiting period may apply
Only full-time employees eligible
COVID-19 Precaution(s) :
Remote interview process
Personal protective equipment provided or required
Plastic shield at work stations
Temperature screenings
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Work Location :
Multiple locations / Work Remotely : No
Job Type : Full-time
Benefits : 401(k)
401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Referral program
Vision insurance
Supplemental Pay : Bonus pay
Bonus pay
Work Location : Multiple locations
Multiple locations
Benefit Conditions :
Waiting period may apply
Only full-time employees eligible
Work Remotely :
COVID-19 Precaution(s) :
Remote interview process
Personal protective equipment provided or required
Plastic shield at work stations
Temperature screenings
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Work Location : Multiple Locations
If you require alternative methods of application or screening, you must approach the employer directly to request this as Indeed is not responsible for the employer's application process.
Our Story
European Wax Center began as a family-owned business. Since 2004, we've provided our guests with a first-class waxing experience centering around :
- Our proprietary Comfort Wax®
- Private waxing suites
- A crisp, clean environment
- And the most professionally trained estheticians in the industry
From day one, we've been putting our values into action to delight our guests with an exceptional waxing experience.
Manager
As a Manager, you will be responsible for ensuring that your assigned department, store, or district is well-staffed and provisioned, adheres to quality and service standards, increases revenue and market share, and helps the business accomplish its goals.
Managers hire and train employees, help develop and implement business strategies, and perform a variety of other tasks to ensure the business is thriving.
Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities.
Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed.
Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives.
Maintaining a clean, tidy business, ensuring that signage and displays are attractive. Generating reports and presenting information to upper-level managers or other parties.
Ensuring staff members follow company policies and procedures. Other duties to ensure the overall health and success of the business.
Manager
Thank you for your interest in Parabolic Career. Please submit an official application to be considered for our program. Our team will review your application and reach out to you if we believe you are a fit.
About us :
Parabolic Career , an education technology company, offers career coaching and staffing services to help clients land top jobs.
We use software, recruiting expertise, and our extensive network to accelerate the recruitment process for candidates seeking high-paying careers.
We work with professionals ranging from entry-level to C-suite, and we provide individualized services that enable continual career growth.
Some of our specialized industries include financial services, consulting, alternative investment companies, Fortune 500 companies, and accounting companies.
Parabolic Career submits your job applications, pairs you with industry professionals, and provides interview prep software to automate your entire job search process.
Check out our Company Overview .
Company Values
Community and Partnership
Parabolic is a network of students, professionals, investors, and entrepreneurs who have a passion for education and economic opportunity.
We stay with our clients for their entire academic and professional journey, and we are committed to building and maintaining long-term relationships with our clients.
Social Responsibility and Diversity
At Parabolic, we aim to give back and ensure that our services are accessible to people regardless of their background or identity.
We foster an inclusive environment that promotes growth for all employees and clients. Our clients and employees feel comfortable being themselves in the workplace, and Parabolic fosters and values diversity, equity, inclusion, and belonging.
Integrity and Honesty
We represent our clients with the utmost honesty and transparency. This extends to all of our employees and clients who work with us.
We are transparent about our capabilities and work with candidates who accurately represent themselves.
Buy and Get Started Directly on our Website :
Job Solutions : Automating the entire job search starting at $122 / month
Career Solutions : Accelerating the networking process starting at $104 / month
Software Solutions : Online self-service resources starting at $35 / month
Learn more :
www.paraboliccareer.com
Company and Product Overview
About us :
Parabolic Career , an education technology company, offers career coaching and staffing services to help clients land top jobs.
We use software, recruiting expertise, and our extensive network to accelerate the recruitment process for candidates seeking high-paying careers.
We work with professionals ranging from entry-level to C-suite, and we provide individualized services that enable continual career growth.
Some of our specialized industries include financial services, consulting, alternative investment companies, Fortune 500 companies, and accounting companies.
Parabolic Career submits your job applications, pairs you with industry professionals, and provides interview prep software to automate your entire job search process.
Check out our Company Overview .