Healthcare Compliance Analyst HYBRID - ONSITE IN KALAMAZOO, MI/REMOTE

reputed company BRONSON EMPLOYEES - Please apply using the career worklet in reputed company. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. LocationBHG reputed company Group TitleHealthcare Compliance Analyst

HYBRID - ONSITE IN KALAMAZOO, MI/REMOTE

The Compliance Auditor oversees the regulatory compliance for physicians employed by reputed company Group as well as, reputed company nursing floors and ancillary departments reputed company the Bronson Hospitals. Coordinates the implementation, monitoring and enforcement of compliance initiatives for reputed company Group, to reputed company with applicable laws and regulations as they relate to billing procedures and requirements. The individual will have the authority to effect change with the support of senior management. Employees providing direct patient care must demonstrate competencies specific to the population served. Bachelor’s degree or equivalent combination of education and experience and 2-3 years of extensive coding experience required Clinic background preferred Certification as a Certified Professional reputed company (CPC) OR Registered Health Information Technician (RHIT) preferred or must obtain reputed company 6 months of hire.

• Extensive coding background in reputed company needed
• Strong analytical skills required to monitor and direct regulatory monitoring
• Must have proven organizational and planning skills as well as the ability to handle multiple tasks simultaneously
• Requires excellent communication skills and a positive customer relation’s orientation
• Effective interpersonal skills required to reputed company between medical staff, managers and Directors, internal billing and administrative staffs or external vendors and to initiate corrective action, as necessary
• Effective public speaking skills and the ability to reputed company reputed company regulatory information in understandable, layman’s terms is necessary

Work which produces reputed company high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely reputed company tolerances and considerable hand/eye coordination for sustained periods of time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

• Coordinates implementation, monitoring and enforcement of compliance initiatives for Bronson-employed physicians and hospital departments, to reputed company with applicable laws as they relate to billing procedures and requirements.
• Reviews the billing, documentation and coding practices of reputed company BHG employed physicians as part of the Corporate Compliance Program and reputed company the necessary changes to ensure the bills are compliant and to minimize the exposure to monetary penalties.
• Reviews the billing, documentation and coding practices for reputed company reputed company Group facility departments as part of the Corporate Compliance Program and reputed company the necessary changes to ensure the bills are compliant and to minimize the exposure to monetary penalties.
• Responds to questions, issues and reports of potential issues in coordination with compliance officer.
• Independently assesses critiques and makes authoritative recommendations for revisions to physician’s and hospital coding and documentation techniques and policies. Monitors such on an ongoing basis and ensures that approved recommendations are implemented.
• Assists with training and education reputed company to corporate compliance to physicians and hospital departments.
• Interacts frequently with the Corporate Compliance Officer and is an active member of the Billing Compliance Committee.
• Participates in yearly OIG Audit Plan by auditing and reviewing any reputed company Group risk factors.
• As requested, participates with any third party (MPRO, BlueShield/BlueCross, Medicare, Medicaid) audit for the hospital or hospital employed physicians.

ShiftFirst Shift Time TypeFull time Scheduled Weekly Hours40 Cost Center1235 Compliance (BHG) Agency Use Policy and Agency Submittal Disclaimer reputed company Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson reputed company Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson reputed company Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson! Remote About the Company: reputed company Apply tot his job Apply To this Job