Manager, Billing Compliance

Job Posting Description

Principle Duties and Responsibilities:

Collaborates with the Director of Billing Compliance to create a work plan targeting current billing compliance risks.

Works with Billing Compliance auditors to conduct audits addressing compliance risk areas.

Creates educational programs for clinicians and staff based on audit observations, focusing on compliance and reducing documentation burdens.

Engages in interdisciplinary and departmental committees and task forces.

Presents billing compliance initiatives at Enterprise Wide Billing Compliance Committees.

Keeps abreast of regulatory updates and communicates changes as needed.

Enhances professional skills through conferences, seminars, and other educational events.

Delivers effective customer service supporting Revenue Cycle, Hospital Departments, and clinicians.

Promotes teamwork within and across departments.

To qualify, you must have:

• Professional Billing Coding certification (CPC, CCS-P)
• Bachelor's Degree or 4 years of relevant experience in lieu of degree
• 5 years of auditing documentation and CPT coding ICD10 for billing compliance including prior experience at an academic medical center.
• Analytical skills to collect information from diverse sources, apply professional principles in performing various analyses, and summarize the information and data in order to mitigate the billing compliance issue.
• Aptitude in billing compliance, with effective communication skills to present recommendations at meetings where there may be multiple points of views and recommend objective, operational solution(s) to bill compliantly.
• Proficiency and accuracy in both written and oral communication.
• Attention to detail in all aspects of work product.
• Flexibility and ability to accept and incorporate feedback as part of professional career growth.

Boston Children's Hospital offers competitive compensation and unmatched benefits.