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Manager, Compliance (Business Office, NYOH)

The US Oncology Network – Clifton Park, NY

Position Summary New York Oncology Hematology is looking for a Compliance Manager to join our growing team. In addition to a rewarding career in world class cancer care, we offer excellent benefits, a team environment, professional development, and the chance to be part of a nationwide network dedicated to fight the war against cancer. To apply please click on the Apply Now link.
Essential Duties & Functions:
  • Oversees the monitoring and implementation of the Code of Ethics and Business Standards at the practice level as it relates to policies, procedures and regulations.
  • Coordinates and/or provides assistance to Human Resources with yearly compliance training for all employees.
  • Responsible for reporting/tracking of possible privacy violations, and working with site/area management to develop correction action plans if appropriate.
  • Responsible for understanding and staying current on all HIPAA related changes.
  • Responsible for auditing documents to insure that billed services were documented as provided and that the documentation itself meets the guidelines as outlined by federal and state regulations.
  • Identifies potential areas of compliance vulnerability and risk and provides general guidance to the CMO, CMIO, Executive Director or Executive Committee members.
  • Responsible for notification to senior management of current compliance initiatives, implementation activities, and requests for policy changes.
  • Trains (initial and recurring) of all employees to ensure understanding and adherence to HIPAA privacy regulations.
  • Assists with field training as needed during initial training phase.
  • Conducts training and provides other educational tools to the physicians, nursing and medical assistance staff in the correct coding procedures as outlined by federal and state reimbursement guidelines.
Minimum Qualifications:
  • High School diploma or equivalent required. Bachelors degree in Business Administration, Finance, Health Care Administration or related degree preferred. Minimum seven years of related work experience in healthcare management, business/office reimbursement, compliance/regulatory affairs and/or quality improvement initiatives. Minimum three years experience in a physician group setting required. Outpatient, oncology experience preferred but not required. Thorough, in-depth understanding of HIPAA privacy and security regulations, Medicare Parts A and B, CPT 4, ICD 10, and HCPCS coding, and local carrier processes and initiatives.
Ready For Your Next Career Challenge? Wed Love to Hear from You!
If you possess the above qualifications and a desire to make a difference, we invite you to submit your resume and apply. To apply please click on the Apply Now link.
We offer a comprehensive benefits package that includes medical, dental, vision, 401 k, paid time off, holiday pay, and tuition reimbursement. We are a drug free workplace. Pre-employment background checks are required. EOE. Candidates of interest will be contacted. No phone calls please.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
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