Corporate and Compliance Coding/Billing Specialist

Corporate And Compliance Coding/Billing Specialist

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

As a Corporate and Compliance Coding/Billing Specialist, you will support the Office of Corporate Compliance by maintaining and administering the Cleveland Clinic Health System (CCHS) Compliance Program. In this role, you will conduct billing and coding compliance reviews, monitor regulatory guidelines, and address coding-related concerns. A caregiver in this role is also responsible for investigating billing and coding compliance issues, ensuring adherence to federal and state regulations, and identifying revenue cycle compliance riskssuch as potential False Claims Act exposuresto protect the organization.

This role offers professional development opportunities, including coding and compliance education, direct collaboration with department leadership, and cross-functional experience working with caregivers in other focused areas of compliance.

A caregiver in this position works remotely out of Florida, Ohio, or Nevada, Monday-Friday 8:00am 5:00pm, with occasional onsite requirements in Cleveland, OH.

A caregiver who excels in this role will:

• Integrate system-wide compliance initiatives and participate in the resolution of issues through the creation of corrective action plans.

• Assist the Director with identifying and analyzing areas of risk.

• Coordinate responses to monitoring and audit activities.

• Distribute material from resources with relevant compliance-related information, including DHHS, CMMS, OCR and OIG.

Minimum qualifications for the ideal future caregiver include:

• Bachelors degree and three years of recent experience with healthcare compliance, auditing, billing, coding, privacy, research, regulatory review and application, reimbursement and/or information management.

• The following may substitute the education and experience requirement: high school diploma/GED and five years of relevant experience, associates degree and four years of relevant experience, RN and three years of relevant experience, or JD and one year of relevant experience.

• Unbiased approach to situations combined with a non-judgmental attitude.

• Can identify and address multiple perspectives on issues.

• Can lead investigations into root-cause identification and subsequent process improvement initiatives.

• Can manage, coordinate and track multiple cases/projects simultaneously and appropriately prioritize tasks.

Proficiency in using standard software applications (Word, Excel, PowerPoint, etc.).

Preferred qualifications for the ideal future caregiver include:

• Three years of HIM coding/billing experience

• One of the following certifications: CPC, CCS-P, RHIT, CCA, AHIMA, COC, AAPC

• Certification in healthcare compliance preferred

• Knowledge of healthcare and/or state and federal statutes and regulations governing hospitals and or the healthcare industry.

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you:

https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

• Work typically performed in an office setting with frequent use of computers and telephones.

• Includes walking and driving of varying distances on campus and at off-site locations.

• Ability to communicate and exchange accurate information.

• Ability to perform work in a stationary position for extended periods.

• Ability to work with physical records or operate a computer or other office equipment.

• In some locations, ability to travel throughout the hospital system.

• In some locations the ability to move up to 25 lbs.

Personal Protective Equipment:

• Follow standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are followed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Please review the Equal Employment Opportunity poster.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities.