What are the responsibilities and job description for the ELECTRONIC HEALTH RECORD EHR AND BILLING COMPLIANCE DIRECTOR position at Cumberland County Guidance Center?
Dynamic Opportunity ~ As a full-time employee, working 40 hours per week, the Electronic Health Record EHR and Billing Compliance Director serves as an expert and authoritative resource on interpretation, and application, of billing rules and regulations and ensures that all aspects of billing function are current and in full compliance, conducting risk assessments of potential, detected, and compliance deficiencies.
The Guidance Center ~ is a primary mental health support agency, providing compassionate, professional care for individuals and families with mental health needs in the greater Cumberland County, NJ area. For more than 50 years, our non-profit organization of professionals, doctors, nurses, therapists, and support staff, has assisted the community in the diagnosis and treatment of all types of mental illness.
What does this position look like ~ The EHR and Billing Compliance Director efficiently navigates and makes full utilization of the EHR system, identifying and resolving problems and proactively mitigating risk within billing compliance. Researches, leads, and directs the implementation of compliance with current and new billing rules, regulations, laws and payor contractual requirements. Leads and directs the billing department in developing, and implementing, a formal compliance audit plan. Conducts compliance investigations / audits. Initiates and manages application process with 3rd party insurance agencies to optimize billing opportunities / reimbursement for the agency. Resolves claim denials and appeals with all identified payors in a timely manner. Provides training and education to Program Directors and staff regarding documentation requirements for billing purposes to include required timelines, due dates, and eligible v. ineligible services including place of service restrictions. Works collaboratively with the Clinical Operations Officer to ensure existing services are performed in billing compliant modality and identifies potential opportunity for billing enhancements. Navigates and performs billing functions within NJMHAPPS as needed. Provides support in completion of billing for agency as necessary. Completes reporting and special projects as requested by Chief Financial Officer. Maintains confidential information in accordance with agency's policies.
What you need to apply ~
- High School diploma or equivalent
- Strong initiative and ability to work independently and collaboratively.
- Multi-task oriented; quick learner and versatile
- Highly organized with an emphasis on attention to detail
- Extensive knowledge of various compliance rules and regulations regarding billing reimbursement is required
- Five to ten years of progressive health experience in compliance, business office / patient financial services, finance, information systems and / or health information management is required
What we provide ~
The Guidance Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Job Posted by ApplicantPro
Salary : $55,000
