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Compliance Coordinator - Compliance - Miamisburg - FT/Days

Kettering Health
Miamisburg, OH Full Time
POSTED ON 2/9/2025
AVAILABLE BEFORE 12/9/2025

Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

 

Responsibilities & Requirements

Job Responsibilities:

 

The job duties of the Compliance Coordinator role include, but are not limited to, the following:

  • Auditing and monitoring hospital departments and/or employed physician practices for billing and coding compliance in accordance with payer requirements and providing education to internal clients based on audit findings;
  • Supporting the development and communication of Kettering Health’s compliance and monitoring plan;
  • Assist with drafting healthcare compliance-related policies and procedures;
  • Supporting the assignment and investigation of hotline concerns submitted to the compliance department;
  • Researching, as needed, various issues related to Stark law, the Anti-Kickback Statute, EMTALA, False Claims Act, provider-based rules, conflicts of interest and beneficiary inducement; and
  • Reviewing/auditing physician payments for contractual compliance.
  • Job Requirements:

    • Has or is able to complete and pass coding certification with 12 months of hire. Examples include: CPC, CCS and CCS-P.

    • Excellent interpersonal and organizational skills, an ability to positively influence, prioritize, meet important deadlines, work independently, and work interdependently.
    • Proficiency with Microsoft Office suite, precision and accuracy in data collection, and excellent oral and written communication skills.
    • This role must collaborate with individuals at different professional levels and appropriately handle confidential information.

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