What are the responsibilities and job description for the Healthcare Attorney position at ThinkingAhead Executive Search?
Partnering with a prestigious law firm seeking a highly experienced attorney to join their growing healthcare practice. Attorney can be located in any of the states where they have an office (Atlanta GA, Greenville SC, Charleston SC, Columbia SC, Charlotte NC) This is an excellent opportunity for a seasoned professional with a deep understanding of healthcare billing and reimbursement regulations to make a significant impact.
Position Overview :
The successful candidate will 8 years providing expert legal counsel to a diverse range of healthcare clients on complex billing and reimbursement matters, including compliance with federal and state regulations related to Medicare, Medicaid, and VA / Tricare. This role requires a strong understanding of federal fraud and abuse laws and the ability to guide clients through the intricacies of healthcare compliance.
Responsibilities :
- Advise healthcare entities (physicians, hospitals, AMCs, home health agencies, SNFs, etc.) on all aspects of healthcare billing and reimbursement, including : Medicare, Medicaid, and VA / Tricare regulations, Enrollment and claims submission processes, Coding and documentation requirements, Payment disputes and appeals
- Provide counsel on structuring business relationships to ensure compliance with : The Anti-Kickback Statute, The Stark Law, The False Claims Act
- Develop and implement compliance programs to mitigate risk and ensure adherence to relevant regulations.
- Conduct internal investigations and represent clients in government audits and investigations.
- Monitor and analyze changes in healthcare legislation and regulations.
- Collaborate with other attorneys and professionals within the firm to provide comprehensive legal services to clients.
- Preferred) Experience with private payor billing and reimbursement.
Qualifications :
