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Director of Integrity Coding & Compliance

Director of Integrity Coding & Compliance

Northwest 31st BldgPORTLAND, OR
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Overview

Making life better—for your team, your patients, and your community. If this guides everything you do, and if you want to empower others to do the same, you may belong at Legacy as our Director of Integrity Coding & Compliance . In this role, you’ll provide leadership and direct oversight of Legacy’s revenue integrity and compliance efforts. If you share our commitment to excellence and integrity, we’d love to hear from you.

Responsibilities

  • Operational responsibility for the function and effectiveness of all major components for Revenue Integrity, and Compliance, including Charge Capture, Charge Reconciliation, Charge Description Master Maintenance, Charge Audits, Clinical Data Services, Registries, Release of information and Revenue Cycle compliance.
  • Provides leadership to units across sites.
  • Works to integrate services within area of responsibility in order to maximize efficiency, quality, and excellent customer service.
  • Works collaboratively with Legacy Leaders to ensure charge capture, charging and charge master policies and procedures are effectively monitoring and guiding Legacy's revenue.
  • Works collaboratively with the other Revenue Cycle Operations Directors to develop, implement, and maximize Revenue Cycle Operations for Legacy Health.
  • Works collaboratively with designated medical leader, other directors, and Senior Management to develop and further the vision and strategies of Legacy Health.
  • Communicates clear expectations of results to department managers and assists with the resolution of complex issues and problems.
  • Works to ensure regulatory compliance for departments integrated across multi-states (OR & WA). Responsible for Federal Law compliance relative to department oversight.

Qualifications

Education :

  • Bachelors Degree in business, healthcare administration or related field or equivalent experience required.
  • Masters preferred.
  • Experience :

  • Minimum of six years progressively responsible experience within a health care environment.
  • Minimum of six years experience in managing hospital revenue integrity operations and / or hospital coding operations
  • (revenue integrity operations experience preferred).

  • Must have demonstrated understanding of compliance processes and procedures.
  • Skills :

  • Knowledge of financial and marketing systems.
  • Knowledge of administrative and managerial systems, roles and experience.
  • Knowledge of health care issues, demographics, financing, policy changes.
  • Knowledge of computer systems and integrating software to maximize work process efficiencies.
  • Leadership ability to work throughout the system to accomplish the objectives of the organization.
  • Organizational skills both to function independently and to work closely with other professionals using a team
  • approach.

  • Judgment skills to make appropriate decisions.
  • Ability to handle multiple demands and to respond rapidly to changing priorities.
  • Licensure

  • Certified in HealthCare Compliance Professional preferred.
  • Pay Range

    USD $78.22 - USD $118.10 / Hr.

    Our Commitment to Health and Equal Opportunity

    Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

    If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

    Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

    To learn more about our employee benefits click here :

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