Talent.com
University of Mississippi Medical Center
Director - Healthcare Compliance - Integrity & ComplianceUniversity of Mississippi Medical Center • Jackson, MS, United States
Director - Healthcare Compliance - Integrity & Compliance

Director - Healthcare Compliance - Integrity & Compliance

University of Mississippi Medical Center • Jackson, MS, United States
1 day ago
Job type
  • Full-time
Job description

Director - Healthcare Compliance - Integrity & Compliance

Directs and monitors the institutional healthcare compliance program, with specific emphasis on healthcare compliance of the university health system.

Education and Experience Required:

Bachelor's degree and five (5) years of compliance experience in a healthcare setting.

Certifications, Licenses or Registration required:

N/A

Preferred Qualifications: Registered Health Information Administrator or Registered Health Information Technician certification from the American Health Information Management Association. Supervisory experience.

Knowledge, Skills, and Abilities:

Advanced knowledge of medical billing, to include billing policies and procedures for federal payers; advanced knowledge of medical coding and coding guidelines, for both professional billing and facility/institutional billing; knowledge of federal and state rules, laws, regulations, policies/procedures, etc. that are applicable to healthcare; knowledge of accounting/business principles; verbal and written communication skills; possess the ability to speak in public settings/forums; analytical/critical thinking skills; ability to work independently and in a group setting; have knowledge about and be skilled in utilizing basic business software applications.

Responsibilities:

  • Provide day-to-day management of assigned staff and providing direction to staff regarding audits, healthcare rules, laws and regulations.
  • Coordinate and facilitate committee meeting, to include those compliance subcommittees that oversee compliance of the university health system.
  • Stay abreast of federal and state rules, laws, regulations, policies/procedures, etc. that are applicable to healthcare, third-party billing policies/procedures to include specifically federal payers, and coding updates.
  • Develops, implements, and maintains system-wide programs, policies and procedures to ensure compliance with federal and state rules, laws, regulations, policies/procedures, etc. that are applicable to healthcare.
  • Develops and implements/presents training, as needed, to ensure institutional healthcare compliance. This will include both group and individual training, as necessary.
  • Investigates/reviews allegations of alleged compliance plan violations, as needed or directed.
  • The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands Requires occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, frequent work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 50 pounds, occasional crouching/stooping, occasional driving, occasional reaching, frequent sitting, frequent standing, frequent twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type: Full time

FLSA Designation/Job Exempt: Yes

Pay Class: Salary

FTE %: 100

Work Shift: Day

Benefits Eligibility: Grant Funded: No

Create a job alert for this search

Director - Healthcare Compliance - Integrity & Compliance • Jackson, MS, United States

Similar jobs

Data Modernization Director - MS - MSDH

Ageatia Global SolutionsJackson, MS, United States
Full-time

Data Modernization Director - MS - MSDH.Provide general oversight and direction to the agency in its projects funded under the CDC Public Health Infrastructure Grant (PHIG), specifically under Stra... Show more

 • Promoted

Specialist, Health Plan Provider Engagement (Remote in MS)

Molina HealthcareJackson, MS, United States
Remote
Full-time

Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes.Uses a consultative approach, emphasizing ph... Show more

 • Promoted

Account Director

Miles PartnershipJackson, MS, United States
Full-time

The Account Director leads major client relationships and shapes long-term strategic direction across integrated marketing programs.This role manages financial performance, oversees internal and ex... Show more

 • Promoted

Assistant Director of Residence Life

Jackson State UniversityJackson, MS, United States
Full-time

Assistant Director Of Residence Life.The Department of Housing & Residence Life is accepting applications for its Assistant Director of Residence Life position.The Assistant Director of Residence L... Show more

 • Promoted

Claims Analyst - REMOTE

RyderJackson, MS, United States
Remote
Full-time

The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder's self-administered liability program.This position investigates and adjusts claims, as wel... Show more

 • Promoted

Liability Zone Leader - South

AllianzJackson, MS, United States
Full-time

The North American Liability team offers a wide range of liability insurance solutions.These include National Accounts Excess, Multinational, Reverse Flow, Environmental Liability and some Primary ... Show more

 • Promoted

Director of Nursing

Executive Home CareJackson, MS, United States
Full-time

Executive Home Care of Jackson is seeking a dynamic, compassionate, and experienced Director of Nursing (DON) to lead our clinical team.As the DON, you will be the heart of our clinical operations,... Show more

 • Promoted

Program Strategist - (child welfare, public safety, fraud/program integrity and risk management)

Information Resource Group, Inc.Jackson, MS, United States
Full-time

Masters, MBA or Executive MBA type degree in business administration, finance, or a related field.Minimum twenty (20) years of experience in project management roles for either state, local, or cor... Show more

 • Promoted

Executive Director of Student Health and Wellness Clinic

Jackson State UniversityJackson, MS, United States
Part-time

Executive Director Of Student Health And Wellness Clinic.The Division of Student Affairs is accepting applications for the Executive Director of Student Health and Wellness Clinic position.The Exec... Show more

 • Promoted

Wraparound Supervisor

Methodist Children's Homes of MississippiJackson, MS, United States
Full-time

Supervisor of Wraparound Services.The Supervisor of Wraparound Services reports to the Director of Clinical Services providing direct supervision, guidance and overall support of the Wraparound Tea... Show more

 • Promoted

RN - Category Manager - Clinical Category Management/ Procurement

University of Mississippi Medical CenterClinton, MS, United States
Full-time

RN - Category Manager - Clinical Category Management/ Procurement.Responsible for actively leading and supporting the UMMC department stakeholders, business managers, and value analysis teams in id... Show more

 • Promoted

Director - Data Modernization Director

Datasoft Technologies, Inc.Jackson, MS, United States
Full-time

Director - Data Modernization Director.Client is seeking a Director - Data Modernization Director Provide general oversight and direction to the agency in its projects funded under the CDC Public H... Show more

 • Promoted

Lead Analyst, Payment Integrity - Health Plan

Molina HealthcareJackson, MS, United States
Full-time

Provides lead level analyst support for health plan payment integrity activities.Partners with leaders and functional representatives to drive health plan financial performance through evaluation a... Show more

 • Promoted

Director of Wealth Market Development

TrustmarkJackson, MS, United States
Full-time

Director Of Wealth Market Development.The Director of Wealth Market Development is responsible for sales strategies and revenue growth through leading a client facing/sales production Wealth Adviso... Show more

 • Promoted

Compliance Analyst - Office of Integrity & Compliance

University of Mississippi Medical CenterJackson, MS, United States
Full-time

Compliance Analyst - Office Of Integrity & Compliance.To oversee and perform internal audits in an assigned area (Hospital, Provider, or Research) to ensure regulatory compliance in areas such as d... Show more

 • Promoted

Associate Director of Population Health and Cancer Control

ConfidentialJackson, MS, United States
Full-time

Associate Director of Population Health and Cancer Control role.The Associate Director will provide strategic vision and leadership for population health and cancer control initiatives, with the ai... Show more

Clinical Services Director

Methodist Children's Homes of MississippiJackson, MS, United States
Full-time

General Job Summary: The Director of Clinical Services assumes overall responsibility for the supervision of all therapeutic services and day to day operations of the Methodist Children's Homes Com... Show more

 • Promoted

Healthcare Operations Manager (Jackson, MS)

Ennoble CareJackson, MS, United States
Full-time

Healthcare Operations Manager (Jackson, MS).Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklah... Show more

 • Promoted

Regional Director Plant Operations

Diversicare Health CareJackson, MS, United States
Full-time

Regional Director Of Plant Operations.Lead with Excellence as the Regional Director of Plant Operations with Diversicare! At Diversicare, we're in search of a Regional Director of Plant Operations ... Show more

 • Promoted

Safety & Health Manager - Distributed Energy - MS

Black & VeatchClinton, MS, United States
Full-time +1

Safety & Health Manager - Distributed Energy - MS.Together, we own our company, our future, and our shared success.As an employee-owned company, our people are Black & Veatch.We put them at the cen... Show more