The Director of Compliance Professional Services implements an effective compliance program to prevent illegal, unethical or improper conduct. Responsible for educating Temple physicians as well as other support staff in coding and billing compliance, maintaining the effectiveness of the TUHS Compliance Program, and serving as the key corporate resource for the requirements of the Medicare and Medicaid programs for the payment of fills for physician services. Develop, initiate, maintain and revi... more details
The Director of Compliance Professional Services implements an effective compliance program to prevent illegal, unethical or improper conduct. Responsible for educating Temple physicians as well as other support staff in coding and billing compliance, maintaining the effectiveness of the TUHS Compliance Program, and serving as the key corporate resource for the requirements of the Medicare and Medicaid programs for the payment of fills for physician services. Develop, initiate, maintain and revise policies and procedures for the general operation of the TUP Compliance Program and its related activities to prevent illegal, unethical or improper conduct; Identify potential areas of compliance vulnerability and risk; Monitor the Departmental routine audits, re-audits of physicians, new physician audits and outlier audits of identified risk areas; Oversee the Compliance Education program including annual departmental workshops, re-education for physicians and Compliance training for all employees involved in the delivery of professional services.
Education
· Bachelors Degree or equivalent combination of education and work experience (Required)
Licenses and Certifications
· CCS - Certified Coding Specialist (Required) or CPC - Certified Professional Coder (Required) or RHIA - Reg Health Information Admin (Required) or RHIT - Reg Health Information Tech (Required)
Experience
· 8 years experience in medical coding (physician), billing and coding auditing, compliance, clinical documentation and coding training (Required)
· General Experience in a supervisory role in a hospital setting (Required)
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Your Tomorrow is Here!
Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.
