Compliance Risk Manager

Description

Job Title: Compliance Risk Manager

Job Type: Full-Time

Location: Hybrid, requiring 2 to 3 days in the office 

Job Summary:  We are seeking a dedicated Compliance Risk Manager to support revenue cycle integrity by overseeing audits and ensuring compliance with coding and billing regulations at local, state, and federal levels. This role will collaborate closely with the Claims Operations Manager to conduct monthly audits across various facilities, including hospitals, Ambulatory Surgical Centers (ASC), and mobile units, with a specific focus on Anesthesia and Pain Management.

Key Responsibilities:

- Oversee and conduct audits to ensure compliance with coding and billing regulations.

- Collaborate with the Claims Operations Manager to complete monthly audits across multiple facilities.

- Ensure adherence to local, state, and federal regulations related to revenue cycle integrity.

- Maintain strong knowledge of medical chart requirements and coding standards.

- Provide guidance and support to staff regarding compliance issues and best practices.

Qualifications:

- Bachelor’s degree or equivalent experience in a related field.

-  CPC or AHIMA certification equivalent. 

-  2–5 years of experience in inpatient/outpatient coding.

- Strong knowledge of medical chart requirements and coding compliance.

- Preferred experience in medical office management.

Skills:

- Excellent analytical and problem-solving skills.

- Strong attention to detail and accuracy.

- Effective communication and collaboration skills.

- Ability to work independently and manage multiple priorities.

- Proficient in relevant coding software and tools.

We encourage qualified candidates from diverse backgrounds to apply and join our team in promoting compliance and integrity within our revenue cycle operations.

Requirements

About Providence Anesthesiology Associates Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 150 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than  246,000  patients annually.

Why work for PAA?PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field. Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces in 2021 - 2023, PAA’s core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what’s right and don’t compromise.

What’s in it for you?

• Strong workplace culture. We care about each other as people. We build relationships and connections beyond the time spent on the job. We offer a supportive, highly team-oriented work environment.
• We provide competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.

What else should you know?

• Providence Anesthesiology Associates is an equal opportunity employer and does not tolerate discrimination based on any protected status.
• PAA participates in E-Verify. E-Verify is an internet-based system that compares the information you provide on the Form I-9 with information from the Social Security Administration and Department of Homeland Security records.