Compliance Director-mra Coding/clinical

Profile

Compliance Director-MRA Coding/Clinical

The candidate will direct projects, initiatives, regulatory sanctions, executive-sponsored initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, and assessing audit preparedness. Will lead compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans, oversee implementation of corrective actions, and prepare reports/presentations. Leads complex investigations and documents findings. Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan. Review of Medicare Advantage member medical record documentation. Serve as coding subject matter expert to internal and external stakeholders. Create/Present educational material on documentation & coding for Medicare Risk Adjustment purposes. Develop strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s).

Additional Information

Req #: JR5286

Company info

220 Virginia Avenue
Indianapolis
Indiana
United States 46204