Regulatory Compliance Senior Consultant at HCA Healthcare
Nashville, TN 37203, USA -
Full Time


Start Date

Immediate

Expiry Date

04 Dec, 25

Salary

0.0

Posted On

05 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Regulations, Coding Practices, Legal Requirements, Revenue Cycle, Healthcare Industry

Industry

Hospital/Health Care

Description

INTRODUCTION

Do you have the career opportunities as a Regulatory Compliance Senior Consultant you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation’s leading provider of healthcare services, HCA Healthcare.

JOB SUMMARY

As a Billing/Coding Senior Consultant on the Regulatory Compliance team, you will collaborate with facilities/entities within the Company to evaluate and provide billing and coding support, focusing on areas where significant data discrepancies are identified. Your primary responsibility will be to research, evaluate, and proactively identify outliers related to billing and coding information, based on established coding and billing guidelines. The ideal candidate will possess extensive billing and coding experience related to both inpatient and outpatient services. Furthermore, you should be adept at reviewing and communicating current and anticipated future regulatory provisions related to billing and coding, with the ability to convey technical requirements clearly to individuals without specialized expertise.

EDUCATION & EXPERIENCE:

  • Minimum of seven (7) years’ experience in hospital coding, revenue cycle, or other related healthcare experience required, demonstrating a deep understanding of the healthcare industry.
  • Experience in a leadership role. Preferred
  • Bachelor’s degree or equivalent combination of education and/or experience, providing flexibility for candidates with diverse backgrounds.
  • Solid background in billing and coding practices, with a strong understanding of industry standards.
  • Comprehensive knowledge of billing and coding guidelines and regulations, ensuring compliance with legal requirements.
  • In-depth understanding of hospital/coding operations, workflows, and billing/revenue cycle processes, facilitating efficient and accurate billing practices.

ADDITIONAL INFORMATION:

  • This role will require up to 25% of travel.
    We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and cutting-edge technologies. Our physicians can develop leading oncology programs to advance science and patient care. Providing physician-led patient care offers our doctors access to a national network of experts. This is where multidisciplinary teams come together with a goal of delivering seamlessly coordinated, quality cancer care. Through a united network of globally recognized oncology specialists, we collaborate and share best practices. We address each aspect of the cancer journey, from screening and diagnosis through treatment and survivorship, to advance our shared mission: Above all else, we are committed to the care and improvement of human life.
    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
    “Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder
    If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Regulatory Compliance Senior Consultant opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
    We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
Responsibilities

Please refer the Job description for details

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