Compliance Manager

Job Description Summary

MUSC Health is seeking a Compliance Manager to work as a partner alongside providers, practice managers and senior leadership to lead the way in better coding and documentation standards for billing compliance. The Compliance Manager will be assigned providers based on specialty groups, and work within those to better manage and mitigate compliance risk.
This position requires a strong knowledge of billing and coding compliance, and comfortability speaking one on one with providers and in larger groups. The Compliance Manager will act as a subject matter expert regarding compliance regulations, and will form strong relationships with their customers through training, tip sheets, and one-on-one consultations.
This position will support customers within MUSC Health, South Carolina’s only comprehensive academic health system, with over 18 hospitals and over 30,000 employees state-wide. Our growth and outreach is positively impacting health outcomes across the state, and our Compliance teams are a proud partner to the front-line healthcare workers that are making those impacts.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC002046 UMA CORP COMP Compliance CC

Pay Rate Type

Salary

Pay Grade

Health-27

Scheduled Weekly Hours

40

Work Shift

Job Description

*This position requires 3 days of on-site work, with 2 days of remote work available, after completion of on-site training period*

Education & Experience: High school diploma or equivalent required with a minimum of 2 years of experience in billing, coding, or compliance. Associate or bachelor’s degree preferred. Demonstrated technical proficiency with a strong understanding of business principles, regulatory requirements, and auditing processes. Working knowledge of ICD-10, CPT, HCPCS coding, and medical terminology required. Excellent written and verbal communication skills, with strong interpersonal abilities. Must exercise sound judgment in advancing compliance initiatives in alignment with MUSCP Compliance Department and organizational policies and procedures. Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint, required. Experience researching and responding to coding inquiries and/or educating professional billing providers is preferred.

Licensures, Registrations, Certifications: CPC, CCS-P, RHIA, RHIT or other medical coding certification preferred.

Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs. (+/-) unassisted. Lift from 36” to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces.

 

 

 

Additional Job Description

Education:  High School Diploma or equivalent required
Experience:  Minimum of 2 years’ experience in billing, coding, and/or compliance required
Licensure/Certification: Current CPC, CCS-P, RHIA, RHIT or other medical coding certification preferred.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees