Executive Compliance & Audit manager

Executive Compliance & Audit manager NYC Health + Hospitals - 3.7 New York, NY Job Details Full-time $160,000 - $170,000 a year 2 hours ago Benefits Commuter assistance Paid holidays Health insurance Pension plan Union benefits Employee discount Loan forgiveness Qualifications Law Master's degree Doctor of Law (JD) Bachelor's degree Business Administration Bar Full Job Description NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts 9:00 A.M - 5:00 P.M Duties & Responsibilities The Executive Compliance and Audit Manager ("ECAM"), reports directly to the Chief Corporate Compliance Officer ("CCO") within the Office of Corporate Compliance ("OCC") and assists the CCO with the oversight of compliance and audit activities, functions, and initiatives related to internal and external audits, including but not limited to billing and coding audits, claims reimbursement audits, and pre-payment audits, as well as overpayment self-disclosures. General tasks and responsibilities will include: Overseeing and managing internal and external audits, including managing the audit projects and overseeing internal auditors and consultants, and monitoring their progress; Track progression and all due dates of external audits and self-disclosures; Communicating audit progress and results to the CCO; Working with Revenue Cycle to develop and implement any corrective action plans necessary to address external audit and internal or consultant review results; Working with Revenue Cycle to develop training and educational materials based on external audits and internal or consultant review outcomes; Overseeing audits by oversight agencies, and preparing responses to oversight agency inquiries and Draft Audit Reports, including Medicaid Draft Audit Reports; Drafting and submitting Medicaid self-disclosure reports and Medicare Voluntary Refunds of any potential overpayments; Preparing and submitting Managed Care Plans' Compliance Attestations; and Assisting the OCC in developing annual Risk Assessments. Minimum Qualifications 1. A Juris Doctor (J.D.) or Bachelor of Laws degree (LLB) from an accredited School of Law, admission to the New York State Bar and three (3) years of experience in the practice of law in the field of health care compliance subsequent to admission to the Bar; or 2. A Master's Degree from an accredited college or university in Health Care, Hospital, Public, or Business Administration, or another approved related field, and four (4) years of progressively responsible experience in auditing, legal, risk management, or compliance in a large healthcare setting; or 3. A Bachelor's Degree from an accredited college or university in Health Care, Hospital or Public Administration, or another approved related field, and five (5) years of experience, as described in "2" above. Department Preferences Three to five years' experience in the areas of hospital coding, billing, and/or auditing oversight. Hospital billing and coding requirements oversight agency audits and how to respond to them (e.g. Medicare, Medicaid, and Managed Care Plans) Fraud, waste, and abuse laws as they relate to billing and coding Risk assessments Audit project management Excellent writing skills Excellent communication skills Excellent project management skills MS Office, Outlook, SharePoint, Electronic Health Records (Preferably Epic) Benefits NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs

Commuter Benefits Programs Pay:

$160,000.00 - $170,000.00 per year Application Question(s): Do you have three to five years' experience in the areas of hospital coding, billing, and/or auditing oversight?

Education:

Master's (Required)

Work Location:

In person