Compliance Manager - Healthcare jobs in Riverside, CA

The Riverside University Health System seeks an Administrative Services Manager I  for the Corporate Compliance and Billing Department of the Medical Center.  There will be occasional travel required between RUHS campuses and the schedule is a 9/80, hybrid in-office/occasional remote. 

The Administrative Services Manager I will primarily perform revenue cycle billing and coding audits and clinical documentation improvement for inpatient and outpatient encounters.

What we are looking for in candidates:

• Extensive coding and auditing experience, preferably in a comparable healthcare system setting
• Working knowledge of healthcare payor guidelines - public and private sectors
• RHIT, RHIA, CPC, CCS, or CDIP certification(s)
• Experience with EPIC and 3M Encoder 

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•  Plan, organize, and coordinate administrative and a variety of operational activities in a County department or Agency, including such support activities as procurement, budget preparation and contract administration and departmental or Agency personnel activities; provide guidance for departmental/Agency personnel in supervision, recruitment, selection, and the management process; resolve complex department or Agency administrative and personnel problems; conduct time studies and assess quality work measurements to assist with departmental/Agency personnel standards and needs. 

• Interview, hire, train, and evaluate the performance of divisional subordinate staff; represent the department or Agency on grievances and disciplinary matters.

• Act as a member of the department's or Agency's management team by conducting research and developing recommendations for policy and operational issues and changes; participate in the implementation of revised operational and administrative policies.

• Represent the County department or Agency on various professional and intra-County departmental/ Agency committees and in committee meetings; coordinate interface and interaction between all divisions of a department or Agency with the Executive Office, Auditor-Controller, County Counsel, and other County departments or agencies, as necessary; lead, participate and/or represent the department in state and/or County-wide task force for systems, programs or operational presentations, and procedural development.

• Project revenue and expenditure changes, adjustments and proposals for source funding; recommend departmental/Agency action to balance budget; direct development of forms and procedures for recordkeeping and budgetary controls; prepare management reports.

• Supervise the automated systems and prioritize needs; coordinate research, design and development for the department or Agency of routine to highly specialized technical and information systems in order to facilitate future growth, development, and/or purchase.

Plan, organize, and coordinate administrative and a variety of operational activities in a County department or Agency, including such support activities as procurement, budget preparation and contract administration and departmental or Agency personnel activities; provide guidance for departmental/Agency personnel in supervision, recruitment, selection, and the management process; resolve complex department or Agency administrative and personnel problems; conduct time studies and assess quality work measurements to assist with departmental/Agency personnel standards and needs. 

• Interview, hire, train, and evaluate the performance of divisional subordinate staff; represent the department or Agency on grievances and disciplinary matters.

• Act as a member of the department's or Agency's management team by conducting research and developing recommendations for policy and operational issues and changes; participate in the implementation of revised operational and administrative policies.

• Represent the County department or Agency on various professional and intra-County departmental/ Agency committees and in committee meetings; coordinate interface and interaction between all divisions of a department or Agency with the Executive Office, Auditor-Controller, County Counsel, and other County departments or agencies, as necessary; lead, participate and/or represent the department in state and/or County-wide task force for systems, programs or operational presentations, and procedural development.

• Project revenue and expenditure changes, adjustments and proposals for source funding; recommend departmental/Agency action to balance budget; direct development of forms and procedures for recordkeeping and budgetary controls; prepare management reports.

• Supervise the automated systems and prioritize needs; coordinate research, design and development for the department or Agency of routine to highly specialized technical and information systems in order to facilitate future growth, development and/or purchase.

Education: Graduation from an accredited college or university with a bachelor's degree, preferably with a major in accounting, business or public administration, information services, finance, or a closely related field to the assignment. (Additional qualifying experience may substitute for the required education on the basis of one year of full-time experience equaling 30 semester or 45 quarter units of the required education.)

Experience: Three years in an administrative or staff capacity, which must have included at least two years of supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal recordkeeping functions and systems in a department, agency, division, unit, or company; coordinating and conducting studies of administrative and operational activities, including budget preparation and control, equipment usage, staff patterns, work flow, and space utilization, or contract monitoring and administration. (A master's degree from an accredited college or university in accounting, business or public administration, finance, or a closely related field to the assignment may substitute for one year of the required non-supervisory experience.)

Knowledge of: Principles, methods and techniques of administration, organization and management in a governmental or public agency environment; theory, principles and practices of governmental accounting, budgeting and auditing; a variety of computerized information systems and their applications; public records procedures or governmental recordation operations; federal, state and local laws, regulations and policies relating to public records or governmental agency recordation processes; principles of public agency employer/employee relations.

Ability to: Plan, organize and direct the work of a department or Agency administrative program; analyze and evaluate operational programs, projects and procedures; plan, organize, coordinate, and supervise procedures, changes and improvements in public agency projects and studies; coordinate project activities with management, elected officials and representatives of other governmental agencies and County departments or agencies; supervise the work activities of teams in multi-disciplines; direct a variety of administrative, organizational and governmental financial systems and programs; analyze, interpret and explain detailed information (e.g., state statutes, local ordinances, contracts, permits, and public record procedures) to subordinate staff and to large committees of officials and the public; chair, provide leadership and/or participate in a variety of committees and task forces; establish and maintain effective working relationships with staff, governmental organizations, civic groups, and the general public; write concise and accurate Requests for Proposals/Quotes, reports and correspondence.