Compliance Manager - Healthcare jobs in Toledo, OH

Compliance Manager - Healthcare implements and administers programs, policies, and practices to ensure that organization complies with JCAHO, HIPAA, and accreditation standards. Monitors and administers compliance with federal, state, and local regulations. Being a Compliance Manager - Healthcare acts as a liaison to government agencies and coordinates site visits for regulators. Investigates potential compliance violations and takes corrective action as necessary. Additionally, Compliance Manager - Healthcare requires a bachelor's degree. Typically reports to a head of a unit/department. The Compliance Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Compliance Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Director, Healthcare Compliance - 496735
  • University of Toledo
  • Toledo, OH FULL_TIME
  • Job no: 496735
    Work type: Staff - Full-Time
    Location: Main Campus - Administration
    Categories: Full-Time, None, Compliance

    Title: Director, Healthcare Compliance

    Department Org: UTMC Compliance - 109020

    Employee Classification: U1 - Unclassified PSA FT

    Bargaining Unit: Professional Staff Association

    Primary Location: Main Campus - Administration

    Shift: 1

    Start Time: 8:30am End Time: 5pm

    Posted Salary: $103,530 - $129,386

    Float: False

    Rotate: False

    On Call: True

    Travel: False

    Weekend/Holiday: True

    Job Description:

    The Director of Healthcare Compliance is responsible for assisting with overseeing and guiding the Healthcare Compliance Program. Duties would include ensuring ethical and compliant practices are implemented and maintained across the organization in accordance with all applicable federal and state laws, regulations, ordinances, commercial payers' rules and regulations internal policies and procedures, and other requirements as they relate to operations, billing, coding, proper payment, documentation practices, and the delivery of quality care in a compliant manner. This person will oversee doing investigations in the field, working with the Chief Assurance Officer and strategic input from general counsel, responding to and investigating anonymous reporting hotline calls, and managing risk as it relates to compliance issues.

    Locations Served: University of Toledo, University of Toledo Medical Center, University of Toledo Physicians, College of Medicine and Life Sciences, Health Science Campus, ACE

    Minimum Qualifications:

    Education/experience/licensing:
    • Must have a minimum of seven (7) to ten (10) years of experience in healthcare operations.
    • Bachelor’s degree required with emphasis on nursing, healthcare administration, healthcare information technology, compliance, or clinical-based competency
    • Working knowledge of medical terminology, CPT, and ICD-10
    • A minimum of three (3) to five (5) years of experience as a certified physician coder preferred RHIT, RHIA, or Certified Degree in Coding (preferred)
    • Minimum of two (2) years of supervisory experience of professional staff
    • Prior experience in leading a complex healthcare compliance function that includes an academic medical center, physicians practice plan, and college of medicine

    Professional Standards:
    • Work independently. Must be of ethical character. Must maintain strict confidentiality protocols.
    • Must be objective and independent when conducting reviews.
    • Adheres to the workflow design established for department and meets all job performance standards.
    • Maintain a professional and constructive manner with all UT/UTMC/UTP employees.

    Communication and other skills:
    • Must have demonstrated leadership skills, strong written and verbal communication skills, and ability to work independently.
    • Must have ability to escalate confidential and sensitive matters involving privacy and compliance.
    • Current knowledge of healthcare, federal and state privacy regulations, and third-party regulations regarding medical record documentation
    • Must have ability to monitor advancements in information technology to ensure organizations adoption and compliance.
    • Strong positive verbal and written communication skills.

    Conditions of Employment:

    To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. To further this effort, the University of Toledo Health Science Campus Medical Center is requiring candidates for employment to be nicotine-free. Pre-employment health screening requirements will include cotinine (nicotine) testing, as well as drug and other required health screenings for the position. With the exception of positions within University of Toledo Main Campus and the University of Toledo College of Medicine and Life Sciences, the employment offer is conditional upon successful completion of a cotinine test and Occupational Health clearance.

    Equal Employment Opportunity Statement:

    The University of Toledo is an equal opportunity, affirmative action employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation.

    The University is dedicated to the goal of building a culturally diverse and pluralistic faculty and staff committed to teaching and working in a multicultural environment and strongly encourages applications from women, minorities, individuals with disabilities, dual-career professionals and covered veterans.

    The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact the Human Resources Department at 419-530-4747 between the hours of 8:30AM and 5:00PM or apply online for an accommodation request.

    Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the Main Campus of the University of Toledo.

    Advertised: 11 Apr 2024 Eastern Daylight Time
    Applications close:

  • 12 Days Ago

U
Healthcare Compliance Specialist - Practice Plan - 496957
  • University of Toledo
  • Toledo, OH FULL_TIME
  • Job no: 496957 Work type: Staff - Full-Time Location: Main Campus - Administration Categories: Full-Time, None, Compliance Title: Healthcare Compliance Specialist - Practice Plan Department Org: Inter...
  • 1 Month Ago

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Healthcare Relations Manager
  • Midwest Eye Consultants
  • Maumee, OH FULL_TIME
  • POSITION SUMMARY: The Healthcare Relations Manager is responsible for hiring, training, and elevating all Healthcare Relations Scheduling Coordinators to maintain positive provider relationships and e...
  • 12 Days Ago

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Manufacturing Compliance Manager
  • Civil & Environmental Consultants, Inc.
  • Toledo, OH FULL_TIME
  • Overview At Civil & Environmental Consultants, Inc. (CEC), every member of our team has a personal stake in ensuring the success of our clients. As employee-owners of the firm, we are all personally a...
  • 1 Month Ago

H
Retail Manager, Healthcare Food Service
  • HHS, LLC
  • Toledo, OH FULL_TIME
  • Retail Manager, Hospital Food Service St Vincent Hospital Salary $55,000.00Retail Manager, Healthcare Food Service The Retail Manager manages the day-to-day operations of a retail environment to creat...
  • 19 Days Ago

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Field Technician
  • Monitoring, Control and Compliance Inc.
  • Toledo, OH FULL_TIME
  • FULL-TIME BENEFITS Paid time off Health Insurance Health Saving Account Dental Insurance Vision Insurance Life Insurance 401(k) matching Parental Leave 1,000 signing bonus upon satisfactory completion...
  • 18 Days Ago

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0 Compliance Manager - Healthcare jobs found in Toledo, OH area

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Toledo OH Area Multi-Unit Studio Manager
  • Orangetheory Fitness | Thrive Venture Group
  • Toledo, OH
  • Company Description Thrive Venture Group is a leading fitness and sales operation headquartered in Rocky River, Ohio. We...
  • 4/26/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Toledo, OH
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 4/26/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Toledo, OH
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/26/2024 12:00:00 AM

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Compliance Clerk
  • Black & White Transportation
  • Toledo, OH
  • Job Description Job Description At Black & White Transportation, we are more than just a transportation company; we are ...
  • 4/25/2024 12:00:00 AM

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Fuel Compliance Officer - 12 Month Register
  • Department Of The Treasury
  • Toledo, OH
  • DutiesWHAT IS THE SMALL BUSINESS SELF EMPLOYEDDIVISION?A description of the business units can be found at: https://www....
  • 4/24/2024 12:00:00 AM

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Fuel Compliance Officer - 12 Month Roster
  • Department Of The Treasury
  • Toledo, OH
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYEDDIVISION DIVISION? A description of the business units can be found at: h...
  • 4/24/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
  • Department Of The Treasury
  • Toledo, OH
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 4/22/2024 12:00:00 AM

D
Internal Revenue Agent (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Toledo, OH
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

Toledo (/təˈliːdoʊ/) is a city in and the county seat of Lucas County, Ohio, United States. Toledo is in northwest Ohio, at the western end of Lake Erie bordering the state of Michigan. The city was founded in 1833 on the west bank of the Maumee River, and originally incorporated as part of Monroe County, Michigan Territory. It was re-founded in 1837, after conclusion of the Toledo War, when it was incorporated in Ohio. After the 1845 completion of the Miami and Erie Canal, Toledo grew quickly; it also benefited from its position on the railway line between New York City and Chicago. The first...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Manager - Healthcare jobs
$109,399 to $140,644
Toledo, Ohio area prices
were up 1.3% from a year ago

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