Compliance Manager jobs in Pensacola, FL

Compliance Manager manages the compliance programs, policies, reporting, and practices for an organization or business. Ensures that all activities follow regulatory requirements related to the governance of the organization as well as any industry-specific or location-specific laws. Being a Compliance Manager oversees internal controls and auditing systems that monitor and report on regulated activities and processes. Implements risk-based compliance testing of existing procedures and controls to identify, detect, and correct noncompliance. Additionally, Compliance Manager evaluates and implements changes to compliance processes due to new or amended regulations. Delivers communication and training initiatives that inform stakeholders about compliance requirements. Requires a bachelor's degree or equivalent. Typically reports to a director. The Compliance Manager 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. To be a Compliance Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager - Compliance Audit Services
  • Baptist Health Care
  • Pensacola, FL FULL_TIME
  • Job Description

    The Manager - Compliance Audit Services is chiefly responsible for the day-to-day oversight, management of a compliance team, and support of the Compliance Audit Services team comprised of compliance auditors supporting Baptist Health Care's Inpatient, Outpatient, and Ambulatory service lines and facilities. The audit team is responsible for assuring the proper coding and billing of healthcare services furnished to beneficiaries of federally funded healthcare programs. In addition to the management and support of the audit team, the Manager - Compliance Audit Services is responsible for the execution of all compliance focal audits as identified on the annual work plan and as may be assigned by the Chief Compliance Officer, as well as supporting external audits as needed. The role requires a keen eye for detail, excellent communications and critical thinking skills, and a commitment to maintaining the highest ethical standards.

    This position is onsite in Pensacola, FL.

    Responsibilities

    • Conducts, manages, and oversees external and internal audits and audit team. Reviews and approves all audit reports prior to release of draft and final audit reports to audited providers and departments. Ensures all audit reports are prepared for executive management review. Maintains workpapers and related supporting documentation in accordance with professional standards.
    • Works with the Chief Compliance Officer to develop compliance auditing plans based on thorough research on studies conducted by government agencies and professional organizations.
    • Reviews all relevant programs and activities affected by industry regulations, including records, reports, and software. Recommends corrective actions and other changes to address procedures and practices that are not compliance with industry regulations.
    • Serves as the primary auditor responsible for the timely and accurate completion of compliance focal audits as identified on the annual Compliance Audit Work Plan.
    • Ensures adherence to and completion of the annual Compliance Audit Work Plan, the Provider Audit program, and all ad hoc audits as may be required or assigned from time to time to the audit team.
    • Compiles reports on the results of external and internal audits and present the findings to departmental and company leadership teams. Presents audit findings and review corrective action requirements will all audited providers and departments consistent with BHC and Compliance Department policies and procedures.
    • Liaises with the Baptist Health Care Internal Audit team to ensure alignment of audit functions and the receipt and oversight of corrective action plans resulting from audits performed by the Internal Audit team.
    • Ensures assigned audits (Provider and Hospital IP/OP audits) are performed according to policy and quality standards.
    • Is responsible for department's operational excellence; ensures department delivers quality services in accordance with applicable policies, procedures, and professional standards.
    • Manage team members which include orientation, development and evaluation of personnel, and monitoring the provision of delivering quality services. Participates in the recruiting, interviewing and selecting of team members following policies, guidelines and applicable laws. Evaluates their performance relative to job goals and requirements. Provides coaching to staff, recommends in-service education programs, and ensures adherence to internal policies and standards.
    • Is responsible for the fiscal management of department; assures proper utilization of organization's financial resources.
    • Effectively communicates departmental, organization, and industry information to staff
    • Assist in other duties as assigned to support the operational needs of the department and organization.
    • May be required to remain on campus immediately before, during, and after severe weather and/or disasters


    Qualifications

    Minimum Education

    • Bachelor's Degree Health Information Management, Five years of related experience maybe considered in lieu of degree, Other related field Required

    Minimum Work Experience
    • 7-9 years Health care compliance experience including coding compliance Required
    • 5 years Health care compliance auditing of coding and billing practices Required
    • 3 years Experience managing a team of corporate compliance auditors in a hospital or health system setting Required
    • Experience with the following applications and systems: Healthicity, Altera Sunrise (formerly Allscripts), Hyland MRM, Clintegrity, and FinThrive Preferred

    Licenses and Certifications

    • Certified Coding Specialist (CCS_AHIMA) Upon Hire Required or
    • Certified Coding Specialist-Physician-based (CCSP_AHIMA) Upon Hire Required or
    • Certified Professional Coder (CPC_AAPC) Upon Hire Required or
    • Certified Outpatient Coding (COC_AAPC) Upon Hire Required or
    • Certified Professional Medical Auditor (CPMA_AAPC) Upon Hire Required and
    • Certified in Healthcare Compliance (CHC_HCCA) Health Care Compliance Association within 1 Year Required

    Required Skills, Knowledge and Abilities

    • Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with excellent analytical and data mining skills.
    • Ability to effectively participate and supervise projects, plan and implement programs, and evaluate outcomes.
    • Ability to effectively work directly with various levels of staff (including on-site and remote).
    • Must possess strong communication skills, both written and verbal.
    • Exhibits effective organizational skills, time management, and management of multiple priorities.
    • Ability to make effective and persuasive presentations on complex topics to management and physicians.
    • Ability to teach and mentor coders and physicians on complex coding systems.
    • Ability to have an excellent balance of being highly productive and yet produce high quality work.
    • Must be able to create strong arguments based on solid coding guidelines and audit practices.
    • Ability to interpret federal and state regulations as they relate to coding and compliance.

     

  • 1 Month Ago

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Compliance Auditor
  • NHC HomeCare - Chipley
  • Chipley, FL FULL_TIME
  • Definition: The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing and monitoring activities, assists in ensuring compliance to state and federal laws, sta...
  • 9 Days Ago

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Compliance Auditor
  • NHC HomeCare - Panama City
  • Panama, FL FULL_TIME
  • Definition: The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing and monitoring activities, assists in ensuring compliance to state and federal laws, sta...
  • 1 Month Ago

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Timesheet Compliance Specialist
  • InDyne, Inc.
  • Crestview, FL FULL_TIME
  • InDyne is a full-service military, civilian and commercial operations company. Our Mission is to provide tailored cost effective, quality services and solutions. Our Vision is to exceed customer expec...
  • 17 Days Ago

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Public Works Compliance Inspector
  • City of Lynn Haven
  • Haven, FL FULL_TIME
  • Job DescriptionThe City of Lynn Haven is seeking a Public Works and Public Utilities Inspector who's primary role is to ensure the safety of water and wastewater systems and ensure compliance with US ...
  • Just Posted

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Compliance and Auditing Officer
  • Danaher
  • Pensacola, FL FULL_TIME
  • Be part of something altogether life-changing!Working at Cytiva means being at the forefront of providing new solutions to transform human health. Our incredible customers undertake life-saving activi...
  • Just Posted

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0 Compliance Manager jobs found in Pensacola, FL area

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Human Resources Manager
  • Lhh
  • Pensacola, FL
  • LHH is working in partnership with a client in Pensacola, Florida, to seek out a dynamic HR Manager for their organizati...
  • 4/24/2024 12:00:00 AM

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

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Contracts Senior Manager
  • Saic
  • Pensacola, FL
  • SAIC Contracts Senior Manager HUNTSVILLE , Alabama Apply Now SAICs Business Enablement represents the full depth and bre...
  • 4/23/2024 12:00:00 AM

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Sr. Manager - IT Procurement, Software
  • J&j Family Of Companies
  • Pensacola, FL
  • J&J Family of Companies Sr. Manager - IT Procurement, Software Salt Lake City , Utah Apply Now Sr. Manager - IT Procurem...
  • 4/22/2024 12:00:00 AM

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Sponsored Projects Grants & Contracts Officer - Remote
  • University Of Utah
  • Pensacola, FL
  • University of Utah Sponsored Projects Grants & Contracts Officer - Remote Salt Lake City , Utah Apply Now Job Title Spon...
  • 4/22/2024 12:00:00 AM

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Business Development Coordinator
  • Global Connections to Employment
  • Pensacola, FL
  • Job Description Global Connections to Employment (GCE) is a nationwide team providing jobs for people with significant d...
  • 4/22/2024 12:00:00 AM

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Office Assistant
  • Catalyst HRE
  • Pensacola, FL
  • Company Description Catalyst is a national, full-service healthcare real estate investment firm. Our platform of integra...
  • 4/20/2024 12:00:00 AM

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Case Manager (8377)
  • Lutheran Services Florida
  • Pensacola, FL
  • Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibr...
  • 3/21/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Manager jobs
$108,601 to $148,761
Pensacola, Florida area prices
were up 1.5% from a year ago

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