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Mgr Clinical Compliance, Columbus

Description:

RESPONSIBLE FOR:
Under the supervision of the Executive Director, Compliance Audit, the Manager, Clinical Compliance Audit has primary oversight of the enterprise-wide clinical compliance auditing program. The Manager, Clinical Compliance Audit provides oversight and manages clinical compliance audits, and applicable corrective action plans The Manager, Clinical Compliance Audit monitors and ensures adherence to Piedmont Healthcare's policies, procedures, and practices concerning local, state and federal regulations concerning clinical healthcare compliance. The Manager, Clinical Compliance Audit develops the clinical audit portion of the annual Compliance Work Plan.

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MINIMUM EDUCATION REQUIRED:
Bachelor's Degree in nursing or healthcare related field, accounting or business-related field.

MINIMUM EXPERIENCE REQUIRED:
Five (5) years of experience related to healthcare compliance, healthcare auditing or auditing in a healthcare related field.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None.

ADDITIONAL QUALIFICATIONS:
Licensure is required commensurate with corresponding clinical degree (i.e. RN licensure is required with a nursing degree).
Possession of one or more of the following certifications or licenses: CFE, CHC, CPA, CPC, CPMA, or within six (6) months of hire.
Five years' experience in acute care or post-acute care auditing or nursing preferred
Knowledge of Local and National Coverage Determinations
Knowledge of health care regulations and clinical terminology. Working knowledge of auditing techniques and standards