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Coordinator, Regulatory Affairs
Fredericksburg, VA
Job Description
Start the day excited to make a difference...end the day knowing you did. Come join our team.
Job Summary:The Regulatory Affairs Coordinator is accountable for the administrative tasks in support of corporate compliance activities for Mary Washington Healthcare.
Essential Functions & Responsibilities:
- Responsible for triaging and tracking billing compliance audits and appeals and reporting trends involving audit and appeals data.
- Educates department leadership and Physicians on outcomes and billing compliance opportunities.
- Research's billing compliance issues using federal and state laws and regulations, as well as relevant Centers for Medicare and Medicaid (CMS)policies.
- Responds to compliance related questions.
- Stays abreast of compliance issues as they apply to Mary Washington Healthcare and assists with the analysis and interpretation of regulations.
- Completes Medicare and Medicaid enrollment revalidations and updates which may include maintaining administrative user access, assisting with other governmental payor applications as necessary.
- Prepares and files Provider Based Attestations with CMS and other regulatory filings as needed.
- Performs other duties as assigned.
Qualifications:
- High School diploma or equivalent required.
- Bachelor's Degree preferred.
- A minimum of one (2) years of healthcare experience required in compliance, insurance follow-up and appeals, or Medicare/Medicaid enrollment.
- Experience navigating an Electronic Medical Record (EMR) preferred.
- Ability to manage multiple tasks and complex projects effectively and accurately in a fast paced and changing environment.
- Must exhibit discretion in dealing with sensitive system and regulatory compliance information.
- Must have highly developed verbal, written, interpersonal, and communication skills with the ability to articulate complex topics and interact with all levels of management, medical staff, and associates.
- Must be proficient in computer applications.
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
1 to 2 years
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