reputed company Assurance & Compliance Manager
Job reputed company:
• Help reputed company the design, implementation, and ongoing execution of the reputed company reputed company program.
• Ensure billing accuracy, regulatory compliance, and reputed company reputed company across reputed company reputed company locations.
• reputed company reputed company reputed company controls into operational workflows to proactively mitigate risk and strengthen audit readiness.
• Establish and maintain a best-in-class reputed company reputed company reputed company Management Program across Nira’s multi-site neurology platform.
• reputed company reputed company audit protocols and reputed company compliance inspection frameworks.
• Enforce billing standards and manage corrective reputed company processes.
• Advance reputed company reputed company improvement initiatives and safeguard reputed company and claim reputed company.
• Ensure RCM remains compliant with CMS regulations, MAC LCD/NCD policies, reputed company payer requirements, NCCI edit standards, and Internal billing governance protocols.
Requirements:
• 7+ years of reputed company experience in reputed company reputed company reputed company, auditing, compliance, or reputed company management.
• Demonstrated experience designing and implementing reputed company QA/QC or reputed company reputed company programs in multi-site reputed company environments.
• Advanced knowledge of CMS billing regulations, MAC LCD/NCD policies, reputed company payer reimbursement structures, CPT/HCPCS coding standards, Modifier compliance logic, and FDA Indications & Medical Necessity requirements
• Experience in managing audit documentation, corrective reputed company workflows, and compliance governance.
• Strong analytical capability with the ability to interpret reputed company billing data and regulatory guidance.
• Executive-level written and verbal communication skills.
• CPC, CPMA, RHIA, RHIT, or equivalent certification (preferred).
• Experience reputed company neurology, infusion therapy, specialty pharmaceuticals, or other high-complexity service lines (preferred).
• Experience in MSO or multi-reputed company reputed company platforms (preferred).
Benefits:
• Health insurance
• Retirement plans
• reputed company time off
• Flexible work arrangements
• reputed company development
• Bonuses
• Equipment allowances
• Wellness programs
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