Compliance Consultant

 

Description:

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Acevedo Consulting Incorporated, a leading healthcare consulting firm is currently seeking a Healthcare Compliance Expert to work as a full time employee to support the Company and its clients with all healthcare compliance inquiries and initiatives.

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Acevedo Consulting Incorporated is a coding and compliance consulting firm in Delray Beach, Florida.  Founded in 2000, the firm enjoys a reputation of excellence and is privileged to be endorsed by several local and national physician and specialty organizations.   

 

While the day-to-day duties may sound “routine,” this niche consulting firm provides a challenging environment and is ideally suited for compliance and coding professionals who thrive on learning new things. The firm’s clients encompass a range of entities from physician practices, hospices and hospital systems to law firms, private equity firms, and the Federal Government.  Responsibilities include conducting coding and compliance audit projects; providing consulting services to clients’ management, physicians and staff; and providing input to development of each client’s annual audit plan. Project scopes often include due diligence on a pre-acquisition basis, serving as the Independent Review Organization for health care providers under Corporate Integrity Agreements, and serving as an expert witness.  Our team also works hard in developing and maintaining client and referral source relationships through individual contacts and public speaking.  This position may require evening and weekend hours to meet client needs. The right candidate must be willing to travel periodically.

 

The ideal candidate will have extensive experience in healthcare compliance, preferably in both a hospital and healthcare company setting, as this role may involve oversight of compliance services for the firm’s clients. Personal expertise in conducting chart reviews and audit/compliance activities will ensure this candidates success.  

 

Experience Required:

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• Qualified candidates must possess their Certification in Healthcare Compliance (CHC) from the Health Care Compliance Board of the Health Care Compliance Association (HCCA).

• Candidates must possess a Certified Professional Coder (CPC) designation or its equivalent. CPMA is a plus. Must have an understanding of physician and other “Part B” professional billing, ICD-10-CM, regulatory compliance, litigation support and/or internal auditing. MRA coding expertise also valuable.

• Minimum of five (5) years of experience with compliance and coding auditing.

• Candidates must be able to articulate proven strategies for audit processes; including but not limited to, formulating compliance work plans, formulating and implementing audit strategies, managing auditing projects and preparing audit reports of findings.

• Ability to handle multiple tasks and meet deadlines while working independently or as an active member of a team

• Project management experience that includes interacting with and presenting to both internal and external stake holders (executives, C-suite, health policy leaders, etc.)

• Strong interpersonal skills that translate into positive relationships with colleagues and clients

• Candidates must have experience working under the auspices of counsel in a work product environment.

• Qualified candidates must have experience educating providers in one-on-one and group settings.

• Demonstrated extensive knowledge of Evaluation & Management documentation and coding criteria.

Benefits:

ACI offers a challenging work environment, competitive pay and great benefits including Health Insurance, 401(K) with company match and generous Paid Time Off and Holidays. 

  

 

To apply, please send resume to zton@acevedoconsulting.com