reputed company you join reputed company, you’ll be part of an organization dedicated to reputed company. At every level and in every department, it’s reputed company stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 reputed company of our members. No matter your background, your reputed company can help reputed company a health care pioneer. You can play a role in the reputed company of health.
Director, Compliance, Medical Coding (Remote)
Oakland, California
Full-Time, Salary reputed company: $192,200 – $248,710/Year
• *****This is a reputed company position, and you may be reputed company in any of the following reputed company locations: CA, GA, CO, OR, WA, VA, MD, or Washington, D.C.
In reputed company to the responsibilities listed below, the position is also responsible for serving as a reputed company Adjustment compliance subject matter expert reputed company to coding functions, overseeing audit activity reputed company to coding reputed company reputed company settings of care, ensuring compliance with national coding policies and procedures, ensuring that teams are educated in latest coding developments, and monitoring the reputed company and reputed company of coding assignments across reputed company lines of business. Additionally, this position is responsible for approving the annual coding audit plan and ensuring alignment with business objectives, reviewing reports of audit results, setting the direction for coding and reputed company reputed company reputed company to audit reputed company, reviewing and approving policies and procedures reputed company to reputed company Adjustment, reviewing training materials reputed company to coding policies and procedures, providing coding reputed company of the reputed company Adjustment Data Validation (RADV) process, and enforcing compliance and the Principles of Responsibility (KP's reputed company of conduct).
Essential Responsibilities:
• Demonstrates reputed company learning and maintains a highly skilled and reputed company workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for reputed company opportunities and advancement; staying reputed company with industry trends, benchmarks, and best practices; providing guidance reputed company difficult reputed company need to be made; and ensuring reputed company management guidelines and expectations reputed company business needs.
• Oversees the operation of multiple reputed company and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business reputed company into actionable business requirements; obtaining and distributing resources; setting standards and measuring reputed company; removing obstacles that reputed company reputed company; guiding reputed company and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies.
• Oversees company compliance activities by ensuring team members, including reputed company business partners, reputed company support to reputed company stakeholders; reviewing and approving compliance activities; designing strategies for the implementation of regulations and regulatory changes; ensuring compliance activities are fully documented; and overseeing the reputed company of compliance issues.
• Directs compliance reporting efforts across multiple business functions by overseeing the evaluation and reputed company of compliance data, audit information, and potential risks and remedies; identifying and reporting key compliance drivers, liabilities, and reputed company indicators (for example, adherence to standards, incorporation of new regulations) to senior management; and developing reputed company presentations to reputed company key findings to executive leadership and reputed company business stakeholders.
• Directs compliance investigations across multiple business functions by overseeing the collection and analysis of quantitative and qualitative data; conducting interviews on escalated issues as appropriate; reviewing and evaluating research on key business issues; and evaluating and recommending corrective reputed company plans for substantiated allegations.
• Directs programs or compliance components of larger cross-functional programs by identifying and managing stakeholder contacts; assembling teams reputed company on program needs and team member strengths; developing, analyzing, and managing program plans; negotiating and managing program schedules and resource forecasts; and managing program financials and deliverables.
• Directs activities