Experience:
3-5 years of experience
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Employment Type:
Full time
Posted:
8/15/2017
Job Category:
Health Care Provider
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Compliance Analyst Job
Mayo Clinic | Rochester, Minnesota
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Job Description

Department: Integrity and Compliance Office

A Life-Changing Career


Responsibilities: Fosters the compliance program and processes. Responsible for organization-wide compliance auditing and monitoring of hospital and physician services through documentation, coding, and billing reviews. Understands and applies federal (Medicare, TriCare) and state (Medicaid) regulatory requirements, payer policy, and internal policy when performing reviews. Provides business consultative services at the local, regional, and organizational level. Understands and considers both the business and the technical needs of all customers with the goal of providing a quality product or process that meets the business objectives. Provides direct feedback to physicians and advance practice providers, administrators, and other customers. Develops and presents compliance education to small and large groups. Serves as an effective change agent with practice and shared service areas. Has strong independent decision making, assessment, and reasoning. Knowledge of and demonstrated expertise in Evaluation and Management documentation and coding, CPT, ICD-10 CM, MS-DRGs, OPPS, Merit-Based Incentive Program, and other health care payment models. Tracks and trend review results to identify common themes. Facilitates corrective action plans.

Qualifications: Clinical health care experience (BSN, therapist, physician assistant, etc.) and a bachelor's degree and a minimum of three years clinical experience required. Or, Coder with coding credentials (RHIT, RHIA, CPC, CCS-P, or CCS) with a bachelor's degree and five years of coding experience.

Additional Qualifications: Compliance program experience. Has an advanced understanding of coding, billing and compliance practices. Demonstrates system and analytical thinking capability. Self-motivated and able to work independently. Demonstrated ability to work well with others in a creative and challenging work environment. Must be self-motivated with minimal supervision. Keeps detailed records electronically. Possesses expert investigational skills, shows attention to detail, accuracy and ability to manage and prioritize multiple tasks. Ability to operate with a high level of productivity. Demonstrates advanced verbal and written communication and presentation skills; maintains effective correspondence. Works in and leads a team environment and develops constructive working relationships with others. Able to lead others through difficult situations. Possesses expert investigational skills, shows attention to detail, accuracy and ability to manage and prioritize multiple tasks.

License or Certification: Coding Credentials (RHIT, RHIA, CPC, CCS-P, or CCS) preferred. Compliance certification (CHC or similar) preferred.

Benefit Eligible: Yes
Exemption Status: Exempt
Compensation Detail: Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $2,469.60, based on a full-time position.
Hours/Pay Period: Full Time

Recruiter: David Binder

Why Mayo Clinic? Mayo Clinic provides the highest quality patient care by placing the needs of the patient first. We are the largest integrated, not-for-profit medical group practice in the world with approximately 60,000 employees working in a unique environment that brings together the best in patient care, groundbreaking research and innovative medical education. We offer a highly competitive compensation package, which includes exceptional benefits, and have been recognized by FORTUNE magazine as one of the top 100 "Best Companies to Work For".

Site Description: Every year, more than 1 million patients from all 50 states and nearly 150 countries choose Mayo Clinic for their medical care. Mayo Clinic has a legacy of inspiring hope and contributing to health and well-being by providing the best care to every patient through integrated clinical practice, education and research.

Mayo Clinic has campuses in Rochester, MN; Scottsdale and Phoenix, AZ; Jacksonville, FL; and throughout the multistate network of Mayo Clinic Health System. Each campus is an integral part of its community and reflects Mayo Clinic's deeply held values.

Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).

Job Posting Category: Business Professional
Job Posting Number: 84091BR

About Mayo Clinic

Company Description

Mayo Clinic is the first and largest integrated, not-for-profit medical group practice in the world. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of "the needs of the patient come first." More than 3,800 physicians and scientists and 50,900 allied health staff work at Mayo Clinic, which has sites in Rochester, Minn., Jacksonville, Fla., and Scottsdale/Phoenix, Ariz. Mayo Clinic also serves over 70 communities through Mayo Clinic Health System with locations in MN, IA, GA, and WI. Collectively, these locations care for more than 1 million people each year.

Company History

Perhaps it was fate, perhaps happenstance or maybe even luck. Whatever you decide, this is certainly a story about being at the right place at the right time -- a moment in history when scientific discovery made possible the creation of modern medicine. It's also a story of an extraordinary family -- Dr. William Worrall Mayo, a frontier doctor, and his two sons, Dr. William J. Mayo and Dr. Charles H. Mayo, and the great institution they built, Mayo Clinic. It's the story of a deadly tornado and the partnership that evolved between the Mayo family and the Sisters of Saint Francis. It's a story about unusual dedication, willingness to face a hostile and harsh environment, a story of discovery, sharing, collaboration, selflessness and generosity. It's also a story of how people came together in a small town on the edge of America's Great Plains and built the first integrated medical practice and how that practice developed a model dedicated to providing the best care to every patient every day.

Mission & Values

Mayo Clinic has a legacy of inspiring hope and contributing to health and wellbeing by providing the best care to every patient through integrated clinical practice, education, and research.

Working Here

What if a career could change your life?  Whether you are a nursing student, starting your professional life, or already have a substantial career in Nursing, you may sometimes wonder if you are doing the work you were meant to do.  As a Mayo Clinic Nurse you will become a vital member of a dynamic health care team, where you’ll experience the exceptional environment of one of the world’s cutting edge health care institutions.

Perhaps you imagine being part of a team where your colleagues inspire you to stretch and grow beyond your boundaries. Maybe you are looking for a purpose in life that gives you an opportunity to be part of a lasting legacy. Mayo Clinic provides the highest quality patient care by placing the needs of the patient first.  You’ll discover a culture of teamwork, professionalism and mutual respect – and most importantly, a life-changing career.

Hiring Information

Mayo Clinic has a multidisciplinary, team-oriented work environment that presents opportunities that may rarely be experienced elsewhere.  Each year more than a million patients from all 50 states and nearly 150 countries come to Mayo Clinic for care.  Mayo Clinic teams cared for 1,113,000 individual patients in 2011 at campuses in Minnesota, Florida, Arizona and Mayo Clinic Health Systems, a network of clinics, hospitals, and health care facilities serving communities in Minnesota, Iowa, Wisconsin, and Georgia.  A variety of specialty opportunities exist within hospital inpatient, Perioperative and perianesthesia, and ambulatory care areas depending on location of interest.

Benefits

Mayo offers a wide variety of benefits for employees. They include paid time off, tuition assistance, relocation assistance and excellent health care coverage.

Honors & Awards

In 2012, FORTUNE named Mayo Clinic to its 15th annual 100 Best Companies to Work For list. This is Mayo Clinic's ninth consecutive year on the list. The Department of Nursing at Mayo Clinic in Rochester has been a Magnet status recipient since 1997.

Mayo Clinic is an affirmative action and equal opportunity educator and employer.