Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.
It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.
Benefits Eligible
Full-Time Benefit EligibleWork Shift
Day - 8 Hour or less Shift (United States of America)Department
8895 Compliance ProgramResponsible for comprehensive compliance audit services for inpatient and outpatient locations, including risk assessments, compliance workplan development, audit planning and performance, and report presentation and education.QUALIFICATIONS
License/Certification
Required: AAPC Coding Certification CPC
Preferred: Health Care Compliance Association CHC; AAPC Coding Certification CPB, COC, CIC
Education
Required: Bachelor’s degree in relevant field (Healthcare, Finance, Business) or equivalent experience
Preferred: Master’s degree in relevant field (Healthcare, Finance, Business) or equivalent experience
Experience
Required: Five years in healthcare, three years in coding and auditing
Preferred: Five years in healthcare leadership
Knowledge/Skills/Abilities:
Proven experience as a healthcare compliance auditor
Experience in healthcare environment
Knowledge of legal and regulatory requirements related to healthcare organizations, including Medicare and Medi-Cal billing requirements
Excellent communication and collaboration skills
JOB RESPONSIBILITIES
With the support of the Director of Corporate Compliance, plans and performs compliance audits to evaluate compliance with laws, regulations, and organizational policies and procedures.
Reviews and analyzes medical records and billing documentation to evaluate accuracy with coding and billing guidelines.
Drafts and presents detailed audit reports to the Director of Corporate Compliance, relevant stakeholders and organizational leaders.
Identifies compliance issues and develop action plans designed to prevent and resolve identified issues.
Works with stakeholders to ensure corrective actions are taken in response to identified compliance issues.
Assists in the development of compliance policies, procedures, and processes.
Supports the development of the Annual Compliance Risk Assessment and Compliance Plan, including the development of written questionnaires and performance of interviews with relevant stakeholders and leaders throughout the organization.
Assists external auditors as needed in their performance of compliance, coding, billing, financial, and/or regulatory audits overseen and/or coordinated through the Compliance Department.
Participates as an active member of designated Committees, and reports on findings and completes special projects, tasks, and reviews assigned by the Committee and the Director of Corporate Compliance.
Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
Performs other duties as assigned.
Pay Range
$33.27 -$49.90If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Skills Required
- Bachelor's degree in relevant field or equivalent experience
- Five years in healthcare
- Three years in coding and auditing
- AAPC Coding Certification CPC
- Health Care Compliance Association CHC
- AAPC Coding Certification CPB, COC, CIC
- Master's degree in relevant field or equivalent experience
- Five years in healthcare leadership
What We Do
Established in 1963, Kaweah Health is one of the area’s most progressive healthcare providers. With more than 400 physicians and 4,800 employees – more than 1,000 of which are registered nurses – Kaweah Health provides the people living and working in California’s bustling Central Valley with access to high-quality health care just minutes from home. Kaweah Health is an eight-campus, 613-bed healthcare organization based in Visalia, California, devoted to serving central California residents. Our areas of excellence include cardiac services, orthopedics, surgical services and obstetrics. We offer an array of other services – physical therapy, cancer care, imaging, diabetes education and more to help people live healthier lives. We offer general, specialty and sub-specialty care in a full-range of medical fields. We offer six accredited Graduate Medical Education Programs training physicians of tomorrow in emergency medicine, family medicine, surgery, psychiatry, anesthesia and a transitional year program. We are the only level III trauma center in Tulare and Kings counties. We are the first in Tulare County to offer robotic surgery for gynecologic, urologic and general surgery procedures. We are the first hospital in California to install Artis Zeego advanced 3D imaging equipment in operating room. We are home to the most advanced endourology suite in the region with GreenLight Laser Therapy providing minimally-invasive relief for enlarged prostates. We are the only comprehensive cardiac and pulmonary rehabilitation program in the South Valley. We are the only accredited amputation specialty program in the Central Valley and the only accredited stroke program in Tulare and Kings counties. We have everything from a well-respected pediatric hospitalist program to nationally-recognized orthopedic and cancer programs. We offer an expansive rural health clinic system serving residents countywide.
