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Director of Operations
4 months ago
Oversees the daily operations of the billing unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the billing unit.Evaluates the impact of innovations and changes in programs, policies, and procedures for the billing unit.Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.Oversees and monitors the billing compliance program. Develops and coordinates educational and training programs regarding elements of the billing compliance program such as appropriate documentation and accurate billing to all appropriate staff.Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.Conducts and oversees billing audit efforts and coordinates monitoring of billing accuracy and documentation adequacy.Reports non-compliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits.Conducts trend analyses to identify patterns and variations in billing practices.Reviews claim denials and rejections pertaining to billing and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring.
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