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Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

As a Corporate Compliance Coding/Billing Specialist, you will support the Office of Corporate Compliance by maintaining and administering the Cleveland Clinic Health System (CCHS) Compliance Program. In this role, you will conduct billing and coding compliance reviews, monitor regulatory guidelines, and address coding-related concerns. A caregiver in this role is also responsible for investigating billing and coding compliance issues, ensuring adherence to federal and state regulations, and identifying revenue cycle compliance risks-such as potential False Claims Act exposures-to protect the organization.

This role offers professional development opportunities, including coding and compliance education, direct collaboration with department leadership, and cross-functional experience working with caregivers in other focused areas of compliance.

A caregiver in this position works remotely out of Florida, Ohio, or Nevada, Monday-Friday 8:00am - 5:00pm, with occasional onsite requirements in Cleveland, OH.

A caregiver who excels in this role will:

+ Integrate system-wide compliance initiatives and participate in the resolution of issues through the creation of corrective action plans.

+ Assist the Director with identifying and analyzing areas of risk.

+ Coordinate responses to monitoring and audit activities.

+ Distribute material from resources with relevant compliance-related information, including DHHS, CMMS, OCR and OIG.

Minimum qualifications for the ideal future caregiver include:

+ Bachelor's degree and three years of recent experience with healthcare compliance, auditing, billing, coding, privacy, research, regulatory review and application, reimbursement and/or information management.

+ The following may substitute the education and experience requirement: high school diploma/GED and five years of relevant experience, associate's degree and four years of relevant experience, RN and three years of relevant experience, or JD and one year of relevant experience.

+ Unbiased approach to situations combined with a non-judgmental attitude.

+ Can identify and address multiple perspectives on issues.

+ Can lead investigations into root-cause identification and subsequent process improvement initiatives.

+ Can manage, coordinate and track multiple cases/projects simultaneously and appropriately prioritize tasks.

+ Proficiency in using standard software applications (Word, Excel, PowerPoint, etc.).

Preferred qualifications for the ideal future caregiver include:

+ Three years of HIM coding/billing experience

+ One of the following certifications: CPC, CCS-P, RHIT, CCA, AHIMA, COC, AAPC

+ Certification in healthcare compliance preferred

+ Knowledge of healthcare and/or state and federal statutes and regulations governing hospitals and or the healthcare industry.

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

+ Work typically performed in an office setting with frequent use of computers and telephones.

+ Includes walking and driving of varying distances on campus and at off-site locations.

+ Ability to communicate and exchange accurate information.

+ Ability to perform work in a stationary position for extended periods.

+ Ability to work with physical records or operate a computer or other office equipment.

+ In some locations, ability to travel throughout the hospital system.

+ In some locations the ability to move up to 25 lbs.

Personal Protective Equipment:

+ Follow standard precautions using personal protective equipment as required.

Pay Range

Minimum hourly: $33.46

Maximum hourly: $51.03

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities