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Morehouse School of Medicine (MSM) a historically rich institution is seeking two Compliance Auditors to determine if billing reflects the care documented, and identify areas of exposure and revenue enhancement based on CMS rules and regulations.

The auditors will provide education and training based on findings. Position emphasis is placed on procedural coding, Medicare and Medicaid billing, teaching physicians´ regulations, and overall evaluation and coding. Position required a coder certification.Core Qualifications: Bachelor of Science Degree in Healthcare Administration/Public Administration, Healthcare Education or related field from an accredited college or university with 5 years healthcare auditing experience. CPC or CCS-P certification and intermediate proficiency with Microsoft Office (Excel, Word, PowerPoint, Access), Outlook along with demonstrated knowledge/experience with CMS rules and regulations is required. Consideration will be given to candidates without CMS experience who have a Bachelor of Science in Nursing.

DUTIES INCLUDE BUT ARE NOT LIMITED TO:1.The overall operational responsibility for the routine business and clinical functions through administrative and clinical staff including front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or her assigned practices.2.Directs and manages projects for each practice such as:Monitors patient flow through the practice(s) to ensure appropriate utilization of physician time and staff coverage.Monitors or reviews patient registration and data entry into the system for timeliness, accuracy, and thoroughness.Develops special work load reports to adjust staffing levels as necessary.Reviews and handles patient complaints.Reviews charges, visit encounters, and cash receipts for variations and patterns. Conducts spot audits to ensure compliance with established policies and procedures.Reviews lab and x-ray service utilization, physician charges and coding accuracy, and capture of charges.Provides physician and staff training as required.Conducts patient and staff surveys and questionnaires.Analyzes average patient waiting time.Identifies practice/business development opportunities to increase the practice(s) market share.3.Interacts on a biweekly basis with each physician to ensure their practice business needs are met and:Resolves any medical/administrative problems.Keeps lines of communication open between practice staff and administration.Insures a high employee morale and a professional, effective, and efficient working atmosphere.4.Develops, implements and monitors annual practice(s) budget(s) by:Analyzes financial impact of changes in clinical activities and forecasts actual revenue/expenditures versus approved budget.Recommends corrective action as required.5.Develops cost/benefit analyses of new patient care services and equipment to maximize patient revenues.6.Recommends implementation/purchase of new services/equipment.7.Meets monthly with physicians to review financial performance and key practice indicators.8.Insures that the practice staff follows all receivable/collection guidelines.9.Monitors purchases for each practice. Plans a corrective strategy when order levels are excessive in volume or cost and communicates the strategy with the Division/Market Practice Manager.10.Ensures that the most cost effective vendors and products are being utilized. 11.Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.12.Evaluates each employees performance and provides appropriate guidance and feedback.13.Oversees the daily/monthly expenditures, staffing and overtime hours 14.Counsels, disciplines and/or recommends termination of employees as required.15.Recommends professional development for staff.16.Ensures regulatory compliance.17.Develops and oversees implementation and administration of internal practice policies and procedures in conjunction with Physician Services standard policies and procedures. Interprets applicable laws, rules and regulations and ensures the practice is in compliance with them.18.Develops and maintains effective communications between all levels of personnel. 19.Ensures compliance with and knowledge of the companys Code of Conduct by all subordinates to ensure an ethical work environment.KNOWLEDGE, SKILLS & ABILITIES - This position requires the following minimum requirements:1.Knowledge of organizational policies, procedures, systems and objectives.2.Knowledge of fiscal management techniques.3.Knowledge of health care administration systems.4.Knowledge of governmental regulations and compliance requirements.5.Ability to use various computer systems and applications.6.Ability to plan, organize and supervise.7.Ability to exercise initiative, sound judgment and problem-solving techniques in the decision-making process.8.Ability to develop and maintain effective relationships with medical and administrative staff, patients and the public.9.Ability to communicate clearly.EDUCATION - A Bachelors degree in Business Administration or related field is required, with an emphasis in Healthcare Administration preferred. Appropriate experience may be substituted for educational requirements.EXPERIENCE1. Three years work and supervisory experience in practice management of multiple locations.2. Effective working knowledge of healthcare financial management, specifically medical practice accounting, third party reimbursement issues, patient flow and facilities management.

Immediate Opening

Large emergency physician group seeks experienced medial coding manager. Position is based in Savannah, GA. Key responsibilities include:- Strong knowledge and understanding of E&M Level determination, Medicare guideline interpretation, Modifier utilization and ancillary procedure coding.- Supervision of coding processes to optimize billing and reimbursement potentials.- Ability to direct and lead coding staff in achieving productivity goals and incentives.- Auditing and monitoring ongoing coding processes for accuracy and appropriateness.- Participating in corporate compliance activities, provider orientation and other department initiatives.Wonderful benefit package available, including health, dental & 401k. EOE DFWP

This position oversees section sponsored revenue cycle functions that include charge capture, coding, and edit/denial management; manages section based resources, aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, and efficiency). The position enjoys a matrix reporting relationship with Patient Financial Services (PFS) as well as Administration for the assigned Section(s).The role is responsible for establishing, meeting and exceeding operational work flow, productivity and results standards related to the above functions; participates in the development and implementation of a Clinic-wide revenue cycle integration model that coordinates and aligns the resources deployed to revenue cycle functions across the section(s) in efforts to build consistency of work flow and optimization of resources. The position also organizes, manages, and monitors the performance productivity of staff in reimbursement roles such as Reimbursement Manager and Reimbursement Coordinators with associated staff. Minimum Qualifications: Bachelor´s degree required in related field or healthcare preferred. Masters degree preferred. 5-7 years experience with revenue cycle functions, preferably in both the shared service and clinical Section environments. Demonstrated understanding in how to manage resources across an organization to maximize organization impact in multiple Sections (shared resources). Experience with ambulatory care environments and ability to translate and embed standard operating procedures and process into the clinical environment where appropriate.

This position has oversight responsibility for the clinical and non-clinical services delivered to patients in the pain management facilities.

The Director of Operations must be a driven, self directing and motivated individual. This position is directly responsible for overseeing the daily operations of each pain center and ensuring compliance for the facility, patient safety and satisfaction, and the oversight of the pain center manager´s performance. The person in this position will establish the protocols and work flow processes and will support the opening of additional pain centers.Primary Job Responsibilities:-Plans and organizes activities related to pain services to ensure that professional clinical services are delivered to patients in accordance with instructions of physician and administrative procedures-Coordinates activities with other departments, patient care units and agencies-Develops, implements and coordinates quality management, utilization review and patient care programs.-Supervises the Pain Center Managers and nurses on problems and interpretation of pain center policies to ensure that patient needs are met.-Establishes orientations and in-service training for staff members and participates in guidance and educational programs.-Develops and implements marketing strategy for programs and services.-Formulates and administers the budget.-Encourages and monitors cost containment measures.-Recommends acquisition of capital equipment.-Engages in studies and investigations related to improving the delivery of services.-Ensures and enforces compliance for all clinical operations. -Develop a staffing and business plan for each pain center.-Review established policies and procedures for compliance and make changes as necessary. -Oversee the coordination of patient and physician caseload.Ensures that patient information and records are maintained in a confidential manner -Ensures a safe work environment and adheres to safety policies and OSHA standards. -Provides written evaluations of departmental staff per established facility protocols.-Liaison between the facility and the billing department. -Other job responsibilities as delegated by management.-Reviews payor contracts and negotiates for higher reimbursement when appropriate.JOB QUALIFICATIONS:1.BA in management, finance or nursing. MBA preferred2. 5 yrs. experience in pain management 3. Extensive knowledge in pain billing and electronic medical records. CPC, Cognos and E-Clinical preferred 4.Experience in a management role within a healthcare setting where a balance of clinical and management responsibilities are demonstrated5. Excellent communication and presentation skills6. Strong operations background in healthcare7.Knowledge of HIPAA Guidelines8.Knowledge of Healthcare Compliance 9.Proven leadership skills8.Strong organizational skills and ability to meet deadlines9.Must be proactive, solve problems, and anticipate needs10.Exudes a positive and professional demeanor11.Experience in facilities management

Key Role:Lead the development and management of a health practice in the areas of organization transformation and change management, organizational efficiency and process management, and human capital management. Work with federal health clients, in the role of business developer, delivery lead, and functional expert. Demonstrate knowledge of the market and how to leverage the resources of Booz Allen to successfully sell and deliver $3-$5 million annually within the first 12-18 months of assuming the role. Work with a diverse team of consultants and execute people programs to advance the teams capabilities for the market and each individual´s professional growth. Exhibit an executive presence; work with senior-level or equivalent clients, shape Booz Allen´s role in helping to achieve their mission and goals. Work with teams in IT, supply chain, assurance and resilience, modeling and simulation, and global health to bring total solutions to meet our clients unique needs. Maintain responsibility for the financial performance of projects and the team, become adept at using resources efficiently and effectively, and apply experience with large-scale organizational transformation projects, account experience, existing client relationships, and functional expertise and credentials. Basic Qualifications:-10+ years of experience with management consulting-Experience with health and public health-Experience with management consulting, organization transformation and change management, organizational efficiency, process optimization, human capital management, and process implementation-Experience with account management in the public health domain-Experience with generating management consulting revenue and leading and managing accounts in excess of $3M-Experience with building successful teams and growing staff-Ability to obtain a security clearanceAdditional Qualifications:-Experience with consulting for a large firm-Experience with strategy development, project management, and team leadership-Experience with building and maintaining client relationships-Experience with developing consulting opportunities in a client environment-Ability to perform as a thought leader-Possession of excellent oral and written communication skills-Possession of excellent presentation skills-MBA or MA or MS degree in Public Administration, Public Health, or a related field preferredClearance:Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information.Integrating the full range of consulting capabilities, Booz Allen is the one firm that helps clients solve their toughest problems, working by their side to help them achieve their missions. Booz Allen is committed to delivering results that endure.We are proud of our diverse environment, EOE, M/F/D/V.

Practice Management Consulting with emphasis on practices in transition.

Travel 60%Virtual Office (Work from home)This position can be located anywhere in the USA GENERAL SUMMARY OF DUTIES Coordinates the transition process for providers and staff becoming affiliated with Physician Services and for those providers who are terminating affiliation with Physician Services. Monitors and tracks status of all start-up or termination steps including Regional Service Center department responsibilities regarding the transition process. Processes complex information from a variety of sources, provides medical practice assessments, evaluates data and recommends action plans. Establishes and maintains relationships with customers, including: executive staff, development staff, recruitment staff, physicians, physician extenders, legal counsel, corporate departments, hospital executive management, vendors, physician practice management, and Regional Service Center department directors and staff.EDUCATION Bachelors degree in Health or Business Administration or related field preferred.Bachelors degree in Health or Business Administration or related field preferred. EXPERIENCE Two to five years of healthcare or health-related experience. Experience in the following areas isTwo to five years of healthcare or health-related experience. Experience in the following areas is preferred: physician practice management, support service operations; project management experience is preferred.

Gates, Moore & Company, a national healthcare consulting firm, is seeking a candidate with 3 to 5 years healthcare experience, preferably in a consulting environment. Minimum requirement of a Bachelors Degree in Business or Healthcare Management. Experience with healthcare business valuations and exposure to fair market value compensation arrangements related to employment, medical directorships, etc. is required. Strong proficiency with MS Office tools and experience with analyzing and building financial models in Excel. Outstanding writing and communication skills and proven abilities to meet deadlines, multi-task, and work collaboratively when necessary and independently as appropriate.

Tanner Health System, located in west GA, has been named one of Atlanta´s ´Best Places to Work´ for three consecutive years by the Atlanta Business Chronicle and voted as Modern Healthcare´s best places to work in healthcare.

Our pay, benefits and culture keep Tanner in the Top 10 among large area employers. Join us!The Coordinator manages the functions required to support credentialing and privileging activities of the medical staff organization at Tanner Health System. Ensures that the credentialing and privileging activities of the medical staff organization meets all internal requirements (bylaws, rules and regulations, policies and procedures) while ensuring compliance with external accreditation standards, state laws and Medicare Conditions of Participation. This includes, but is not limited to, application management, verification of credentials, file maintenance (electronic and hard copy), maintenance of expirables and support of the evaluative process.QUALIFICATIONS:* High school graduate or equivalent* Minimum 3 yrs experience in Credentialing.* CPCS and/or CPMSM certification required.

The Dean of Nursing will report to the Vice-President for Academic Affairs and provide leadership and administrative oversight for the Nursing program. Responsibilities of this position will include: maintaining high levels of retention and completion of the Nursing Program and licensure process, ensuring enrollment growth by recruiting college ready students, facilitating strong relationships with service area high schools and sister institutions, and developing and implementing a strategic plan for marketing and recruitment. The Dean of Nursing will provide leadership, coordination, and assistance in college-wide student orientation, advising and retention programs, develop and implement plans to recruit traditional, non-traditional, ACCEL, international, and online students.Qualifications:•Masters degree.•At least three years teaching experience and two years higher level management experience.•Demonstrated ability to collaborate and work effectively with faculty, staff, students, and community.•Proven leadership in promoting and marketing the Nursing programs of study.•Excellent interpersonal, motivational, and communication skills – both written and verbal.•Experience managing a broad range of full-time and part-time faculty and staff.Preferred:•Doctorate in Nursing field. •Experience with distance learning.Contract Provisions:•Twelve-month position. •Full-time, tenure track position starting date negotiable. •Rank: Commensurate with experience. •Salary: Commensurate with qualifications and experience.•Administrators receive all benefits provided by the University System of Georgia, including hospital and major medical insurance, group life insurance, Georgia Teachers´ Retirement System, Social Security, liability insurance, and Workman´s Compensation.A complete application must include: •A current resume. •Letter of application addressing the above responsibilities and qualifications, plusStatement of Philosophy reflecting the applicant´s commitment to the two-year community college.•Names, addresses, and telephone numbers of five current references. •Unofficial transcripts of all college work. •Official transcripts with college/university seal will be required prior to employment.•Finalists will be required to submit to a background investigation.Review of applications will begin immediately and continue until filled.