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ProfileAssociate Coordinator Contract The candidate will review and evaluate invoices for compliance with policies, procedures and contracts. Utilize processes and electronic systems for contract management, contract reporting, and financial management. Serve as a liaison for organization--to include, but not limited to, leadership, physicians, Legal and Finance--on payment issues. Develop and prepare periodic reports documenting compliance status. Conduct monthly audits of contracts, policies, procedures and processes to ensure compliance with federal regulations. Assist in internal reviews as needed. Participate in reviews and projects for the Compliance Department, as needed. Maintain logs of inquiries and track research and disposition of compliance issues related to medical directorships and physician payments. Assist with reporting to governmental agencies in accordance with company policies and procedures. Communicate effectively with Finance on the appropriate payments for the medical directorships and physician payments. Create and maintain data in information systems or databases. Assist with the implementation of compliance or risk management initiatives. Actively develop relationships and work collaboratively with cross functional groups. Develop solutions to problems independently and collaboratively. May perform other duties as assigned or requested and job specification can be modified or updated at any time.
Qualification and Experience
The candidate should have High School Diploma or GED. Preferred Education: Associate or Bachelors degree in the fields of business administration, finance or related field, and/or paralegal studies. Preferred: Knowledge of MS Office, Visio, OneNote, Access. Paralegal certification or Certified in Healthcare Compliance (CHC). Must have contract- or compliance-related experience, preferably in health care fields. Mus be knowledgeable of commonly-used contracting methods and contract types related to medical directorships and physician payments. Must be proficient in basic procurement procedures and techniques and able to analyze business practice and market conditions to ensure contract administration accuracy. Should be knowledgeable of legislative and regulatory issues related to medical directorships and physician payments. Must be able to research, obtain, coordinate, and integrate feedback and directions from diverse operational groups and organizations. Should have excellent verbal and written communication skills. Strong knowledge of Medicaid /Medicare regulations and CMS guidelines combined with an ability to contemplate critically how those impact an organization's operations is required. Must be able to maintain a high degree of professionalism to engender respect and build rapport as a knowledgeable and helpful resource within and outside the compliance team. Should have experience and thorough understanding of Microsoft Office, flow charting and other relevant software systems and applications. Knowledgeable of HIPAA, federal and state regulatory processes is required. Must be able to read and interpret regulatory agency rules and regulations.
Centra Health, Inc.
1920 Atherholt Road
Lynchburg, VA 24501