Compliance Coordinator

We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.

Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes.The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care

Mission Statement

Restoring hope and freedom through rehabilitation.

Employment Value Proposition

At Mary Free Bed, we take pride in our values-based culture:

• Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
• Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
• Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
• Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
• A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.

Summary

Responsibility to assist the Office/Compliance Manager and Clinical Director in all areas of billing, documentation, regulatory compliance, and related support functions facilitating an efficient customer-driven system by creating a team-focused atmosphere.

Essential Job Responsibilities

• Coordinates with office and clinical staff on proper use of O&P procedure codes and modifiers, prior authorization procedures, and proper documentation.
• Educates office and clinical staff on proper compliance with various insurance policies and procedures.
• Performs department chart audits to ensure clinical and administrative staff are following policies and procedures.
• Provides assistance to all staff members regarding compliance with a strong customer service emphasis to all internal and external customers.
• Evaluates CFA applications and makes determinations based on CFA policy for financial need and medical necessity.
• Communicates and educates staff on changes in policy and requirements to ensure proper documentation and regulatory compliance regarding O & P services.
• Provides assistance in keeping OPIE intelligence updated.
• Works with clinical and administrative staff to decrease reimbursement denials, responds to RAC audits, and evaluates potential ALJ claims.
• Participates in the quality improvement and patient satisfaction process. Assists with monthly reporting of quality improvement, patient satisfaction, and outcomes.
• Manages patient satisfaction concerns/responses and patient complaint logs. Ensures that a satisfactory resolution occurs for patient care through prompt response by demonstrating a positive representation of the organization.
• Manages clinical accreditation and credentialing status internally and with outside organizations.
• Assists leadership with accreditation processes for all O&P facilities.
• Works with administrative, clinical, and leadership staff to develop/improve positive relationships within the team and community.
• Coordinates resolution between leadership and O&P team with a focus on improved communication and inter-team relationships.

Customer Service Responsibilities

Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement

Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

Essential Job Qualifications

• Bachelor's degree in business or health management or equivalent work experience.
• Minimum 2-5 years of work experience in a medical office, direct O&P experience preferred.
• Experience working with payers to resolve denials.
• Knowledge of billing procedures and systems.
• Demonstrated competency with ICD-10 and L coding system.
• Demonstrated experience and success with customer service principles
• Possesses organizational, communication and problem-solving skills
• Experience with computers and application software
• Works independently and with minimal direction.
• Works efficiently and with flexibility in high-stress and fast-paced situations.
• Participates as an effective team member to promote collaboration at all times to maximize group effectiveness.

Preferred Job Qualifications

• Knowledge of the Orthotics & Prosthetics L coding system
• Expertise in governmental/insurance regulations regarding O&P billing, documentation, and compliance.
• Experience in billing in Orthotics & Prosthetics

Compensation based on experience, starting from $25.40.

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at recruitment@maryfreebed.com.

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.