Senior Corporate Compliance Consultant- Healthcare ...

Description - External JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidateu2019s specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting Hospital and Professional areas of billing compliance: u00b7 Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. u00b7 Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. u00b7 Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. u00b7 Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. KEY SUCCESS FACTORS u00b7 Continually demonstrates initiative by learning business processes and applicable auditing techniques. u00b7 Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. u00b7 Excellent written and oral communication skills based on level of expertise. u00b7 Proficient in Microsoft Word and Excel. u00b7 Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: u00b7 Immediate eligibility for health and welfare benefits u00b7 401(k) savings plan with dollar-for-dollar match up to 5% u00b7 Tuition Reimbursement u00b7 PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level Belonging Statement We believe that all people should feel welcomed, valued, and supported. QUALIFICATIONS - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience - Billing/Healthcare experienceAs a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Created: 2025-12-22