Senior Compliance Monitoring Manager

3 weeks ago


Plymouth Devon, United Kingdom Ophthalmic Consultants of Boston, Inc Full time

OCB is currently seeking a Healthcare Compliance Manager. They will be based out of our Plymouth office and travel to other offices as necessary.The ideal candidate will have prior clinical experience, successfully worked across all levels of an Ophthalmic, sub-specialty or general medical practice, with significant experience and exposure to compliance, billing, and coding practices. This “hands-on” role is responsible for designing, developing, implementing, supervising, and reviewing internal policies, procedures, processes, and practices to assure all patient coding and documentation is accurately interpreted, captured, and managed in accordance with regulatory and Practice requirements. Works across the practice and entities with providers, clinical managers, technicians, scribes, and billing personnel to educate, train, audit, research, investigate, problem solve and resolve compliance related requirements and issues; mitigating risks and reinforcing required practices to assure best practices are implemented and maintained throughout the Practice and its affiliates.
Maintains an in-depth and ongoing understanding of industry related compliance requirements, issues, coding updates, regulatory changes, and industry related best practices.
Assures OCB’s Compliance Program is aligned with regulatory and Practice requirements by developing, implementing, monitoring, and maintaining policies, procedures, and programs to support ongoing activities and requirements of compliance program.
Coordinates and delivers educational training programs consisting of appropriate documentation guidelines, and accurate coding to all appropriate personnel including coding staff, scribes, clinical managers and technicians, physicians/providers, and billing personnel.
Perform internal audits and compliance reviews, identifying, escalating, resolving, and managing requirements and issues in timely and proactive manner.
Conduct regular coding audits and coordinate the monitoring of coding and documentation accuracy, reviewing claim denials and rejections pertaining to coding and medical necessity issues.
Proactively identifies less-apparent coding issues and red flags, by monitoring data, reporting, and procedures/practices to anticipate the obvious and most complex of coding issues; continuously mitigating risks by escalating as needed and recommending remedies.
When necessary, assist in the implementation of corrective action plans, such as educational programs to prevent similar denials and rejections from recurring.
Receive, investigate, and report on compliance complaints and “hotline” reports.
Conduct annual audits as it relates to regulatory agencies assuring adherence to regulatory requirements.
Report non-compliance issues detected through auditing and monitoring, create corrective action plans and results of follow-up audits to the VP of Operations and Senior Management.
Maintain ongoing knowledge of coding, regulations, and compliance/regulatory agencies.
Provide research and support for special projects.
Minimum of five to seven years of physician billing/auditing experience. Extensive knowledge of CPT coding principles, guidelines and practices is required.
Experience with performing physician compliance reviews of healthcare institutions especially subspecialties, ideally in an ophthalmic setting.
Knowledge of electronic medical records and practice management software
Minimum of 5 years of medical auditing in a health care setting, progressive experience in out-patient coding and billing preferred.
Strong knowledge of Federal (HIPPA) and State health care regulations, standards, policies and requirements pertaining to documentation, coding and billing.
The ability to accurately interpret and implement regulatory standards and legal requirements
Strong analytical and problem-solving skills and proficient in report writing and oral communications
Strong computer skills
Bachelor’s degree, or equivalent experience. Ability to travel to various offices
Health & Dental Insurance- eligible 1st day of employment
~ Paid time off and paid holidays
~ Health & Dependent Reimbursement Accounts
~Company paid Life and LTD Insurance
~ Employee discounts

To find out more about OCB, please visit our website at .



  • Plymouth, Devon, United Kingdom Ophthalmic Consultants of Boston, Inc Full time

    OCB is currently seeking a Healthcare Compliance Manager. They will be based out of our Plymouth office and travel to other offices as necessary.The ideal candidate will have prior clinical experience, successfully worked across all levels of an Ophthalmic, sub-specialty or general medical practice, with significant experience and exposure to compliance,...


  • Plymouth, Devon, United Kingdom Manucomm Recruitment Full time

    Technical Compliance Manager Tiverton C£45 - 50,000 DOE plus Excellent Benefits My client, a highly successful food / drinks manufacturer, is looking to recruit a Technical Compliance manager for one of their sites. The successful Compliance Manager will be the main compliance representative during customer audits whether that be for BRC or Retailer...


  • Plymouth, Devon, United Kingdom Hexis Talent Ltd Full time

    Environmental Compliance Manager Role Summary: Join a crucial role aimed at managing the compliance of all environmental, planning, permitting, and waste aspects of our business. This role is pivotal to our expansion plans, ensuring adherence to regulations as we grow our operations. As our business expands, so will the responsibilities of this role,...


  • Plymouth, Devon, United Kingdom Hexis Talent Ltd Full time

    Environmental Compliance Manager Role Summary: Join a crucial role aimed at managing the compliance of all environmental, planning, permitting, and waste aspects of our business. This role is pivotal to our expansion plans, ensuring adherence to regulations as we grow our operations. As our business expands, so will the responsibilities of this role,...


  • Plymouth, Devon, United Kingdom Hexis Talent Ltd Full time

    Job Description Environmental Compliance Manager Role Summary: Join a crucial role aimed at managing the compliance of all environmental, planning, permitting, and waste aspects of our business. This role is pivotal to our expansion plans, ensuring adherence to regulations as we grow our operations. As our business expands, so will the responsibilities...


  • Plymouth, Devon, United Kingdom Hexis Talent Ltd Full time

    Environmental Compliance Manager Apply fast, check the full description by scrolling below to find out the full requirements for this role. Role Summary: Join a crucial role aimed at managing the compliance of all environmental, planning, permitting, and waste aspects of our business. This role is pivotal to our expansion plans, ensuring adherence to...


  • Plymouth, Devon, United Kingdom Manucomm Recruitment Full time

    Technical Compliance Manager My client, a highly successful food / drinks manufacturer, is looking to recruit a Technical Compliance manager for one of their sites. The successful Compliance Manager will be the main compliance representative during customer audits whether that be for BRC or Retailer audits click apply for full job details


  • Plymouth, Devon, United Kingdom Hexis Talent Ltd Full time

    Environmental Compliance Manager Join a crucial role aimed at managing the compliance of all environmental, planning, permitting, and waste aspects of our business.


  • Plymouth, Devon, United Kingdom LanceSoft, Inc. Full time

    Project Management skills: as primary liaison between company and Customer Accounts, the manager will act as the primary point of contact for all communication and approvals regarding resource allocation and account scheduling. Create, communicate, and manage detailed plans with Customer Accounts. Manage Resource allocations for account scheduling. ...

  • Senior Manager, Project Management

    Found in: Jooble UK C2 - 4 days ago


    Plymouth, Devon, United Kingdom LanceSoft, Inc. Full time

    Project Management skills: as primary liaison between company and Customer Accounts, the manager will act as the primary point of contact for all communication and approvals regarding resource allocation and account scheduling. Create, communicate, and manage detailed plans with Customer Accounts. Manage Resource allocations for account scheduling. ...


  • Plymouth, Devon, United Kingdom H&G Recruitment Solutions Full time

    Financial Controller The Financial Controller is responsible for overseeing the day-to-day operations of the finance department. This role involves the management of the company's financial accounting, monitoring, and reporting systems. The Financial Controller ensures the company's financial strength and efficiency, focusing on long-term financial...

  • Accounts Senior

    3 weeks ago


    Plymouth, Devon, United Kingdom Trial Balance Full time

    Client Bookkeeper / Outsourced Accountant - 28 hrs/wk Accounts Senior / Client Manager - Accountancy Practice Want to work for a super friendly firm of Accountants in a progressive working environment where professional and personal development is actively encouraged? This might be just the role that you have been looking for... Trial Balance has been...


  • Plymouth, United Kingdom HM Land Registry Full time

    Do you have industry experience in IT audit and compliance? If so, we'd love to hear from you! Here at **HM Land Registry,** we have an exciting opportunity for an **IT Compliance Officer **to join our Technology and Digital Services Directorate**. **You will join us on a **permanent full-time or part time **basis**,**and in return,**you will receive a...


  • Plymouth, Devon, United Kingdom DK Recruitment Full time

    Finance Manager Permanent DK Recruitment on behalf of our client have a really exciting Finance Manager position available in Plymouth for a forward thinking business. As the Finance Manager you will be responsible for developing and applying relevant financial and accounting systems and approaches. In the role you will provide direct management of our...

  • Senior Engineer

    Found in: Jooble UK C2 - 2 weeks ago


    Plymouth, Devon, United Kingdom Danny Sullivan Group Ltd Full time

    Senior Engineer: Danny Sullivan Group is searching for a highly motivated Senior Site Engineer to join our clients team for a long-term project at Devonport Dockyard. This role offers an opportunity for a seasoned professional to leverage their expertise and contribute significantly to a large-scale project within an industry-leading civil engineering firm....

  • Senior Engineer

    2 weeks ago


    Plymouth, Devon, United Kingdom Danny Sullivan Group Ltd Full time

    Senior Engineer: Danny Sullivan Group is searching for a highly motivated Senior Site Engineer to join our clients team for a long-term project at Devonport Dockyard. This role offers an opportunity for a seasoned professional to leverage their expertise and contribute significantly to a large-scale project within an industry-leading civil engineering firm....


  • Plymouth, United Kingdom Manucomm Recruitment Full time

    Technical Compliance Manager Tiverton C£45 - 50,000 DOE plus Excellent Benefits My client, a highly successful food / drinks manufacturer, is looking to recruit a Technical Compliance manager for one of their sites. The successful Compliance Manager will be the main compliance representative during customer audits whether that be for BRC or Retailer audits...

  • Project Engineer

    1 day ago


    Plymouth, Devon, United Kingdom Advanced Resource Managers Ltd Full time

    Hybrid, As and when required. ~12-Month Contract ~ The Energy Division at ARM is currently a Senior Project Engineer to join a Nuclear Defence company. Senior Project Engineer (aka Junior/Assistant Project Manager) Cradle - This is a key role providing support to the Project Manager Cradle who is managing the contract of a new cradle design. The...


  • Plymouth, Devon, United Kingdom TXM Recruit Full time

    TXM Recruit are currently looking for Senior Mechanical Contracts Manager to work in the Exeter / Plymouth area for one of the UK's largest and leading M&E Companies. The role will be working Monday - Friday, 40 hours a week, 8am - 5pm. You will also be responsible for the delivery of all contracts to a high standard, for several different blue-chip...


  • Plymouth, Devon, United Kingdom Trial Balance Full time

    Accounts Senior / Client Manager - Accountancy Practice Want to work for a super friendly firm of Accountants in a progressive working environment where professional and personal development is actively encouraged? Trial Balance has been assigned to recruit an experienced Semi Senior or Senior to join a very successful and well run firm of Accountants with...