The Revenue Cycle Audit & Compliance Manager develops, monitors and directs the audit and compliance programs for Cedars-Sinai Medical Network, in coordination with Cedars-Sinai Health System Corporate Integrity Program. Primary focus is to ensure professional coding, audit, documentation and data quality is in compliance with all regulatory Federal and state requirements and Cedars-Sinai standards and policies. The position is directly responsible for assuring the key elements of an effective revenue cycle compliance program are in place and operationalized as it relates to the Corporate Integrity Program (e.g., policies, education, risk assessments, profiling, work plan monitoring, audit, reporting and corrective/remedial actions and daily operations). Provides guidance and education designed to promote regulatory compliance related to charge capture, documentation, coding and billing within Cedars-Sinai's Medical Network, Faculty Departments, Enterprise Information Systems and all departments responsible for professional documentation and revenue. This leadership position is responsible for achieving the goals of the Revenue Cycle Compliance program which are designed to further advance the Cedars-Sinai Medical Network mission of providing quality health care to all patients, while ensuring prevention of fraud, waste and abuse in our health care delivery system.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research... and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.