Compliance Manager

Charleston, South Carolina

Job Purpose: Manages professional coding and billing compliance operations for assigned specialties, providers, and care team members in accordance with the MUSC Physicians Compliance Plan and contracted entities supported by MUSC Physicians Compliance. Provides education to physicians, providers, and staff, and serves as a subject matter resource to assigned departments on coding, billing, and regulatory requirements. This position is not remote; candidate must live within the Tri-County area.

Education & Experience: High school diploma or equivalent required with a minimum of 2 years of experience in billing, coding, or compliance. Associate or bachelor's degree preferred. Demonstrated technical proficiency with a strong understanding of business principles, regulatory requirements, and auditing processes. Working knowledge of ICD-10, CPT, HCPCS coding, and medical terminology required. Excellent written and verbal communication skills, with strong interpersonal abilities. Must exercise sound judgment in advancing compliance initiatives in alignment with MUSCP Compliance Department and organizational policies and procedures. Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint, required. Experience researching and responding to coding inquiries and/or educating professional billing providers is preferred.

Licensures, Registrations, Certifications: CPC, CCS-P, RHIA, RHIT or other medical coding certification preferred.

Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs. (+/-) unassisted. Lift from 36" to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces.

Job Duties:

• (45%) Auditing
• (35%) Compliance Advisory & Support Services
• (10%) Internal Support- Compliance Plan Execution
• (10%) Competencies

Additional Job Description

Education: High School Diploma or equivalent required Experience: Minimum of 2 years' experience in billing, coding, and/or compliance required Licensure/Certification: Current CPC, CCS-P, RHIA, RHIT or other medical coding certification preferred.

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.