About this opportunity
Dana-Farber Cancer Institute lists this Billing Compliance Educator opportunity in boston, Massachusetts. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Reporting to the Manager of Billing Compliance, the Billing Compliance Curriculum Development Specialist (also known as the "Billing Compliance Educator") is responsible for designing, implementing, and maintaining a comprehensive billing compliance education and awareness program that supports adherence to federal and state regulations and aligns with industry standards. This role develops and delivers training for billing providers, including physicians and advanced practice providers, and provides post-review education and feedback in collaboration with Billing Compliance Reviewers and Senior Billing Compliance Reviewers, as needed. The Specialist creates, updates, and manages instructional materials such as presentations, tip sheets, slide decks, and other training resources, and tracks training completion and effectiveness. The position also supports the evaluation, customization, and implementation of online documentation and billing education for students, residents, fellows, and other non-billing providers. In addition, the Specialist maintains and updates MRO Cobius Physician Audit Review Manager and Institutional Audit Review Manager modules for billing providers following training and tracks and trends review results as appropriate. This role participates in committees, work groups, and special projects as assigned and serves as a resource to promote accurate, compliant billing and documentation practices through education, documentation review, identification of compliance concerns, and ongoing regulatory support.
nLocated in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
nPrimary Duties and Responsibilities:
nnnDesigns, develops, and maintains a comprehensive billing compliance education program for physicians, advanced practice providers, coders, reviewers, managers, and revenue cycle staff, including onboarding, annual training, and targeted risk-based education.
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nnDevelops, updates, and maintains educational materials, including presentations, reference guides, job aids, assessments, and virtual learning modules, to support role-specific compliance training.
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nnDelivers billing compliance education through live, virtual, small-group, and one-on-one formats using effective adult learning principles and instructional methods.
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nnProvides onboarding and ongoing billing compliance training for newly employed physicians, advanced practice providers, and staff, including coverage for educator responsibilities as needed.
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nnPartners with compliance reviewers, department leadership, and revenue cycle operations to reinforce review findings, improve billing and documentation practices, and support corrective action efforts.
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nnResearches coding, billing, documentation, and regulatory issues; responds to questions; and communicates relevant updates and annual changes to physicians, advanced practice providers, coding staff, and billing compliance personnel.
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nnMaintains current knowledge of ICD-10-CM, CPT, HCPCS Level II, and applicable billing, coding, documentation, and specialty-specific regulatory requirements.
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nnIncorporates guidance from CMS, OIG, NCCI, and other applicable regulatory and payer sources into training content, communication tools, and compliance education strategies.
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nnAnalyzes review, quality, and compliance data to identify educational gaps, measure training effectiveness, and track participation and outcomes.
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nnAssists with special projects, internal reviews, investigations, reviews, and responses to inquiries from federal, state, or other external agencies.
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nnMaintains the privacy of patient information and the confidentiality of compliance-related information, investigations, and activities.
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nnIdentifies annual professional development goals and pursues ongoing learning to maintain subject matter expertise and support continuous improvement.
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nnPerforms other related duties as assigned.
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n nKnowledge, Skills and Abilities:
nnnAdvanced knowledge of billing compliance regulations and coding guidelines, including ICD-10-CM, CPT, and HCPCS
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nnStrong instructional design and adult learning skills
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nnExcellent written and verbal communication skills
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nnStrong analytical skills with the ability to translate data into actionable education
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nnProficiency in Microsoft Office, including Word, Excel, and advanced PowerPoint skills for developing effective presentations and training materials
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nnAbility to develop, implement, and maintain e-learning modules within a learning management system (LMS)
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nnStrong organizational skills and ability to manage multiple priorities
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nnAbility to work independently in a remote environment
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n nMinimum Job Qualifications:
nnnAssociate's degree in Health Information Management, Education, or related field required.
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nnMinimum of 5 years of experience in healthcare billing, coding, auditing, compliance, and/or education.
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nnDemonstrated experience in curriculum development, training delivery, and provider education.
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nnExperience in oncology professional and technical coding, auditing and billing compliance preferred.
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nnExperience supporting enterprise billing compliance and audit programs preferred.
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nnExperience with Epic preferred.
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nnExperience developing virtual or asynchronous learning content preferred.
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n nLicense/Certification/Registration Required:
nOne or more of the following certifications required: CPC, CCS, CCS-P, CPMA, COC, RHIT, RHIA
nSupervisory Responsibilities:
nNone
nPatient Contact:
nNone
nAt Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
nDana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
nEEO Poster
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nPay Transparency Statement
nThe hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
nFor union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).
n$93,800.00 - $106,000.00
Worksite address
boston, MA, 02298, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.