Radiology Compliance Coord

DMC Sinai-Grace Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

About the Role

Under limited supervision, coordinates RadNet system activities, including developing and submitting for approval operational and contingency RadNet downtime policies and procedures. Works closely with users, ISD, Finance, Billing and Corporate Compliance, as well as all DMC Radiology personnel on Radiology-related issues. Prepares and maintains training manuals for RadNet. Trains Radiology staff on new HCFA rules, such as modifiers, codes, medical necessity, APCs, etc., affecting employees and physicians. Provides ongoing research of HCFA changes for dissemination to Radiology directors, physicians, and super users. Develops indicators and conducts quality improvement of computer-related activities. Monitors quality and efficiency of RadNet-related processes and implements procedures to correct deficiencies. Develops and recommends system improvements and backup procedures for RadNet. Collects, analyzes, and reports statistical data. Prepares, maintains, and updates RadNet policies and procedures. Responsible for Radiology billing issues from Cerner to SMS. Attends various Compliance, Coding, APC, and Radiology user-group meetings. Receives, critiques, and forwards to appropriate IS/SMS individuals information received from all Radiology departments relating to CDM changes, as well as general maintenance of all Radiology CDMs.

Responsibilities

• Coordinate RadNet system activities, including developing and submitting operational and contingency downtime policies and procedures for approval.
• Collaborate with users, ISD, Finance, Billing, Corporate Compliance, and DMC Radiology personnel on Radiology-related issues.
• Prepare and maintain training manuals for RadNet.
• Train Radiology staff on new HCFA rules, including modifiers, codes, medical necessity, and APCs.
• Conduct ongoing research of HCFA changes and disseminate findings to Radiology directors, physicians, and super users.
• Develop indicators and conduct quality improvement of computer-related activities.
• Monitor quality and efficiency of RadNet-related processes and implement corrective procedures.
• Develop and recommend system improvements and backup procedures for RadNet.
• Collect, analyze, and report statistical data.
• Prepare, maintain, and update RadNet policies and procedures.
• Manage Radiology billing issues from Cerner to SMS.
• Attend Compliance, Coding, APC, and Radiology user-group meetings.
• Receive, critique, and forward information related to CDM changes and general maintenance of Radiology CDMs to appropriate IS/SMS individuals.

Qualifications

• Associate's degree in a related technical or administrative discipline or equivalent combination of education and experience.
• Bachelor of Science degree in Computer Science or Management Information Systems preferred.
• Two or more years of progressively responsible technical experience with Radiology Information Systems and HCFA rules and regulations.
• Strong understanding of automated information systems applications.

Benefits

At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job — we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program
• Employee discount program
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, auto & home insurance

Location: Detroit, Michigan
Facility: DMC Sinai-Grace Hospital
Job Type: Full Time
Shift Type: Day