Top 1 Oncology Coder Jobs in Los Angeles, CA

Director of Compliance
Los Angeles Cancer Network —Glendale, CA
- $130,000 - $165,000 a year
- Full-time
- Nursing
- 5 years
- Master's degree
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Director of Compliance

Los Angeles Cancer Network -
Glendale, CA

Quick Apply

Job Details

Full-time
$130,000 - $165,000 a year
13 days ago

Qualifications

Bachelor's degree

Full Job Description

The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer care, curated with deliberation and compassion. LACN is committed to educating and supporting our patients and their families through every step of the way. We deliver a unique approach for every patient to ensure they receive treatment best suited to their condition, age, and other important factors. We do this by participating in important clinical research, encouraging screenings for early detection, and providing innovative treatment. We are proud to be at the forefront of cancer research through our partnership with OneOncology.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

The Director of Compliance is responsible for developing, implementing, and overseeing the organization's Corporate Compliance Program across all physician practice locations. This position ensures compliance with federal, state, and local laws and regulations governing physician practices, specialty oncology services, infusion centers, pharmacy operations, laboratory services, and clinical research (if applicable). The Director serves as a strategic advisor to executive leadership while promoting a culture of ethics, integrity, and regulatory compliance.

Essential Duties and Responsibilities

Corporate Compliance Program

Develop, implement, and maintain an effective Corporate Compliance Program.
Conduct annual enterprise-wide compliance risk assessments.
Develop annual compliance work plans based on identified risks.
Present compliance reports to Executive Leadership and the Board or Compliance Committee.
Maintain the organization's Code of Conduct and compliance policies.

Regulatory Compliance

Ensure compliance with:

Centers for Medicare & Medicaid Services (CMS)
California Department of Public Health (CDPH)
California Medical Board requirements
California Department of Health Care Services (DHCS)
Office of Inspector General (OIG)
Department of Justice (DOJ)
HIPAA Privacy and Security Rules
OSHA
California labor regulations affecting healthcare operations
Federal and California Fraud, Waste, and Abuse laws
False Claims Act
Anti-Kickback Statute
Stark Law
Medicare and Medi-Cal regulations

Physician Practice Compliance

Monitor compliance across multiple satellite physician offices.
Ensure provider credentialing and licensure compliance.
Oversee medical record documentation compliance.
Evaluate coding and billing practices.
Monitor incident-to billing requirements.
Oversee provider enrollment compliance.
Coordinate internal compliance audits.

Oncology-Specific Compliance

Monitor chemotherapy and biologic administration compliance.
Ensure compliance with infusion center standards.
Oversee hazardous drug handling standards.
Monitor oral oncology dispensing compliance (if applicable).
Ensure compliance with prior authorization requirements.
Support oncology quality initiatives.
Assist with accreditation readiness (e.g., oncology-specific accreditation programs).

Privacy and HIPAA

Serve as Privacy Officer or collaborate closely with the Privacy Officer.
Investigate privacy incidents and breaches.
Oversee HIPAA training.
Conduct HIPAA risk assessments.
Ensure Business Associate Agreements are maintained.

Auditing and Monitoring

Develop and oversee audits including:

Medical record documentation
Evaluation & Management coding
Chemotherapy administration documentation
Infusion billing
Modifier usage
Incident-to billing
Medical necessity
Clinical documentation integrity
Provider documentation
Laboratory compliance
Pharmacy compliance

Investigations

Investigate compliance concerns.
Manage anonymous reporting hotline.
Conduct internal investigations.
Recommend corrective actions.
Monitor corrective action plans.

Education and Training

Develop annual compliance education for:

Physicians
Advanced Practice Providers
Nurses
Medical Assistants
Clinical Research staff
Revenue Cycle
Front Office staff
Leadership

Policies and Procedures

Develop and revise compliance-related policies.
Ensure policies remain current with changing regulations.
Standardize compliance practices across all satellite offices.

Risk Management

Perform compliance risk assessments.
Identify emerging regulatory risks.
Develop mitigation strategies.
Monitor corrective actions.

Accreditation and Regulatory Surveys

Coordinate readiness for organizations such as:

Accreditation surveys
State inspections
CMS audits
OIG audits
Commercial payer audits

Revenue Cycle Compliance

Collaborate with Revenue Cycle to monitor:

Coding accuracy
Charge capture
Billing compliance
Refunds and overpayments
Credit balance management
Denials related to compliance

Clinical Research Compliance

Ensure compliance with research regulations.
Monitor informed consent requirements.
Coordinate with Institutional Review Boards (IRBs).
Support Good Clinical Practice (GCP) standards.

Pharmacy Compliance

Monitor specialty pharmacy regulations.
Ensure compliance with drug storage requirements.
Oversee controlled substance policies.
Monitor drug diversion prevention.

Qualifications

Education

Bachelor's degree required.
Master's degree in Healthcare Administration, Business Administration, Public Health, Nursing, Law, or related field preferred.

Experience

8–10 years of progressive healthcare compliance experience.
At least 5 years in physician practice compliance.
Multi-site healthcare organization experience required.
Oncology experience strongly preferred.
Experience with Medicare and Medi-Cal regulations.
Experience managing compliance investigations and audits.

Preferred Certifications

Certified in Healthcare Compliance (CHC)
Certified in Healthcare Privacy Compliance (CHPC)
Certified Professional Coder (CPC) (preferred)
Registered Health Information Administrator (RHIA) (preferred)

Knowledge and Skills

Extensive knowledge of physician practice regulations.
Oncology regulatory expertise.
Medicare and Medi-Cal billing compliance.
HIPAA Privacy and Security.
Fraud, Waste, and Abuse regulations.
Stark Law and Anti-Kickback Statute.
Healthcare auditing methodologies.
Risk assessment and mitigation.
Policy development.
Strong leadership, communication, and project management skills.

Salary Transparency:

Exact compensation may vary based on skills, education, certifications, experience, and location. Base Salary Range from $130,000.00 to $165,000.00

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Essential Duties and Responsibilities

Corporate Compliance Program

Develop, implement, and maintain an effective Corporate Compliance Program.

Conduct annual enterprise-wide compliance risk assessments.

Develop annual compliance work plans based on identified risks.

Present compliance reports to Executive Leadership and the Board or Compliance Committee.

Maintain the organization's Code of Conduct and compliance policies.

Regulatory Compliance

Ensure compliance with:

Centers for Medicare & Medicaid Services (CMS)

California Department of Public Health (CDPH)

California Medical Board requirements

California Department of Health Care Services (DHCS)

Office of Inspector General (OIG)

Department of Justice (DOJ)

HIPAA Privacy and Security Rules

OSHA

California labor regulations affecting healthcare operations

Federal and California Fraud, Waste, and Abuse laws

False Claims Act

Anti-Kickback Statute

Stark Law

Medicare and Medi-Cal regulations

Physician Practice Compliance

Monitor compliance across multiple satellite physician offices.

Ensure provider credentialing and licensure compliance.

Oversee medical record documentation compliance.

Evaluate coding and billing practices.

Monitor incident-to billing requirements.

Oversee provider enrollment compliance.

Coordinate internal compliance audits.

Oncology-Specific Compliance

Monitor chemotherapy and biologic administration compliance.

Ensure compliance with infusion center standards.

Oversee hazardous drug handling standards.

Monitor oral oncology dispensing compliance (if applicable).

Ensure compliance with prior authorization requirements.

Support oncology quality initiatives.

Assist with accreditation readiness (e.g., oncology-specific accreditation programs).

Privacy and HIPAA

Serve as Privacy Officer or collaborate closely with the Privacy Officer.

Investigate privacy incidents and breaches.

Oversee HIPAA training.

Conduct HIPAA risk assessments.

Ensure Business Associate Agreements are maintained.

Auditing and Monitoring

Develop and oversee audits including:

Medical record documentation

Evaluation & Management coding

Chemotherapy administration documentation

Infusion billing

Modifier usage

Incident-to billing

Medical necessity

Clinical documentation integrity

Provider documentation

Laboratory compliance

Pharmacy compliance

Investigations

Investigate compliance concerns.

Manage anonymous reporting hotline.

Conduct internal investigations.

Recommend corrective actions.

Monitor corrective action plans.

Education and Training

Develop annual compliance education for:

Physicians

Advanced Practice Providers

Nurses

Medical Assistants

Clinical Research staff

Revenue Cycle

Front Office staff

Leadership