johns hopkins health system
2 yrs required
Washington, DC, United States
Legal, Nursing, Compliance, Healthcare
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Associate Compliance Program Manager
This position reports to the Director of Billing Compliance and is responsible for the development, implementation, and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance related education for the Johns Hopkins Health System Corporation and its affiliates. Completes assessment of complex compliance risk-areas within the JHHS affiliates to develop the Compliance Department's work plan. Responsible for independently performing scheduled audits required by the work plan, unplanned investigations and in carrying out these activities independently providing compliance guidance to JHHS personnel. Provides regular guidance and advice to JHHS personnel, leadership and Executive Management in compliance related areas. Conducts independent research in the areas of Medicare and Medicaid and other complex legal authorities pertaining to billing and regulatory compliance. Delivers education and training for management and staff regarding federal payor regulatory requirements and other compliance matters based on the incumbent's independent judgment of the affiliate's educational needs.
Full-time, Day Shift 8:30 a.m. - 5:00 p.m. Work Location: Sibley Memorial Hospital-Washington DC
Education: Requires a minimum of a Bachelor’s degree. A Bachelor’s Degree in Nursing or a Juris Doctor is preferred. Experience beyond the required work experience may be substituted for the degree on a 2:1 basis.
Required Licensure, Certification, Etc.: For a BSN, requires an active RN license in good standing with the Maryland State Board of Nursing, or another State’s Board. For a JD, requires an active license to practice law, in good standing, from the Maryland State Board of Law Examiners or another State’s Board.
Requires a minimum of 2 years medical coding, auditing or related experience. For a JD or other legal professional, experience in healthcare claims, billing, or other health care reimbursement area is required in lieu of medical coding and auditing. For an RN, experience in utilization review or health care reimbursement is preferred.
For more information and other Opportunities: Please e-mail Mabel Maglalang: email@example.com
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers.
johns hopkins health system