Job Details

Associate Compliance Program Manager

Company name

johns hopkins health system

Organization Type

In-House

Job Type

Legal Staff

Posted on

Oct 07,2019

Years of Experience

Min 2 yrs required

Location

Washington, DC, United States

Industry

Legal
Practice Area
Health Care >> Health Care
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The Promise Starts with YOU

 

At the Johns Hopkins Health System, we believe in The Promise of Medicine.

 It is exciting, dynamic, and starts with our exceptional team.

Join us, and help set the standard of EXCELLENCE in clinical care, research and education

 

Discover what is possible when you bring your passion to the TEAM!

 

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.

Work Experience:

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. 

 

Apply online:

https://career4.successfactors.com/sfcareer/jobreqcareerpvt?jobId=191350&com
pany=SFHUP&username=&st=8194D94A7C90235C16A84ABE088CC5239E319D15

 

For more information and other Opportunities: Please e-mail Mabel Maglalang:   mmaglal1@jhmi.edu

https://jobs.hopkinsmedicine.org

 

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers.

Company info

johns hopkins health system

Company Profile

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

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