Compliance Program Manager, Professional Fee

Johns Hopkins Medicine; Baltimore (MD); On-site; USD 100,000 - 125,000; Full time

Job summary

An established industry player in healthcare is seeking a Compliance Program Manager to lead initiatives in billing compliance and documentation accuracy. This role offers a unique opportunity to develop and implement compliance programs while collaborating with clinical departments and providers. You will play a crucial role in training staff, conducting audits, and advising leadership on compliance matters. Join a diverse and collaborative environment that values career growth and offers a comprehensive benefits package. If you are passionate about healthcare compliance and want to make a meaningful impact, this position is perfect for you.

Benefits

Career growth and development

Employee and Dependent Tuition Assistance

Diverse and collaborative working environment

Affordable and comprehensive benefits package

Qualifications

• 5+ years' experience in healthcare, coding, auditing, or utilization management.
• Preferred certifications: CCS-P, CPC, RHIA, RHIT.

Responsibilities

• Develop and oversee the Corporate Compliance Program focusing on billing compliance.
• Perform audits and provide guidance on compliance issues.

Skills

Healthcare Compliance

Auditing Techniques

Provider Education

Documentation Accuracy

Education

Bachelor's Degree

Tools

Compliance Software

Job description

Compliance Program Manager, Professional Fee

Join to apply for the Compliance Program Manager, Professional Fee role at Johns Hopkins Medicine

Requisition #: 653013

Location: Johns Hopkins Health System, Baltimore, MD 21201

Category: Non-Clinical Professional

Schedule: Day Shift

Employment Type: Full Time

What Awaits You?

• Career growth and development
• Employee and Dependent Tuition Assistance
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package

Our benefits package supports your well-being and financial security. Details are available at: https://jhhs.mybenefitsjhhs.com/

Role Summary

The Compliance Program Manager – Professional Fee Compliance is responsible for developing, implementing, and overseeing the Corporate Compliance Program, focusing on federal payor billing compliance, provider education, and documentation accuracy across Johns Hopkins Health System and its affiliates. The role involves working with clinical departments, billing services, and the School of Medicine to train and support providers and staff in documentation and billing requirements. Using auditing techniques, the individual will assess documentation, coding, and billing accuracy across specialties.

The manager will independently assess complex compliance risks, perform audits, investigations, and provide guidance to personnel. They will monitor regulatory requests, represent the department on committees, and advise leadership on compliance issues. The role includes researching Medicare, Medicaid, and other legal authorities, developing training programs, managing vendor audits, and mentoring staff.

The scope includes Johns Hopkins entities such as Johns Hopkins Community Physicians, Johns Hopkins Regional Physicians, and Johns Hopkins All Children’s Specialty Physicians.

Qualifications

• Bachelor’s degree required
• Minimum of 5 years' experience in healthcare, coding, auditing, or utilization management
• Preferred certifications: CCS-P, CPC, RHIA, RHIT, and additional coding or auditing certifications (CPMA, CRC, CPB, CEMC)

Compensation

Salary range: $40.39 - $64.63 per hour, commensurate with experience.

Additional Information

Johns Hopkins prioritizes health and well-being. We value diversity and inclusion and are an equal opportunity employer. We are committed to a drug-free workplace.

Application Details

Apply now to join our team and contribute to our mission of serving the community.