Billing Compliance Supervisor
2 weeks ago
The Billing Compliance Supervisor plays a pivotal role in overseeing the development, execution, and continuous evaluation of the Corporate Compliance Program, with a strong focus on adherence to federal payor billing regulations and compliance education within the organization.
Key Responsibilities:
1. **Program Management:**
- Lead the establishment and maintenance of the Corporate Compliance Program, ensuring alignment with federal regulations.
- Conduct thorough assessments of various compliance risk areas across the organization to inform the Compliance Department's strategic work plan.
2. **Auditing and Investigations:**
- Execute scheduled audits as outlined in the work plan and manage unplanned investigations.
- Provide compliance guidance to personnel, utilizing critical thinking to determine necessary corrective actions for any identified non-compliance.
3. **Regulatory Engagement:**
- Monitor and respond to regulatory inquiries, representing the Compliance Department on relevant committees.
- Offer ongoing advice and support to leadership and management regarding compliance matters.
4. **Education and Training:**
- Develop and implement training programs for staff and management on federal payor regulatory requirements and compliance issues.
- Assess the educational needs of the organization to tailor training initiatives effectively.
5. **Vendor and Payer Audits:**
- Oversee audits conducted by external vendors and payers, providing regular updates to senior management on audit statuses.
- Review and mentor peers in their audit processes, contributing to the professional development of the compliance team.
Qualifications:
- A minimum of a Bachelor's degree is required.
- At least five (5) years of experience in healthcare, including roles in coding, auditing, or utilization management.
Commitment to Diversity:
Johns Hopkins Medicine is dedicated to fostering an inclusive environment that values diversity and promotes equitable healthcare delivery. We are an Equal Opportunity / Affirmative Action employer, ensuring that all qualified applicants receive fair consideration for employment.
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