We are seeking an Associate Compliance Manager who will provide oversight, training, guidance and assistance to Compliance Auditors and Sr. Compliance Auditors in the daily routine tasks of their position, under supervision of the Director. Collaborate with the Director to assure consistent quality performance amongst all auditors. Responsible for balancing workload, assuring that responsibilities of the group are completed within established time frames and making recommendations to improve workflow, processes and productivity. Provide input and assist in performance evaluations and improvement actions.

　　Specific Duties & Responsibilities

　　Trains or assists in the training of new Auditor/Trainers to ensure uniformity and quality of work. This includes the performance of documentation reviews, conducting individual and group training sessions, using appropriate resources to research questions from providers and billing staff and use of audit software.

　　Meets regularly with the Auditors/Trainers to review the progress of work and address any impediments to meeting deadlines.

　　Provides regular updates and presents issues that require management involvement to the Director.

　　Assigns work, balances workload and adjusts priorities in consultation with the Director.

　　With the Director input, sets productivity goals and quality standards for the Auditors/Trainers and produces and reviews reports to monitor progress.

　　Assists in training physicians, other clinicians, billing office staff and others with clinical documentation and coding requirements for professional fee billing.

　　With the Director, establishes a protocol to collaboratively work with the CPA’s Physicians Billing Service and JHHS’s Compliance Office to investigate and resolve billing complaints, operational issues and/or errors that impact hospital and professional fee billing.

　　Ensures the quality of the audit work and reports prepared by the Auditors/Trainers under his/her responsibility.

　　Prepares and revises policies and procedures for the Auditors/Trainers.

　　Performs other compliance related activities as necessary.

　　Scope of Responsibility

　　Knows the formal and informal departmental goals, standards, policies and procedures which include familiarity of other departments within the school/division.

　　Is sensitive to the relationship of both people and functions within the department, the Clinical Practice Association and JHHS Compliance Office.

　　Decision Making

　　On a regular and continual basis, exercises administrative judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs, and/or equality of service within the functional area. Routinely handles confidential patient information and sensitive financial information.Authority

　　Lead will train new staff in auditing processes and office procedures and review and correct the work of other Auditors/Trainers. Lead will assign and reassign work to assure reviews are completed on time, training is conducted, and meetings are held as necessary.

　　Auditors/Trainers may be asked to assist with training new staff or correcting the work of others.

　　Identifies and suggests process and operational improvements.

　　Communications

　　Exchanges non-routine information using tact and persuasion as appropriate requiring good oral and written communication skills.Special Knowledge, Skills & Abilities

　　Requires a detail-oriented individual with the ability to handle a high volume of multiple tasks and follow through to completion.

　　Must be able to learn quickly and work independently to address a variety of complex issues.

　　Must be flexible to adjust to the development and refinement of new processes and procedures.

　　CPT and ICD-9 coding required, including coding from clinical documentation or auditing the coding of others.

　　Extensive knowledge of Medicare regulations regarding teaching physicians, documentation guidelines, and other federal and state laws and regulations concerning clinical documentation, coding, and reimbursement.

　　Demonstrated communication, analytical and organizational skills are essential.

　　Proficient in Microsoft Word applications including Excel and Word, Outlook or equivalent e-mail, and internet usage. Experience with IDX Billing and Accounts Receivable system, EPR, Meditech, Eclypsis, Epic, and other clinical information systems preferred. Must be self-motivated and comfortable working independently, as a team leader and as a team member.

　　*This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.

　　Minimum Qualifications

　　Bachelor's Degree in health care-related or business-related field.

　　A minimum of one professional coding certification (CCS-P, CPC, RHIA or RHIT) required by start date.

　　Four years of auditing/billing compliance.

　　Demonstrated training or teaching experience.

　　Recent, direct experience with third party payer requirements for physicians may substitute for some education. A master's degree in a health care related discipline may be substituted for up to one year of experience.

　　Preferred Qualifications

　　Five years of auditing/billing experience.

　　Additional coding certifications.

　　Classified Title: Sr. Billing Compliance Auditor

　　Job Posting Title (Working Title): Associate Compliance Manager

　　Role/Level/Range: ATP/04/PE

　　Starting Salary Range: Min $72,600 - Max $127,000 Annually ($90,000 targeted; Commensurate with experience)

　　Employee group: Full Time

　　Schedule: M-F 8:30AM - 5PM

　　Exempt Status: Exempt

　　Location: Hybrid/Mount Washington Campus

　　Department name: ​​​​​​​Office of Compliance: Prof Fee Services

　　Personnel area: School of Medicine

　　Total Rewards

　　The referenced salary range is based on Johns Hopkins University’s good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/

　　Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:

　　JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.

　　**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

　　The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate’s conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.

　　The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion (https://diversity.jhu.edu/roadmap-on-diversity-and-inclusion/) .

　　Accommodation Information

　　If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at [email protected] . For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu .

　　Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/ .

　　The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.

　　The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

　　Note: Job Postings are updated daily and remain online until filled.

　　Equal Opportunity Employer:

　　Johns Hopkins University is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. The university promotes affirmative action for minorities, women, disabled persons, and veterans.