Billing Compliance Specialist

Children’s Hospital of Philadelphia • Philadelphia, PA

4d

About The Position

Assists the Senior Director of Billing Compliance with reviewing and analyzing billing processes and conducting auditing and monitoring to ensure compliance with applicable healthcare regulations.

Requirements

• High School Diploma / GED - Required
• At least five (5) years related experience - Required
• Knowledge of Microsoft Office Suite including PowerPoint, Excel and Access; internet research skills.
• Excellent communication and interpersonal skills required. Must be able to communicate with physicians, senior administrators and office staff.
• Excellent organizational skills.
• Analytical abilities.
• Excellent written and oral presentation skills.
• Eagerness to learn new areas and work with little supervision.
• Good judgment.
• Ability to work with confidential materials and to juggle multiple tasks.

Nice To Haves

• Bachelor's Degree healthcare, business, communications, education law or related field - Preferred
• Billing office experience- Preferred
• CPC (Certified Professional Coder) certification through AAPC is strongly preferred

Responsibilities

• Assists with compliance auditing process, including developing audit plans, conducting audits or managing the conduct of audits, reporting results and making recommendations for improvement.
• Promotes and supports professional and outpatient hospital billing compliance with billing and coding staff across the organization.
• Assists in the development of education & training programs.
• Monitors federal and local statutes and regulatory changes and makes recommendations for process improvement.
• Researches and analyzes compliance issues utilizing various publications including extensive use of the internet, the Federal Register, the Medicare Carriers Manual, and other industry publications; makes recommendations for process improvements, and monitors corrective action plans.
• Participates in assigned organizational committees.
• Conducts other projects and assignments as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees