Compliance Manager (Auditing and Credentialing Manager)

Chimes•Baltimore, MD

6d•$80,000 - $85,000

About The Position

Join Chimes – and go further to help others go far! Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential. Our vast array of services — educational, employment, vocational, residential, habilitative and behavioral health — are delivered through a network of national and international affiliates. This allows us to take a comprehensive, holistic approach to improving the lives of every person we serve — those who receive and those who reap the benefits of our innovative, responsive solutions. Compensation: $80,000-$85,000

Requirements

Obtain CI certification within 90 days of hire
Driver’s license
Bachelor's Degree or equivalent required
Professional level of knowledge of billing practices and procedures.
Knowledge of multi state and federal laws and regulation with affect compliance operations.

Responsibilities

Independently performs scheduled audits required by the work plan and unplanned investigations.
Assigns, completes as needed and monitors audits (financial, billing, IEEs, etc.) for all divisions.
Review any potential HIPAA and privacy violations.
Understand the credentialing process and serve as a backup as needed.
Provides compliance guidance to personnel.
Assist with writing and reviewing policies and procedures
Answers questions and provides guidance on billing issues.
Works with team to determine appropriate corrective action when necessary.
Monitors and responds to certain regulatory requests.
Represents the Compliance Department on various committees as requested.
Generates narrative and quantitative reports concerning all activities.
Prepares information required for designated meetings.
Contributes to a work atmosphere in a manner which is positive, enthusiastic, respectful and courteous.
Ability to follow detailed instructions.
Uses technology for the completion of specified job duties and assists staff in learning to use the technology.
Attends work regularly according to assigned work schedule and in accordance with Agency policy.
Attends and participates in in-service training, staff meetings and other activities to facilitate professional development.
Works cooperatively with others including staff, supervisors, administrators, co-workers, individuals served, community professionals, customers, vendors and the public.
Assist with plans of correction for all divisions within applicable time frame(s) and ensures completion of corrective actions.
Provides scheduled staff training as determined by the training department.
Works a flexible schedule consisting of evening hours as needed.
Assumes other administrative duties, responsibilities and special projects as assigned.