Quality and Compliance Specialist (Full-TimeTowson)

General Summary:

• Under general supervision conducts compliance audits and oversight activities within Sheppard Pratt.
• Provides independent and objective review evaluation and investigation of compliance and privacy issues/concerns as assigned.
• Audits to assure compliance with federal and state regulations accreditation and quality standards and SP policies.
• Provides education to all personnel including physicians and clinicians regarding the ethics and compliance program.
• Documents audit processes and findings and prepares appropriate reports for review by Sheppard Pratt leadership and Corporate Compliance Committee.

What we need from you

• Knowledge of auditing standards medical terminology and psychiatric disorders behavioral health coding and documentation standards. Certified Professional Coder (CPC) or Certification in Healthcare Compliance (CHC) is preferred.
• Bachelors degree in psychology public health sociology business administration; or equivalent experience.
• If position is filled by any licensed discipline requires possession of a current license in the State of Maryland at the time of appointment and continuously while in the position.
• 1-2 years of behavioral health experience and demonstrated knowledge of:
  • medical records documentation and process;
  • knowledge of state and federal healthcare privacy laws;
  • Medicare and Medicaid program rules and regulations and experience applying to CPT coding and billing of hospital services;
  • PC literacy with intermediate proficiency in Microsoft Office Suite Including Excel Access PowerPoint Word data analysis tools and techniques.
  • Proficiency in using electronic health record systems (EHRs) incident management systems policy management systems and coding software.
  • Prior experience with CPT billing codes is preferred; individual must demonstrate willingness and ability to learn use of CPT coding.

What youll get from us

At Sheppard Pratt you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

• A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
• Comprehensive medical dental and vision benefits for benefit eligible positions
• 403b retirement match
• Generous paid-time-off for benefit eligible positions
• Complimentary Employee Assistance Program (EAP)
• Generous mileage reimbursement program

The pay range for this position is $52499.20 minimum to $81078.40 maximum. Pay for this position is determined on a number of factors including but not limited to years and level of related experience.

WHY SHEPPARD PRATT

At Sheppard Pratt we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individuals facing lifes challenges. Join us and be a part of a mission that changes lives!

#LI-EEDWARDS

Required Experience:

IC