Quality and Compliance Specialist (Full-TimeTowson)

What to expect

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 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
Pay for this position is determined on a number of factors including but not limited to years and level of related experience.



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.

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!

Required Experience:

IC