Sheppard Pratt · 8 hours ago
Quality and Compliance Specialist (Full-Time/Towson)
Towson, MD
Full-time
Onsite
Entry Level
$52K/yr - $81K/yr
1+ years expSheppard Pratt is a community of healthcare professionals dedicated to providing hope and healing. They are seeking a Quality and Compliance Specialist to conduct compliance audits, provide education on compliance issues, and document audit processes and findings.
CharityEducationHealth CareNon ProfitSpecial Education
Hiring Manager
Emma Edwards
Responsibilities
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
Qualification
Required
Knowledge of auditing standards, medical terminology and psychiatric disorders, behavioral health coding and documentation standards
Bachelor's 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
Individual must demonstrate willingness and ability to learn use of CPT coding
Preferred
Certified Professional Coder (CPC) or Certification in Healthcare Compliance (CHC)
Prior experience with CPT billing codes
Benefits
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
Company
Sheppard Pratt
Sheppard Pratt is a behavioral health and special education system.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$0.23MKey Investors
Horizon Foundation
2023-01-19Grant· $0.23M
Leadership Team
Harsh Trivedi
President and CEO
Donna Richardson
Vice President & Chief Development Officer
Recent News
2025-06-09
Behavioral Health Business
2025-02-21
Company data provided by crunchbase