Children's Hospital of Philadelphia · 4 days ago
Billing Compliance Specialist
Philadelphia, PA
Full-time
Onsite
Senior Level
$82K/yr - $104K/yr
5+ years expChildren’s Hospital of Philadelphia (CHOP) is dedicated to advancing pediatric care and is seeking a Billing Compliance Specialist. This role involves assisting with compliance auditing processes, promoting billing compliance, and developing education programs to ensure adherence to healthcare regulations.
Child CareHealth CareHospitalMedicalNon Profit
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
Qualification
Required
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
Preferred
CPC (Certified Professional Coder) certification through AAPC is strongly preferred
Bachelor's Degree healthcare, business, communications, education law or related field - Preferred
Billing office experience- Preferred
Company
Children's Hospital of Philadelphia
Since its start in 1855 as the nation's first hospital devoted exclusively to caring for children, The Children's Hospital of Philadelphia has been the birthplace for many dramatic firsts in pediatric medicine.
10001+ employees
H1B Sponsorship
Children's Hospital of Philadelphia has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (175)
2024 (170)
2023 (140)
2022 (115)
2021 (70)
2020 (53)
Funding
Current Stage
Late StageTotal Funding
$33.35MKey Investors
UnitedHealthcare Community PlanNational Cancer InstituteBill & Melinda Gates Foundation
2025-12-10Grant· $1.7M
2025-09-29Grant· $1M
2025-06-18Grant· $1M
Leadership Team
Ron Keren
Senior Vice President and Chief Medical Officer
Adam Resnick
Director of the Center for Data Driven Discovery in Biomedicine (D3b)
Recent News
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