Johns Hopkins Medicine · 3 months ago
Billing and Audit Compliance Program Manager
DC-Baltimore Area
Full-time
Onsite
Senior Level
$40.39/hr - $64.36/hr
5+ years expJohns Hopkins Medicine is seeking a Compliance Program Manager responsible for the development, implementation, and monitoring of the Corporate Compliance Program with a focus on federal payor billing compliance. The role involves assessing compliance risk areas, conducting audits, providing compliance guidance, and developing educational training for staff regarding regulatory requirements.
Health CareHealth DiagnosticsHospitalMedicalTraining
Responsibilities
Responsible for the development, implementation, and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance related education for the Johns Hopkins Health System Corporation and its affiliates
Independently assessing a variety of complex compliance risk-areas within the JHHS affiliates to develop the Compliance Department’s work plan
Responsible for independently performing scheduled audits required by the work plan, unplanned investigations and in carrying out these activities independently providing compliance guidance to JHHS personnel
Using judgment and critical thinking skills in determining appropriate corrective action for non-compliance as well as ensures that corrective action is taken by the affiliate
Responsible for monitoring and responding to certain regulatory requests and representing the Compliance Department on various committees as requested
Providing regular guidance and advice to JHHS personnel, leadership and Executive Management in compliance related areas
Conducting independent research in the areas of Medicare and Medicaid and other complex legal authorities pertaining to billing and regulatory compliance
Responsibilities include the developing education and training for management and staff regarding federal payor regulatory requirements and other compliance matters based on the incumbent’s independent judgment of the affiliate’s educational needs
Managing audits conducted by vendors and payers and provide regular status reports to senior management
Responsible for reviewing the draft work product of their peers and to mentor and assist in the training and development of the compliance staff
Qualification
Required
Requires a minimum of a Bachelor's degree
Requires a minimum of five (5) years' experience in health care (clinical or otherwise), coding, auditing, utilization management or related experience
Benefits
Employee and Dependent Tuition Assistance
Affordable and comprehensive benefits package
Company
Johns Hopkins Medicine
Johns Hopkins Medicine specializes in medical education, research, and clinical care.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$200MKey Investors
United States Agency for International Development
2022-08-04Grant· $200M
Leadership Team
Heather Lowe
Executive Speechwriter to the Dean and CEO
Theodore DeWeese
Interim Dean of the Medical Faculty and CEO of Johns Hopkins Medicine
Recent News
2026-01-23
News-Medical.Net
2026-01-23
2026-01-06
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