Quality and Compliance Specialist (Full-Time/Towson)
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Job Description
What you’ll 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.
- 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.
- 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 life’s challenges. Join us and be a part of a mission that changes lives!
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.