Compliance Manager (Auditing and Credentialing Manager)

Join Chimes - and go further to help others go far! Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential.Our vast array of services - educational, employment, vocational, residential, habilitative and behavioral health - are delivered through a network of national and international affiliates.

This allows us to take a comprehensive, holistic approach to improving the lives of every person we serve - those who receive and those who reap the benefits of our innovative, responsive solutions.Compensation: $75,000-$80,000PRIMARY JOB FUNCTION(S):


* Independently performs scheduled audits required by the work plan and unplanned investigations.


* Assigns, completes as needed and monitors audits (financial, billing, IEEs, etc.) for all divisions.


* Review any potential HIPAA and privacy violations.


* Understand the credentialing process and serve as a backup as needed.


* Provides compliance guidance to personnel.


* Assist with writing and reviewing policies and procedures


* Answers questions and provides guidance on billing issues.


* Works with team to determine appropriate corrective action when necessary.


* Monitors and responds to certain regulatory requests.


* Represents the Compliance Department on various committees as requested.


* Generates narrative and quantitative reports concerning all activities.


* Prepares information required for designated meetings.


* Contributes to a work atmosphere in a manner which is positive, enthusiastic, respectful and courteous.


* Ability to follow detailed instructions.


* Uses technology for the completion of specified job duties and assists staff in learning to use the technology.


* Attends work regularly according to assigned work schedule and in accordance with Agency policy.


* Attends and participates in in-service training, staff meetings and other activities to facilitate professional development.


* Works cooperatively with others including staff, supervisors, administrators, co-workers, individuals served, community professionals, customers, vendors and the public.


* Assist with plans of correction for all divisions within applicable time frame(s) and ensures completion of corrective actions.


* Provides scheduled staff training as determined by the training department.


* Works a flexible schedule consisting of evening hours as needed.


* Assumes other administrative duties, responsibilities and special projects as assigned.

REQUIREMENTS:


* Obtain CI certification within 90 days of hire


* Driver's license

EDUCATION:


* Master's Degree or equivalent required

EXPERIENCE:


* Professional level of knowledge of billing practices and procedures.


* Knowledge of multi state and federal laws and regulation with affect compliance operations.

What's in it for you? Total Rewards (For Full-Time Employ...