As a Program Manager of Coding Compliance and auditing, you will:
• Serves as leader conducting a high volume of coding compliance audits across Adventist HealthCare (AHC) in accordance with the Department Work Plan.
• Developments, updates, maintains and disseminates training and education materials to AHC clinicians, managers, and coding department staff. Provide material and conduct presentations for Compliance education programs as needed.
• Provides supervision to the Compliance Coding Auditor and directs day-to-day activities.
• Performs independent research, and assessment and remains current with CMS, NGS Medicare, and Office of Inspector General (OIG) regulations, guidelines, bulletins, coding practices & methods, annual, semi-annual, and quarterly coding updates, and other publications for impact on Institutional services.
• Provide recommendations and feedback to leaders to improve and optimize compliant coding, billing, or documentation practices. Respond to all inquiries in a professional and timely manner.
• Other duties as assigned in support of the AHC Organizational Integrity/Compliance Program
Qualifications include:
• Associate degree required. Bachelor’s degree in healthcare related field preferred
• 3-5 years job related experience in a Compliance Auditing position.
Hospital Inpatient and Outpatient coding experience (In Maryland preferred)
• 1-2 years of supervisory experience. .
• Advanced knowledge and experience with rules and regulations pertaining to federally funded programs (e.g. Medicare and Medicaid) along with knowledge of documentation requirements for coding and billing.
• Strong ability to engage/interact with leadership, writing and analysis skills, and autonomous/self-starter.
• Proficient use of Microsoft Word, Excel, PowerPoint and Outlook.
• Must have one of the following current certifications:
• Certified Coding Specialist (CCS),
• Certified Coding Specialist – Physician (CCS-P)
• Certified Inpatient Coder (CIC)
• Certified Outpatient Coder (COC),
• Certified Professional Coder (CPC),
• Certified Risk Coder (CRC),
• Certified in Healthcare Compliance (CHC),
• Certified Documentation Improvement Practitioner (CDIP),
• Certified Professional Medical Auditor (CPMA), Registered Health Information Administrator (RHIA), and Registered Health Information Technician (RHIT).
Work Schedule:
Day Shift
#GR8 Other
Pay Range:
$71,932.12 - $107,889.60In cases where the range is displayed as a $0 amount or if the position is Per Diem (offering a fixed rate), salary discussions will occur during the screening process.
United States of America (Exempt)At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered!
COVID-19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.