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Children's Hospital of PhiladelphiaCP

Sr Billing Compliance Specialist

Children's Hospital of Philadelphia (CHOP) is a pioneering institution in pediatric medicine that has consistently provided exceptional healthcare since its inception in 1855.

Children's Hospital of Philadelphia

Employee count: 5000+

Salary: 82k-104k USD

United States only

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SHIFT:

Day (United States of America)

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.


CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.


A Brief Overview
Assists the Senior Director of Billing Compliance with reviewing and analyzing billing processes and conducting auditing and monitoring to ensure compliance with applicable healthcare regulations.

What you will do

  • 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.

CPC (Certified Professional Coder) certification through AAPC is strongly preferred

Education Qualifications

  • High School Diploma / GED - Required
  • Bachelor's Degree healthcare, business, communications, education law or related field - Preferred

Experience Qualifications

  • At least five (5) years related experience - Required

  • Billing office experience- Preferred

Skills and Abilities

  • 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.

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

EEO / VEVRAA Federal Contractor | Tobacco Statement

SALARY RANGE:

$81,670.00 - $104,130.00 Annually

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.

About the job

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Posted on

Job type

Full Time

Experience level

Senior

Salary

Salary: 82k-104k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Children's Hospital of Philadelphia

Learn more about Children's Hospital of Philadelphia and their company culture.

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Children's Hospital of Philadelphia (CHOP) is a pioneering institution in pediatric medicine that has consistently provided exceptional healthcare since its inception in 1855. As the first hospital established in the United States dedicated exclusively to pediatric care, CHOP has a long-standing history of innovation and excellence in treating children. The hospital has gained national recognition as a leader in the field, being ranked among the top children's hospitals year after year by U.S. News & World Report.

CHOP offers a comprehensive range of services from routine check-ups to advanced specialty care, with a commitment to addressing the unique healthcare needs of children at every stage of development. The hospital's research initiatives are at the forefront of medical advancements, leading to breakthrough treatments and therapies. By collaborating with community leaders and organizations, CHOP is not just focused on treating illnesses but also on empowering families and investing in public health to ensure healthier future generations.

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Children's Hospital of Philadelphia

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Children's Hospital of Philadelphia hiring Sr Billing Compliance Specialist • Remote (Work from Home) | Himalayas