Compliance Manager (Auditing and Credentialing Manager) jobs in United States
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Chimes ยท 2 hours ago

Compliance Manager (Auditing and Credentialing Manager)

Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential. The Compliance Manager is responsible for performing audits, providing compliance guidance, and ensuring adherence to regulatory requirements across various divisions.

GovernmentNon Profit

Responsibilities

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

Qualification

CI certificationBilling practices knowledgeCompliance regulations knowledgeAudit experiencePolicy writingStaff trainingTeam collaboration

Required

Obtain CI certification within 90 days of hire
Driver's license
Bachelor's Degree or equivalent required
Professional level of knowledge of billing practices and procedures
Knowledge of multi state and federal laws and regulation with affect compliance operations

Benefits

Medical, Dental, and Vision Insurance
Flexible Spending Accounts
Life Insurance
Disability Insurance
Paid Time Off
403(b) with Company Match
Transportation Subsidy
Employee Recognition Programs
Referral Bonus opportunities
And More!

Company

Chimes

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Chimes is an organization provides intellectual and behavioral challenges to achieve their fullest potential.

Funding

Current Stage
Late Stage

Leadership Team

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Marty Lampner
President and CEO
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Steve DaRe
President and Chief Executive Officer
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Company data provided by crunchbase