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: $80,000$85,000

Primary 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:

• Bachelor'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 Employees = >30 hours/week):

• 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!

Want to learn more?

To learn more about Chimes, and how you can achieve personal and professional growth within a purpose-driven organization, visit us at: https://chimes.org/Careers.

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