Compliance Specialist jobs at Kaiser Permanente - 1141 jobs

This position plays a key role in ensuring accuracy and completeness within a risk adjustment framework. This position involves applying deep expertise in RA coding, working within Epic systems, and aligning coding practices with analytics, compliance & clinical operations. This role will support retrospective chart review and managing data and performance in a program critical to revenue integrity, and audit readiness. Job Summary: In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing all lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct). Essential Responsibilities: * Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback. * Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. * Conducts company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities. * Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings. * Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations. * Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts. * Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes. * Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.

HIM CODING COMPLIANCE AUDITOR Baltimore, MD SINAI CORPORATE HLTH INFORMATION MNG Full-time - Day shift - 7:30am-4:00pm PROFESSIONAL 92216 $34.18-$51.27 Experience based Posted: December 16, 2025 Apply Now // Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query = '/jobs/search?'+externalidlist.replace(/\-\-/g,'&external_id[]=')+'&saved_jobs=1'; var saved_jobs_query_sub = saved_jobs_query.replace('/jobs/search?','').replace('&saved_jobs=1',''); if (saved_jobs_query_sub != '') { $('.saved_jobs_link').attr('href',saved_jobs_query); } else { $('.saved_jobs_link').attr('href','/pages/saved-jobs'); } } } var is_job_saved = 'false'; var job_saved_message; function savejob(jobid) { var job_item; if (is_job_saved == 'true') { is_job_saved = 'false'; job_item = ''; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been removed.'); } else { is_job_saved = 'true'; job_item = ''+'--'+jobid; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been saved!'); } document.cookie = "c_jobs="+job_item+';expires=;path=/'; $('.button-saved, .button-save').toggle Class('d-none'); $('.button-saved').append(' '); $('.saved-jobs-alert-wrapper').fade In(); set Timeout(function() { $('.button-saved').html('Saved'); $('.saved-jobs-alert-wrapper').fade Out(); }, 2000); // Setting the Saved Jobs link - function call setsavedjobs(job_item); } Save Job Saved Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. REMOTE WORK OPPORTUNITY Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia, Reviews medical records for coding accuracy (I10 and CPT) and DRG (CMS or APR) assignment. Develops and provides a structured reporting and education process for HIM coders. Key Responsibilities: Review outpatient records for coding accuracy and/or charge accuracy. Reviews records for compliance with standardized coding conventions. Determines which records are to be reviewed based on coding, CPT or DRG change patterns. Reviews and advises on post-discharge audit records with coding changes proposed by external auditors. Educates HIM Coding Staff on coding conventions, chart review techniques and idiosyncrasies of DRGs (CMS and APR). Educates on CPT and ICD10. Identifies educational opportunities based on audit results. Requirements: Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field. Seven (7)+ years of experience. Certifications - CPC can be substituted for the outpatient auditor, RHIT or RHIA required. Additional Information What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth : Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits : Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. Why LifeBridge Health? With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmapfspej"; var cslocations = $cs.parse JSON('[{\"id\":\"2093272\",\"title\":\"HIM CODING COMPLIANCE AUDITOR\",\"permalink\":\"him-coding-compliance-auditor\",\"geography\":{\"lat\":\"39.3527548\",\"lng\":\"-76.6619418\"},\"location_string\":\"2401 W. Belvedere Avenue, Baltimore, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });

Corporate Compliance Officer: The Compliance Officer develops, implements, and manages a comprehensive compliance program to ensure adherence to federal, state, and local laws and regulations, including HRSA, HIPAA, and 340B. Key duties include conducting internal audits for billing and coding, training staff, monitoring for changes in regulations, investigating compliance breaches, and coordinating with external auditors, like those from HRSA. The goal is to mitigate risk, ensure legal and ethical operations, and uphold the center's reputation and commitment to quality patient care. Serves as the organization's patient advocate. Follow up on all patient concerns Core responsibilities · Program management: Develop, implement, and oversee the organization's overall compliance program. Manage HRSA's Operational Site Visits (OSV) · Policy and procedure: Draft, review, and update policies and procedures to ensure compliance with all applicable laws and standards, such as HRSA and FQHC requirements. · Auditing and monitoring: Conduct internal audits of billing, coding, and documentation to ensure accuracy and compliance. Monitor and audit specific programs, like 340B. · Training and education: Develop and deliver training to staff on compliance standards, best practices, and regulatory changes. · Investigation: Establish a process for receiving and investigating complaints and potential compliance breaches. · External relations: Cooperate with external entities such as the HHS Office of Civil Rights, and coordinate with external auditors and regulatory bodies during reviews and audits. · Risk mitigation: Advise leadership on compliance risks and ensure the organization's compliance program effectively mitigates legal, financial, and reputational risks. · Regulatory monitoring: Stay current on all relevant federal, state, and local laws and regulations, and ensure the organization adapts to changes. Qualifications and skills · Education: A bachelor's degree or corporate compliance certification is required. · Experience: Previous experience in healthcare Compliance compliance preferred. Experience with FQHC and related regulations (HIPAA, 340B) is highly desirable. · Communication: Excellent verbal, written, and presentation skills are necessary, including the ability to translate complex information for different audiences. · Technical Skills: Proficiency with standard office software and regulatory research tools. · Professional Skills: Strong organizational skills, the ability to work both independently and collaboratively, and a high degree of professional judgment

JOB SUMMARY: Support the Compliance Department for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, CMS compliance, medicare part D& C audits and accreditation best practices and ongoing training activities. ESSENTIAL JOB FUNCTIONS: Serve as the UM Compliance Specialist with Delegated Health Plan contacts for reporting deliverables. Track due dates and deliverables. Assist UM Lead Compliance Specialist with development of policies and procedures, program plans, and work plans for IHP/IHHMG. Assist in the organization of internal and external audits, compile requested documents for UM IHP/IHHMG regulatory audits, manage audit repositories and maintain master audit dashboard. Track due dates and deliverables. Schedule meetings for UM projects and/or regulatory audits. Assist in developing presentations/reports for UM. Acts as a resource to staff, providers and/or members for UM program information. Adheres to payroll policies and properly uses a timekeeping system with minimal manual changes. Maintains regular and consistent attendance. Adheres to Compliance Plan and HIPAA regulations. Other duties as assigned to support regulatory compliance. MARGINAL JOB FUNCTIONS: Takes on special projects as needed and requested. Performs other duties as assigned. BEHAVIORAL EXPECTATIONS: Continuous Learning: Attends staff meetings as required. Attends appropriate training, seminars and workshops as required. Customer Focus: Maintains client/customer confidentiality and privacy in accordance with HIPPA regulations and IMAS's Standards of Conduct. Fosters appropriate communication and relations with Supervisor, co-workers, and other staff. Quality/Process Improvement/Safety Reports issues of security, health and/or safety to appropriate supervisor as soon as practicable. Supports and demonstrates safety throughout all duties performed. Follows established policies and procedures and understands and complies with all regulators standards set forth by governing entities. POSITION REQUIREMENTS: Regulatory compliance CMS NCQA Claims EDUCATION/EXPERIENCE: High school graduate or equivalent. Bachelor's Degree or equivalent combination of education and technical experience can substitute in lieu of degree.

Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can't wait to meet you!Job Duties Document and communicate audit findings to management and recommend corrective actions to improve compliance. Provide staff education on privacy standards, compliance policies, and regulatory requirements. Serve as a resource to employees by addressing general compliance questions and concerns. Review, investigate, and respond to facility inspections and/or deficiencies issued by regulatory agencies. Develop and deliver training programs to prepare clinics for external inspections and audits. Prepare and distribute monthly reports of audit findings and trends to Compliance management and other key leaders. Perform regulatory audits of organizational policies and procedures to ensure alignment with applicable laws and standards. Audit employee licenses and certifications to verify validity and compliance. Conduct departmental audits to assess accuracy, efficiency, and adherence to compliance expectations. Perform facility audits to ensure compliance with local, state, and federal fire code regulations. Education and Experience Associate or bachelor's degree. Direct related work experience will be considered in lieu of degree. Healthcare experience required. Radiology experience strongly preferred. 1+ year compliance/regulatory experience strongly preferred. Knowledge, Skills, and Abilities Knowledge and understanding of Department of Health, Medicare, State Agency Rules and Regulations as it pertains to compliance related inspections. Proficient in MS office suite. Smartsheet experience preferred. Familiarity with SimonMed's Company Policies and Procedures Demonstrates effective problem solving, prioritization, and decision-making skills. Able to remain calm and customer focused during stressful situations. Strong written and verbal communication skills. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.

Investigations Consultant - Donor Reporting & Compliance, Office of Internal Audit and Investigations, Office of Internal Audit and Investigations (OIAI), New York. Req# 589061 Apply now Job no: 589061 Contract type: Consultant Duty Station: New York Level: Consultancy Location: United States Categories: Audit and Investigation About UNICEF If you are a committed, creative professional and are passionate about making a lasting difference for children, the world's leading children's rights organization would like to hear from you. For 70 years, UNICEF has been working on the ground in 190 countries and territories to promote children's survival, protection and development. The world's largest provider of vaccines fordeveloping countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS. UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments. UNICEF has over 12,000 staff in more than 145 countries. Consultancy: Investigations Consultant - Donor Reporting & Compliance, Office of Internal Audit and Investigations Duty Station: Office of Internal Audit and Investigations (OIAI) Duration: 26 January 2026 - 25 January 2027 Home/ Office Based: Remote BACKGROUND Purpose of Activity/ Assignment: The Office of Internal Audit and Investigations (OIAI) reports to the Executive Director and is responsible for providing internal audit and investigation services to UNICEF. OIAI provides UNICEF with independent and objective assurance, investigative and consulting services through internal audits and investigations. OIAI's Investigations Section assesses and conducts investigations of allegations of misconduct, such as fraud, corruption, retaliation, workplace harassment, sexual exploitation and abuse (SEA), or other violations of UNICEF regulations, rules and administrative instructions, involving UNICEF staff and non-staff personnel. The Investigations Section also assesses and investigates allegations of fraud, SEA or other wrongdoing by UNICEF implementing partners and vendors. Within the Investigations Section, Investigations units based in New York, Nairobi and Budapest handle investigations and certain complex assessments. The Strategy, Intake and Analysis unit is responsible for overall management of the hotline for reporting allegations; conducting initial assessments of reports of misconduct and wrongdoing; quality assurance of investigation and other reports; internal and external reporting of certain investigations-related data, and donor reporting and compliance. OIAI's donor reporting and compliance function manages and coordinates engagement with public sector donors and other resource partners on integrity-related matters. This includes managing reporting and sharing information related to sexual exploitation and abuse (SEA) and fraud and corruption cases, in accordance with UNICEF's Regulatory Framework, including its UNICEF Policy on Disclosure of Integrity-Related Information to Public Sector Resource Partners. It also includes reviewing integrity-related provisions in financing agreements with donors and other resource partners, including provisions concerning the disclosure of information related to SEA and fraud cases under review by OIAI. Under the supervision of the Investigations Manager (Donor Reporting and Compliance), the consultant will support OIAI's donor reporting and compliance function. Scope of Work: OIAI is seeking a consultant for the Strategy, Intake and Analysis unit (SIA) to support OIAI's engagement with internal UNICEF and external stakeholders, including donors in particular, regarding the office's oversight activities. The consultant will prepare standard reports to donors concerning fraud and SEA matters, as part of the implementation of the Policy on Disclosure of Integrity-Related Information to Public Sector Resource Partners. The consultant will collect, organize and analyze data and case information related to specific donor and resource partner-related issues with a view towards carrying out reporting exercises; reviewing and preparing responses to requests from donors; and proactively support in resolving disclosure-related issues to ensure greater efficiency and consistency in OIAI's approach to information-sharing. Under the supervision of the Investigation Manager (Donor Reporting and Compliance), the consultant will support coordination and communication with relevant UNICEF offices at country, regional and headquarters regarding information sharing with donors. The consultant will be supervised by the Investigation Manager (Donor Reporting and Compliance) and all work products produced by the consultant as a result of their engagement with UNICEF will remain the property of UNICEF. Terms of Reference / Key Deliverables: * Support the implementation of the UNICEF Policy on Disclosure of Integrity-Related Information to Public Sector Resource Partners by preparing standard reports on SEA and fraud cases, conduct reviews of confidential case-related information to ensure accuracy of information and flag potential issues and provide updates on cases that have already been reported to donors. * Collect and maintain consolidated data and information on fraud cases, providing updated case lists upon request and on a monthly basis. * Extract and analyze data from UNICEF systems, including internal OIAI case management systems and UNICEF systems that contain information relevant to donor funding, to support preparation of the standard reports referenced above, and provide insights into underlying developments and trends through narrative and visual information. * Develop, streamline and maintain tracking and triage system for donor-related requests and matters, as well as a schedule of reporting-related deadlines, and follow-up on outstanding tasks. * Review and prepare draft responses to requests for integrity-related information from donors and other resource partners. * Provide advice and information to PSEA and fraud focal points within UNICEF Country and Regional Offices, as well as other stakeholder offices, about integrity considerations in donor reporting and standard donor reporting practices for SEA and fraud-related matters. * Conduct reviews of integrity provisions in draft agreements with UNICEF donors to ensure compliance with internal policy requirements and best practices, as well as consistency with existing language in similar agreements. * Conduct research on donor reporting practices for SEA and fraud practices across other UN oversight offices and draft recommendations for improving consistency in reporting practices between oversight offices for dealing donor reporting challenges. * Develop guidance, templates and training materials that are tailored to specific audiences, as well as external and internal stakeholders, that support the implementation of the Policy on Disclosure of Integrity-Related Information to Public Sector Resource Partner across UNICEF, taking into consideration other policies in UNICEF's regulatory framework. * Assist in coordinating meetings with donors, preparing briefing materials, and supporting the advancement of related strategic initiatives. * Report on overall and workstream-specific support provided in the implementation of the UNICEF Policy on Disclosure of Integrity-Related Information to Public Sector Resource Partners Terms of Reference / Key Deliverables: Work Assignment Overview/Deliverables and Outputs/Delivery deadline * Prepares and/or reviews draft fraud and SEA notification for standard reporting to donors * Maintain, update and streamline tracking systems to support standard fraud and SEA reports * Conduct review of integrity provisions in draft agreements under negotiation with public sector donors * Draft responses to inquiries from donors and other UNICEF offices * Update templates, guidance documents and planning materials critical to policy implementation * Submission of 12 monthly progress reports that confirm that standard donor reports have been submitted, in line with donor reporting work plan, and summarize support provided in policy implementation, including a) Number of fraud reports and SEA notification completed, including where underlying case review was required b) Specific updates and modifications made, as well as data entered, into tracking systems c) Reviews provided resulting in specific changes proposed to integrity-related provisions, including reflecting these changes in internal filing and tracking systems d) Responses finalized for follow-up inquiries, including where underlying case review was required e) Final written products produced, along with internal documentation and approvals, for any changes made to templates, guidance notes or other relevant documents Qualifications Education: An advanced university degree in investigations, law, data management, programme management, external relations, public policy, finance or another directly relevant field, or relevant training and experience in the field of investigations. Knowledge/Expertise/Skills required *: * 1-2 years of prior experience with data analysis and data management * Strong oral and written communication skills, especially in relation to data visualization and analysis * Excellent data management & analytical skills Desirable: * Prior experience with donor reporting * Prior experience in developing data management and tracking tools, such as Microsoft Excel, Microsoft Power BI and SAP Data Management * Prior experience handling sensitive and/or confidential information * Knowledge of another official UN language (Arabic, Chinese, French, Russian or Spanish) is considered an asset * Experience in an international or multilateral public institution is desirable Requirements: Completed profile in UNICEF's e-Recruitment system and * Upload copy of academic credentials * Financial proposal that will include/ reflect : * the costs per each deliverable and the total lump-sum for the whole assignment (in US$) to undertake the terms of reference. * travel costs and daily subsistence allowance, if internationally recruited or travel is required as per TOR. * Any other estimated costs: visa, health insurance, and living costs as applicable. * Indicate your availability * Any emergent / unforeseen duty travel and related expenses will be covered by UNICEF. * At the time the contract is awarded, the selected candidate must have in place current health insurance coverage. * Payment of professional fees will be based on submission of agreed satisfactory deliverables. UNICEF reserves the right to withhold payment in case the deliverables submitted are not up to the required standard or in case of delays in submitting the deliverables on the part of the consultant. U.S. Visa information: With the exception of the US Citizens, G4 Visa and Green Card holders, should the selected candidate and his/her household members reside in the United States under a different visa, the consultant and his/her household members are required to change their visa status to G4, and the consultant's household members (spouse) will require an Employment Authorization Card (EAD) to be able to work, even if he/she was authorized to work under the visa held prior to switching to G4. Only shortlisted candidates will be contacted and advance to the next stage of the selection process For every Child, you demonstrate… UNICEF's core values of Commitment, Diversity and Integrity and core competencies in Communication, Working with People and Drive for Results. View our competency framework at: Here UNICEF offers reasonable accommodation for consultants/individual contractors with disabilities. This may include, for example, accessible software, travel assistance for missions or personal attendants. We encourage you to disclose your disability during your application in case you need reasonable accommodation during the selection process and afterwards in your assignment. UNICEF has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF also adheres to strict child safeguarding principles. All selected candidates will be expected to adhere to these standards and principles and will therefore undergo rigorous reference and background checks. Background checks will include the verification of academic credential(s) and employment history. Selected candidates may be required to provide additional information to conduct a background check. Remarks: Individuals engaged under a consultancy will not be considered "staff members" under the Staff Regulations and Rules of the United Nations and UNICEF's policies and procedures and will not be entitled to benefits provided therein (such as leave entitlements and medical insurance coverage). Their conditions of service will be governed by their contract and the General Conditions of Contracts for the Services of Consultants. Consultants are responsible for determining their tax liabilities and for the payment of any taxes and/or duties, in accordance with local or other applicable laws. The selected candidate is solely responsible to ensure that the visa (applicable) and health insurance required to perform the duties of the contract are valid for the entire period of the contract. Selected candidates are subject to confirmation of fully-vaccinated status against SARS-CoV-2 (Covid-19) with a World Health Organization (WHO)-endorsed vaccine, which must be met prior to taking up the assignment. It does not apply to consultants who will work remotely and are not expected to work on or visit UNICEF premises, programme delivery locations or directly interact with communities UNICEF works with, nor to travel to perform functions for UNICEF for the duration of their consultancy contracts. Advertised: 29 Dec 2025 Eastern Standard Time Deadline: 12 Jan 2026 Eastern Standard Time Back to search results Apply now Refer a friend Whatsapp Facebook LinkedIn Email App Send me jobs like these We will email you new jobs that match this search. Great, we can send you jobs like this, if this is your first time signing up, please check your inbox to confirm your subscription. The email address was invalid, please check for errors. You must agree to the privacy statement Subscribe

Description - External The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting Hospital and Professional areas of billing compliance: * Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. * Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. * Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. * Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. KEY SUCCESS FACTORS * Continually demonstrates initiative by learning business processes and applicable auditing techniques. * Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. * Excellent written and oral communication skills based on level of expertise. * Proficient in Microsoft Word and Excel. * Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level Belonging Statement We believe that all people should feel welcomed, valued, and supported. QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience

Overview: Who We Are HWL is a company that comes to the market with deep expertise from leading healthcare GPOs and supply chains, workforce management software providers, healthcare delivery organizations, cutting-edge technology organizations, and leading staffing agencies. Our workforce solutions deliver results that lower overall costs, produce higher-quality staff, and increase visibility into overall labor activity and metrics. Through proprietary next-generation technology and customizable MSP services, HWL delivers a vendor-neutral Total Talent Acquisition solution that lowers overall labor costs while reducing administrative burden. HWL achieves remarkable success by forging deep partnerships founded on integrity, accountability, and trust. Our company welcomes innovative thinkers who desire to work with a team that consistently displays kindness and empathy and promotes individual and collective growth. POSITION PURPOSE: The Compliance Specialist is responsible to for acting as the compliance related day-to-day point of contact with the client and the agencies. The Compliance Specialist's sole purpose is ensuring all the client's credentialing and onboarding requirements are understood by the agency and adhered to in a timely basis so the Provider can start on agreed start shift. The Compliance Specialist's focus is to track new starts and keep the credentialing and privileging process moving along so that providers can start on time. The Compliance Specialist is responsible for ensuring adherence to the client's application, Credential Committee, Medical Executives Committee (MEC) & Board meetings (BOT) expectations, and privileging requirements. This role will be reviewing & screening documents provided by the Provider's agency, following up on missing documentation and following all compliance policies as established in the SOW and the VMS system. The Compliance Specialist will primarily serve as a liaison between the supplier and the facility to ensure that client credentialing is expedited as quickly as possible and facilitate in providing the onboarding and credential packet to the client. The Compliance Specialist will ensure no delay in initial scheduled shifts due to non-compliance, will keep the client abreast of all activities, escalate concerns early to mitigate any delay in process. The Compliance Specialist needs to be service focused and have excellent communication, interpersonal skills, organization, & conflict resolution. Finally, The Compliance Specialist will build trust and loyalty to ensure long-term client retention and exceeding client's expectations. ESSENTIAL FUNCTIONS AND BASIC DUTIES: 1. Assumes responsibility for facilitating the Onboarding and Credentialing between Agency and Client. Communicates directly with the agencies to ensure client credentialing and onboarding requirements are supplied to the client's MSO per their deadlines. Items such as and are not limited to: Hospital application (web based/paper) Malpractice fact sheet: coverage and history Education, certifications, license etc Backchecks/drug testing, references etc. Provider enrollment Facilitates providing the onboarding & credential packet to the facility contact All at once or ad hoc Timing with MSO Privilege meetings prior to estimated first shift Aid in uploading to Client's technology Reviews the Provider's documentation in the HWL's VSM platform provided by the agency and follows up as needed with suppliers or clients to ensure required MSO/privileging documents (physician/NP/PA) are supplied to the client in a timely manner. Provides compliance ‘tracker' to client for ongoing updates and monitoring. Manages the Privileging Compliance checklist (Credential Committee, Medical Executives Committee (MEC) & Board meetings (BOT)) Create and maintain all requirement checklists Description of requirements Communicates to supplier 24-48 after submittal or signed agreement of required documentation Provides any updates to suppliers regarding any change to Compliance checklist during the timeline of the client partnership Send via email or during scheduled supplier calls Ensures adherence by suppliers to client credentialing requirements and compliance policies as established in the SOW (Statement of Work), SOP (Standard Operating Procedures) and the VMS system. Resolves or appropriately escalates inquiries and concerns. Partners with the facility/group to resolve outstanding items to complete the file process. Attends and participates in meetings with clients and suppliers regarding compliance related elements for the client. Communicates clearance status of providers to the client Maintain the cadence of communication as noted in the SOP Detailed status and ETAs of the pending requirements Ensures no delay/cancels in start dates due to non-compliance and will escalate to the aligned HWL Locums AM for necessary action. Partners with the HWL Account Manager on each confirmed Provider's compliance progress and will work with Compliance Manager to mitigate concerns or delays. Follows up with all future expiring documents and ensures compliance for the life of the assignment and will follow up with agency to obtain updated requirements. Provides the client with updates on Provider's future expired documents to assist where needed to maintain the Provider's privileges. Provides support to suppliers, clients and internal teams on any policies and procedures inquiries as needed. Remains updated on any new state mandates, licensure requirements and any other compliance related matters that could affect our current clients. HWL Compliance Specialists and HWL Account Manager will follow up regularly with agency & facility to ensure compliance requirements met or will not cleared to start HWL holds weekly Cadence calls with client's compliance point of contact Consistent collaboration & communication for risk mitigation & contingency plan Agency is the employer of provider and will enforce and follow up Prepares reports Other miscellaneous projects as assigned. 2. Assumes responsibility for establishing and maintaining professional working relationships with providers, clients, and internal teams. Cross selling/upselling client program Coordinates activities effectively with stakeholders Keeps management well informed of area activities and of any significant problems. Ensures effective communication among all stakeholders and involved parties. Schedules and Attends meetings as required. Travel to client locations and meet with stakeholders Attends meetings as required (both virtually and/or in-person as required). Examples include mandatory internal meetings as needed and required, as often as monthly or quarterly, in-person meetings with clients, conferences, events, seminars, etc. 3. Assumes responsibility for establishing and maintaining effective working relationships with Client and Agency employees, Company associates, and with management. Coordinates activities effectively with clients, suppliers and account managers. I.e. Meetings with suppliers/clients Keeps management informed of any issues that arise that could affect the business of clients, agencies or HWL. Ensures effective communication among all managers and involved parties. Attends meetings as required 4. Assumes responsibility for related duties as required or assigned. Performs miscellaneous projects as assigned. Updates job skills as required PERFORMANCE MEASUREMENTS Duties are performed in accordance with the Service Level Agreements (SLAs) between all Stakeholders, Client's SOPs, provider, supplier, and internal team members. A positive image of the Company is always projected. Clients and Agencies are treated professionally. Clients and agencies are kept informed of candidate's credentialing status to assure assignment start dates are met. Excellent communication and effective working relationships with other members of the HWL team. QUALIFICATIONS Education/Certification: High school graduate or equivalent. Associate or B.S. Degree preferred Eligibility Requirements: All candidates must be able to fulfill E-verify requirements Required Knowledge: Solid understanding of healthcare staffing, Locums Credentialing/Compliance. Experience Required: Minimum two years or more of related experience in a Hospital Medical Staff Office or in a Locums' Healthcare staffing company Credentialing/Compliance Department. Recent experience REQUIRED. Skills/Abilities: Good customer service and public relations. Knowledge of related computer applications including database entry. Able to work well independently and in a team environment. Diligence and solid organizational skills Adaptable to changes and able to make decisions in a demanding environment while remaining positive. Proven interpersonal communication skills including group, verbal and written. Highly analytical with the ability to articulate those details at a higher level. Creative thinker and problem solver to deliver on client expectations. Excellent relationship management that puts the customer and provider first while promoting goodwill and a positive image of the company. Work Schedule: This is a full-time remote position. Standard business hours are Monday through Friday 8:30 a.m. to 5:30 p.m. Additional time outside of these hours may be needed to complete the essential functions of the job. Travel: Successful associates in this position must be able and willing to travel nationwide up to 25% of the time. Disclosures Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. As part of our employment process, candidates who receive a conditional offer may be required to undergo pre-employment drug testing. We are an Equal Opportunity Employer and do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under the law.

Required Certificates and Licenses: Active Special Education Certificate Residency Requirements: TEXAS May consider residents of surrounding states (NM, OK, AR or LA). This position could include travel up to 20% of the time for face-to-face professional development, student testing, and/or as required by the school. K12, a Stride Company, believes in Education for ANYONE. We provide families an online option for a high-quality, personalized education experience. Students can thrive, find their passion, and learn in an environment that encourages discovery at their own pace. This position offers a base salary around $52,000. Passionate Educators are needed at the Stride K12 partner school, Lone Star Online Academy (LSOA). We want you to be a part of our talented team! The mission of Lone Star Online Academy (LSOA) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. Student success will be measured by valid and reliable assessment data, parent and student satisfaction, and continued institutional growth within the academic community. Join us! The IDEA Special Education Compliance Specialist is a state certified teacher responsible for delivering specific course content in an online environment. The Special Education Teacher must provide instruction, support, and guidance, manage the learning process, and focus on students' individual needs as defined by each student's Individualized Education Program. The Special Education Teacher works actively with students and parents to advance each student's learning and is also responsible for the compliance documents required in serving students with special needs. This is a full-time REMOTE position. Ability to work independently, typically 40+ hours per week is required. Ability to maintain a professional home office without distraction during workday, typically 8am-5pm central time. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. * Ensure all special education and related services are provided as determined by the IEP team by: * Communicating with parents and applicable related service staff to ensure that students with special needs are receiving the appropriate therapies * Developing compliant IEP's, progress reports and other state specific required special education documentation * Facilitating and leading collaborative special education meetings such as annual IEP meetings * Using provided resources to ensure accommodations and modifications for students with disabilities such as assistive technology, supplemental curriculum, and accessible text * Make modifications and accommodations to Stride K12 lessons and assessments as specified by the IEP * Ensure inclusion and success of student in the general education classroom * Collect data and work samples to monitor student progress towards Individual Education Program (IEP) goals and objectives * Document all contact with parents and interventions with students * Analyze student data to prescribe remediation and enrichment as needed * Provide rich and engaging synchronous and asynchronous learning experiences for students * Commitment to personalizing learning for all students * Demonstrate a belief in all students' ability to succeed and meet high expectations * Maintain grade book ensuring student academic integrity, makes student placement and promotion decisions, and alerts administrators to concerns about student performance and progress * Prepare students for high stakes standardized tests * Understand that a primary responsibility is to establish and maintain positive rapport with families and regularly communicates with and responds to students and learning coaches/parents in a timely manner * Support learning coaches/parents with student curricular and instructional issues, as well as basic troubleshooting in a virtual classroom environment that is in line with academy policies and procedures * Ability to travel up to 20% of the time for face-to-face professional development, student testing, and/or as required by the school. Minimum Required Qualifications: * Bachelor's degree AND * Active State Special Education teaching license AND * Ability to clear required background check OTHER REQUIRED QUALIFICATIONS: * Ability to work collaboratively with other teachers to interpret and produce numeric, tabular, and graphic representations of student data, and use it to drive instructional decisions * Receptive to receiving coaching on a regular basis with administrators * Ability to embrace change and adapt to ensure excellent student outcomes * Proficient in Microsoft Excel, Outlook, Word; PowerPoint * Ability to rapidly learn and adapt to new technologies and teaching platforms * Strong written/verbal communication skills DESIRED Qualifications: * Experience working with the proposed age group * Experience supporting adults and children in the use of technology * Experience teaching online (virtual) and/or in a brick-and-mortar environment * Experience with online learning platform Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * This position is virtual Job Type Regular The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is "at-will" as governed by the law of the state where the employee works. It is further understood that the "at-will" nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer. If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you can request the appropriate accommodation by contacting *********************. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Stride, Inc. is an equal opportunity employer. Applicants receive consideration for employment based on merit without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other basis prohibited by federal, state, or local law. Stride, Inc. complies with all legally required affirmative action obligations. Applicants will not be discriminated against because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we've grown from a small 16-bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. When you join the Huntington family, you'll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it. Internal Workers - Please log into your Workday account to apply Huntington Hospital Employee Login Expectations: The Compliance Specialist engages in the coordination, research, investigation, monitoring, auditing, education and resolution of compliance issues identified by the organization under its formally established Compliance Program. Responsible for the coordination and monitoring of all government, regulatory, and compliance documents for the Compliance and Internal Audit department. Conducts other tasks as necessary. EDUCATION: Bachelor's degree required. EXPERIENCE/TRAINING: Previous experience working in a health care setting. Minimum 3 years previous compliance and privacy experience preferred. LICENSES/CERTIFICATIONS: Required: Current Certified in Healthcare Compliance (CHC) issued by the Health Care Compliance Certification Board (HCCB) within two years of hire/transfer SKILLS: Strong interpersonal skills. Excellent communication skills including written, verbal, presentation, etc. Excellent skills in negotiation, collaboration, persuasion, motivation, tact, sensitivity and influence, particularly in challenging situations or in dealing with conflict. Functional knowledge of all Microsoft Office software programs. The position requires the ability to understand legal and regulatory information and the effective corrective action and communication of that information to diverse stakeholders. Job Title: Compliance Specialist Department: Compliance & Internal Audit Shift Duration: 8 Primary Shift: Days Time Type: Full time Location: 100 W California Blvd, Pasadena, CA 91105 Pay Range: The estimated base rate for this position is $78,000.00 - $117,000.00. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

**Description - External** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. **SALARY** The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience **ESSENTIAL FUNCTIONS OF THE ROLE** This position will be supporting Hospital and Professional areas of billing compliance: · Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. · Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. · Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. · Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. **KEY SUCCESS FACTORS** · Continually demonstrates initiative by learning business processes and applicable auditing techniques. · Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. · Excellent written and oral communication skills based on level of expertise. · Proficient in Microsoft Word and Excel. · Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. **BENEFITS** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: · Immediate eligibility for health and welfare benefits · 401(k) savings plan with dollar-for-dollar match up to 5% · Tuition Reimbursement · PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level **Belonging Statement** We believe that all people should feel welcomed, valued, and supported. **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Peregrine builds secure, reliable technology solutions for public safety and regulated environments. Our Governance, Risk & Compliance (GRC) team ensures that every aspect of our business meets or exceeds the rigorous security, privacy, and regulatory standards that our customers expect. Role Summary The Compliance Coordinator is responsible for executing and managing the day-to-day compliance workflows that enable Peregrine to maintain its CJIS, HIPAA, SOC-2, and other regulatory obligations. This role facilitates personnel and organizational security compliance commitments are met in efficiently and timely with full traceability for internal employees, customer stakeholders and auditors. Key Responsibilities * Coordinate onboarding compliance activities for new hires and contractors subject to CJIS/HIPAA or other regulatory controls. * Manage ongoing compliance tracking and renewals, ensuring all required certifications, acknowledgments, and background requirements are maintained. * Maintain compliance documentation and evidence libraries in accordance with Peregrine's data handling and retention practices. * Facilitate communication between People Operations, IT, GRC, and external agencies to ensure onboarding and offboarding actions are executed promptly and required notifications and documentation exists. * Support audit preparation by maintaining complete, accurate, and traceable compliance records for personnel security and customer agreements. * Lead daily administration of compliance tools and systems used for onboarding, document management, access certification, and personnel tracking. * Contribute to process improvement, helping refine compliance workflows, templates, and communication methods to enhance accuracy and efficiency. Qualifications * 3+ years of experience in compliance operations, HR operations, or security administration - preferably in a regulated or public-sector environment. * Working understanding of CJIS, CLETS, or other law enforcement/compliance frameworks (preferred). * Proven ability to manage detailed workflows and documentation across multiple systems. * Strong communication and organizational skills with excellent follow-through. * Proficiency with modern workplace tools (e.g., Notion, SharePoint, Slack, DocuSign, email systems). * Eligible for access to Criminal Justice Information (CJIS) and able to pass required background checks. Core Competencies * Detail Orientation & Organization: Manages complex compliance requirements accurately and consistently. * Execution & Accountability: Drives tasks from intake to completion with documented evidence and timely follow-up. * Communication & Coordination: Clearly communicates with cross-functional teams and external contacts to ensure compliance deliverables are met in a timely manner. * Process Improvement: Identifies and implements improvements to strengthen compliance efficiency and audit readiness. Why Peregrine You'll be part of a mission-driven organization that helps secure authorizations for access to sensitive information for law enforcement and public safety customers. The GRC team operates at the intersection of technology, policy, and operations - providing visibility, structure, and assurance that Peregrine's commitments to security and compliance are consistently met. Salary Range: $90,000 - $115,000 Annually + Sales Commission + Benefits + Equity (if applicable) + Bonus (if applicable) Actual compensation is influenced by a wide array of factors including but not limited to skill set, level of experience, and specific work location. Information on the benefits offered is here. Peregrine Technologies is committed to creating an inclusive environment for all employees. We celebrate diversity and are a proud equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

For more than 55 years, Family Health Centers of San Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women's care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. Responsibilities: * Accurately and thoroughly documents audit results in a timely manner. Updates coding books and procedure manuals for coding staff. * Accurately codes records using ICD, HCPCS/CPT coding rules and guidelines, within the timeframe established by department. * Performs audits of coding and billing, and provider documentation, ensuring compliance with department, state, and federal rules and requirements. Reviews and analyzes medical records and abstracted data to determine the accuracy of payment and code assignment. * Performs other duties as assigned. * Provides regular and prompt feedback to staff, including providers and supervisors on compliance issues. Communicates effectively with providers and clinic staff concerning coding questions and researches issues for resolution. Requirements: * Associate's degree in Medical Record Technology, Health Information Management, Healthcare Administration, or closely related field required. * At least 2 years of medical coding experience required. * CPC Certification required. * CPCO Certification (Certified Professional Compliance Officer) or CPMA (Certified Professional Medical Auditor) required. * Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements. * RHIA, RHIT, or CCS certifications strongly preferred. * Third party billing and reimbursement experience, specifically with Medi-Cal required. * Traveling between sites and other locations is occasionally required. Must have a valid California driver's license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver's license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy. Rewards: * Job type: Regular Full-time. M-F 8am-5pm. * Onsite Location: 100 Broadway Chula Vista, CA 91910 * Competitive Salary with Excellent Benefits * Retirement Plan with Employer Match * Paid Time Off, Extended Sick Leave and Paid Holidays * Medical/Dental/Vision/FSA/Life Insurance * Employee Discounts and Wellness Programs The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved. We are excited to share that the salary range for this position is: $27.00 - $34.59 Information on our extensive benefits package can be found here: FHCSD Wellness - Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.

For more than 55 years, Family Health Centers of San Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women's care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. Responsibilities: Accurately and thoroughly documents audit results in a timely manner. Updates coding books and procedure manuals for coding staff. Accurately codes records using ICD, HCPCS/CPT coding rules and guidelines, within the timeframe established by department. Performs audits of coding and billing, and provider documentation, ensuring compliance with department, state, and federal rules and requirements. Reviews and analyzes medical records and abstracted data to determine the accuracy of payment and code assignment. Performs other duties as assigned. Provides regular and prompt feedback to staff, including providers and supervisors on compliance issues. Communicates effectively with providers and clinic staff concerning coding questions and researches issues for resolution. Requirements: Associate's degree in Medical Record Technology, Health Information Management, Healthcare Administration, or closely related field required. At least 2 years of medical coding experience required. CPC Certification required. CPCO Certification (Certified Professional Compliance Officer) or CPMA (Certified Professional Medical Auditor) required. Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements. RHIA, RHIT, or CCS certifications strongly preferred. Third party billing and reimbursement experience, specifically with Medi-Cal required. Traveling between sites and other locations is occasionally required. Must have a valid California driver's license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver's license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy. Rewards: Job type: Regular Full-time. M-F 8am-5pm. Onsite Location: 100 Broadway Chula Vista, CA 91910 Competitive Salary with Excellent Benefits Retirement Plan with Employer Match Paid Time Off, Extended Sick Leave and Paid Holidays Medical/Dental/Vision/FSA/Life Insurance Employee Discounts and Wellness Programs The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved. We are excited to share that the salary range for this position is: $27.00 - $34.59 Information on our extensive benefits package can be found here: FHCSD Wellness - Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.

Associate degree in a business-related field or with one year experience in administrative/clerical or computer operations required. OR High School Diploma or GED with three years of experience in administrative/clerical or computer operations required. Knowledge: • Effective verbal and written communication skills • Effective organizational skills • Effective interpersonal skills Licenses or Certificates: • None **Union membership is a condition of employment.**

Job Description Associate degree in a business-related field or with one year experience in administrative/clerical or computer operations required. OR High School Diploma or GED with three years of experience in administrative/clerical or computer operations required. Knowledge: • Effective verbal and written communication skills • Effective organizational skills • Effective interpersonal skills Licenses or Certificates: • None **Union membership is a condition of employment.**

What you'll get from us At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer: A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience. What we need from you Knowledge of auditing standards, medical terminology and psychiatric disorders, behavioral health coding and documentation standards. Certified Professional Coder (CPC) or Certification in Healthcare Compliance (CHC) is preferred. Bachelor's degree in psychology, public health, sociology, business administration; or equivalent experience. If position is filled by any licensed discipline, requires possession of a current license in the State of Maryland at the time of appointment and continuously while in the position. 1-2 years of behavioral health experience and demonstrated knowledge of: medical records documentation and process; knowledge of state and federal healthcare privacy laws; Medicare and Medicaid program rules and regulations and experience applying to CPT coding and billing of hospital services; PC literacy with intermediate proficiency in Microsoft Office Suite, Including Excel, Access, PowerPoint, Word, data analysis tools and techniques. Proficiency in using electronic health record systems (EHRs), incident management systems, policy management systems, and coding software. Prior experience with CPT billing codes is preferred; individual must demonstrate willingness and ability to learn use of CPT coding. WHY SHEPPARD PRATT? At Sheppard Pratt, we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individuals facing life's challenges. Join us and be a part of a mission that changes lives!

Working at Freudenberg: We will wow your world! Responsibilities: Oversee daily import/export operations, ensuring compliance with U.S. and international customs regulations; maintain HTS codes in SAP and coordinate updates with the Regional Customs Lead. Prepare and review customs entries, verify import values, apply for duty refunds, and resolve customs-related issues such as delays, inspections, and audits. Collect and manage required documentation from suppliers, purchasing, and internal stakeholders to support customs clearance. Coordinate with customs brokers, freight forwarders, and regulatory authorities to ensure smooth shipment clearance and timely deliveries. Prepare Certificates of Origin (e.g., USMCA) and ensure correct application to optimize duty savings and compliance. Support logistics operations, including shipment scheduling, material flow, inventory oversight, and accurate tracking of customs transactions. Maintain complete and auditable records, provide documentation during audits, and prepare regular reports on import/export performance, compliance status, and cost metrics. Report significant customs issues to the Regional Customs Lead, update local management on performance, and collaborate with Finance on customs-related invoices and reconciliations. Qualifications: Bachelor's degree in Supply Chain, Logistics, International Business, or related field (or equivalent experience). Knowledge of U.S. and international customs regulations, import/export compliance, and tariff classifications (HTS codes). Familiarity with ERP systems (SAP preferred) for customs, logistics, or inventory management. Understanding of Certificates of Origin, trade agreements (e.g., USMCA), and duty optimization strategies. Knowledge of freight forwarding, brokerage operations, and compliance reporting/auditing requirements. Strong analytical thinking, attention to detail, and communication skills to identify compliance issues, ensure accuracy, and coordinate with stakeholders. Primarily office-based role with occasional visits to warehouse or shipping/receiving areas; must be able to lift/carry up to 25 lbs. Occasional travel required to coordinate with suppliers, customs brokers, or other facilities. The Freudenberg Group is an equal opportunity employer that is committed to diversity and inclusion. Employment opportunities are available to all applicants and associates without regard to race, color, religion, creed, gender (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, mental or physical disability, genetic information, marital status, familial status, sexual orientation, protected military or veteran status, or any other characteristic protected by applicable law. EagleBurgmann Industries LP

* Oversee daily import/export operations, ensuring compliance with U.S. and international customs regulations; maintain HTS codes in SAP and coordinate updates with the Regional Customs Lead. * Prepare and review customs entries, verify import values, apply for duty refunds, and resolve customs-related issues such as delays, inspections, and audits. * Collect and manage required documentation from suppliers, purchasing, and internal stakeholders to support customs clearance. * Coordinate with customs brokers, freight forwarders, and regulatory authorities to ensure smooth shipment clearance and timely deliveries. * Prepare Certificates of Origin (e.g., USMCA) and ensure correct application to optimize duty savings and compliance. * Support logistics operations, including shipment scheduling, material flow, inventory oversight, and accurate tracking of customs transactions. * Maintain complete and auditable records, provide documentation during audits, and prepare regular reports on import/export performance, compliance status, and cost metrics. * Report significant customs issues to the Regional Customs Lead, update local management on performance, and collaborate with Finance on customs-related invoices and reconciliations. Qualificationsarrow_right * Bachelor's degree in Supply Chain, Logistics, International Business, or related field (or equivalent experience). * Knowledge of U.S. and international customs regulations, import/export compliance, and tariff classifications (HTS codes). * Familiarity with ERP systems (SAP preferred) for customs, logistics, or inventory management. * Understanding of Certificates of Origin, trade agreements (e.g., USMCA), and duty optimization strategies. * Knowledge of freight forwarding, brokerage operations, and compliance reporting/auditing requirements. * Strong analytical thinking, attention to detail, and communication skills to identify compliance issues, ensure accuracy, and coordinate with stakeholders. * Primarily office-based role with occasional visits to warehouse or shipping/receiving areas; must be able to lift/carry up to 25 lbs. * Occasional travel required to coordinate with suppliers, customs brokers, or other facilities. The Freudenberg Group is an equal opportunity employer that is committed to diversity and inclusion. Employment opportunities are available to all applicants and associates without regard to race, color, religion, creed, gender (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, mental or physical disability, genetic information, marital status, familial status, sexual orientation, protected military or veteran status, or any other characteristic protected by applicable law.