Compliance Auditor jobs at University of Maryland Medical System - 28 jobs

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations. Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Qualifications III. Education and Experience High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. Associates or Bachelor's degree. Education will be considered in lieu of experience. Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience. One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC) IV. Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $36.61-$45.71 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact ********************************. If you have questions while submitting an application, please review these frequently asked questions. Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title:340B Compliance AnalystDepartment:University Hospital | 340B Contract Pharmacy Administration Scope of Position The Ohio State University Wexner Medical Center (OSUWMC) Department of Pharmacy's mission is to improve people's lives through pharmacy practice innovation, comprehensive medication education, and collaborative clinical and practice research. The 340B Compliance Analyst supports the management, compliance, and optimization of the organization's 340B Drug Pricing Program. This position serves as a key liaison between pharmacy operations, finance, information technology, and compliance teams to ensure accurate reporting, proper inventory management, and adherence to federal and state regulations. The role requires a high level of analytical ability, attention to detail, and a thorough understanding of 340B program requirements, pharmacy supply chain operations, and third-party software functionality. Position Summary This position is responsible for 340B Program auditing, compliance and reporting. This position will build reports from electronic health records, third-party software, and vendors; collect data and complete data integrity monitoring; assist in performing periodic 340B audits to validate compliance; perform maintenance of third party software database; maintain appropriate inventory of 340B drugs and maintains thorough understanding of the 340B Drug Pricing Program federal regulations and guidelines. Minimum Qualifications High school diploma or equivalent experience. 2 years of relevant 340B experience preferred, or 2-4 years of relevant experience. Additional Information:Location:Remote LocationPosition Type:RegularScheduled Hours:40Shift:First Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process. Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions. The university is an equal opportunity employer, including veterans and disability. As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.

Job Title Sr. Employment Compliance Coordinator Division Division of Finance & Administration Department Office of Human Resources Job Effective Date 02/04/2026 Job End Date 08/31/2026 Work Status Full Time Position Category Contractual FLSA Exempt Annual Salary Pays $76,000 - $81,000 / year Percentage Amount 100 Fund Source State Support Requisition Reason New Job Duties The Sr. Employment Compliance Coordinator serves as the University's primary expert on employment-based immigration processes and federal employment eligibility verification. This dual-role position ensures institutional compliance with immigration laws and regulations while supporting international faculty and staff. This position works in close partnership with the Office of Human Resources, Office of International Affairs, and the Division of Academic Affairs supporting requests for visa sponsorship and international employment verification. The Sr. Employment Compliance Coordinator will be responsible for all aspects of the University's compliance with USCIS guidelines for Form I-9 and E-Verify. This position manages the end-to-end employment eligibility certification profess for new and returning hires, including entering data into the E-Verify system, resolving non-confirmations, and ensuring compliance with federal regulations. * Coordinate the visa and immigration process for the Office of Human Resources (OHR) as a subject matter expert on employment immigration for H-1B, J-1, and O-1 visas. * Advise hiring departments on visa and immigration timelines, requirements, and best practices and continually update the OHR website with pertinent information related to University procedure and timelines to hire. * Review positions and applications for all faculty and staff international hires in the Morgan Employment Management System. * Monitor changes in visa and immigration federal regulations and communicate updates to key stakeholders. * Serve as the liaison to the Office of International Affairs, Office of the Provost and other key stakeholders to provide HR related visa and immigration services to international faculty and staff hires. * Coordinate the implementation of E-Verify in collaboration with OHR and key stakeholders throughout the University. * Audit and maintain Form I-9 records and input all information in the E-Verify system. Ensure timely re-verification of E-Verify work authorization. * Serve as the primary liaison with federal agencies regarding E-Verify and employment eligibility matters. * Track I-9 and E-Verify records for all new hires and provide education, communication, and awareness to HR, University supervisors and employees to avoid missed deadlines and critical updates from USCIS. * Track and maintain all non-compliance responses and notify managers of employee's noneligible status to work at the University. * Manage and co-ordinate all training initiatives for University cohorts for E-Verify, postdoctoral hiring, and visa and immigration HR related services and ensure compliance with federal employment eligibility verification requirements. * Provide educational sessions/or updates on immigration procedures/laws pertaining to international faculty and staff populations to OHR staff. * Create and continually update standard operating procedures for E-Verify and visa and immigration services. * Consistently create information and communications for the visa and immigration and E-Verify website on the OHR portal. * Complete education verification requirements for all foreign nationals. Requested Minimum Qualifications Education Required: A bachelor's degree in human resources, law, international relations, political science, business administration or closely related field is required. Experience Required: A minimum of two (2) years of experience working with visa and immigration services and knowledge of E-Verify. Knowledge, Skills & Abilities: * Knowledge of federal regulations related to visa and immigration services and employment law compliance. * Demonstrated ability to learn and understand ever-changing complex federal, state, and local regulations pertaining to foreign nations and effectively communicate to others. * Critical thinking and business acumen and problem-solving skills. * Ability to work under pressure and meet tight deadlines. Position Description Form. * Manage time effectively and handle sensitive information with confidentiality and discretion. * Ability to work with a diverse population in a professional manner, maintaining high levels of customer service, and cross-cultural sensitivity. * Ability to prepare and analyze relevant data and figures. * Strong attention to detail and organizational skills. * Exceptional written and verbal communications skills. Other Preferences for Consideration Education Preferred: Master's degree is preferred but not required.

Looking for a Senior Internal Auditor. With minimal direction, program and perform professional level audit work individually or as a team leader. Review and evaluate the risks and controls affecting the goals, performance objectives, and impact of a variety of economic, financial, and managerial programs in conformance with company policies and procedures. Job Description Essential Job Functions: 1. Program, direct, and participate in performance auditing in the assigned area of responsibility. 2. Plan and design approach for conducting audits, including planning theory and scope of audit. Determine procedures to be used, statistical sampling and use of computer assisted analytical techniques. Coordinate with IS department to secure available resources. 3.Identify the risks and controls for the area under review and evaluate the adequacy and effectiveness of controls in achieving Company risk tolerance. 4. Interpret policies and procedures and apply professional accounting and auditing principles and standards to test and evaluate complex financial records and operational systems. 5. Verify reports against source records to determine reliability. Verify detail of recorded transactions; conduct detailed examinations of cash receipts and disbursement vouchers, payroll records, requisitions, work orders, receiving reports, and other accounting and operating documents to ascertain whether transactions are properly supported and are recorded correctly. 6. Identify and analyze causes of uneconomic and inefficient practices; assess alternatives which might yield desired results. 7. Develop recommendations for bringing programs and operations into compliance with goals and objectives. 8. Make oral or written presentations to management during and at the conclusion of the examination, discussing deficiencies and recommending corrective action to improve operations, reduce costs and minimize risk. 9. Prepare formal written reports, as requested by Internal Audit Department Management, expressing opinions on the adequacy and effectiveness of the systems and the efficiency with which activities are carried out. 10. Provide assistance with the investigation of alleged fraud and material misconduct. Essential Job Functions (Continued): 11. Perform special audits at the request of Corporate Audit Management. This would include support work provided to the external auditors. 12. Provide training and direction to Internal Auditing staff. 13. Travel when necessary on audit assignments and related company business. Work remotely, exercising personal discipline. Qualifications Knowledge, Skills, and Abilities: 1.Knowledge of accounting and mathematical principles. 2.Knowledge of the principles, practices, and techniques of accounting and auditing. 3.Knowledge of the techniques, tests, and sampling methods involved in conducting audits and the requirements set forth in the Standards for the Professional Practice of Internal Auditing. Familiarity with the COSO internal control framework. 4. Skill in using word processing, spreadsheet, database, auditing, and accounting software. Working knowledge of Company's Oracle accounting database system. 5. Skill in operating office equipment such as personal computer, photocopy machine, telephone system and facsimile machine. 6. Ability to analyze problems, determine appropriate solutions and pay close attention to detail. 7. Strong decision making skills and proven ability to structure solutions for complex issue. 8. Ability to handle multiple assignments. 9. Ability to work independently as well as collaboratively, in a leadership role or as a member of a team. 10. Ability to communicate clearly and effectively with senior management, co-workers, customers, and outside business contacts, both orally and in writing, including the ability to interview persons to extract sensitive information. 11. Exhibit leadership ability as a senior member of an audit team. 12. Possesses creativity, integrity, professional skepticism, and a high degree of inquisitiveness. 13. Knowledge of agricultural production and manufacturing industry. Education and Experience: Bachelor's degree in accounting, business administration, or related field is required. Four years of experience in financial/operation, external, or information systems auditing is required. CPA, CIA, or CISA certification is preferred and can substitute for one year of work experience. MBA a plus. Additional Information All your information will be kept confidential according to EEO guidelines

Under limited supervision, the Physician Billing Compliance Analyst ("Analyst") will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville ("COM-Jax") and the University of Florida Jacksonville Physicians Group ("UFJPI"). Analyst will also perform abbreviated reviews on newly hired providers' documentation outside of the regular compliance audit cycle. Audit focus will be on physician/advanced practice professional coding and chart documentation to include review of E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines and carrier specific policies. The Analyst will utilize medical management systems as well as auditing software applications to perform reviews. The Analyst will prepare and present accurate reports of audit findings to appropriate personnel. The Analyst will coordinate with various COM-Jax and UFJPI representatives to process any resulting refunds and address educational needs from the audit findings. Responsibilities Essential Functions * Within designated timeframes and by utilizing medical management systems, audit chart documentation and professional billing for compliance with E&M, CPT procedure coding, ICD-10-CM diagnosis coding, teaching physician guidelines, payer specific polices and regulatory requirements. * Perform analysis of audit findings and summarize for placement in the Physician Billing Compliance Services ("PBC") central database. * Participate in opening and closing audit conferences with representatives of the COM-Jax and UFJPI. * Identify remedial training needs through audit process and if necessary, conduct remedial training with providers and/or UFJPI billing staff. * Assist in the development of policies and procedures to complete work in accordance with the COM - Jax Billing Compliance Plan. * Problem solve issues identified during the audit process. * Assist with creation and performance of audits through the utilization of various auditing software programs. * Assist Manager and Director of PBC with research and analysis for special projects and other duties as assigned. * All other duties as assigned Qualifications Experience Requirements 2 years Medical billing required 4 years Medical coding (procedural and diagnosis) for multi-specialty providers required 3 years Medicare, Medicaid, and Tricare payment and reimbursement rules required 3 years Medical record chart auditing for professional billing required 1 year Medical management information systems (EPIC preferred) required 1 year Auditing software applications (e.g. MDaudit, Compliance Risk Analyzer) preferred Education Requirements High School Diploma or GED required Associates Business or health care industry related field preferred Certification/Licensure/Training Certified Coding Specialist required or at time of hire Certified Coding Specialist - Physician Based(CCS-P) - AHIMA required or at time of hire Certified Professional Coder (CPC) required or at time of hire Certified Professional Medical Auditor (CPMA) required within 6 months UFJPI is an Equal Opportunity Employer and Drug Free Workplace

Must live in Florida. The Charge Audit Specialist has responsibility to perform charge capture audits, initiate and lead performance improvement efforts to enhance charge capture, educate clinical departments and promote revenue cycle integrity. Responsibilities * Perform charge capture audits by comparing the medical record documentation against the itemized bill. * Identify charging, coding or clinical documentation issues and work with ancillary departments to resolve issues and notify appropriate leadership. * Prepare modifications to patient charges as a result of the audits and as required to ensure appropriate revenue integrity. * Respond to RAC and other third-party payer audit requests in collaboration with Health Information Management and Patient Financial Services. * Maintain an audit activity report to track and communicate audit activity with the associated financial impact. Analyze audit results to identify patterns, trends, variances and opportunities to improve revenue integrity. * Initiate and lead performance improvement efforts through multi-disciplinary teams to streamline processes, enhance charge capture and promote revenue cycle integrity. * Provide education to all clinical departments as needed to promote appropriate charge capture processes and improve understanding of the documentation requirements for specific charge activity. * Function as a resource to the CDM Coordinator when clinical information is needed to appropriately maintain the Charge Description Master. * Analyze and resolve patient claims being held by billing edits (i.e. NCCI/modifier 59, Medical necessity, Correct coding Initiative, Outpatient Code Editor (OCE), Inpatient Code Editor, Self-Administered and other claims requiring clinical expertise's). * Compare UB04 charges to BAR charges and ensure all discrepancies are appropriate. * Performs all other duties as assigned by management within job scope. Qualifications Education / Training * High School Diploma/Equivalent Experience * 2-years Medical Coding Preferences: 3-4 years of experience; charge audit or finance related experience. Experience in coding and /or reimbursement. Certificates/Licenses/Registration * Active coding certification from AAPC or AHIMA Preferences: Certified Professional Coder (CPC) Additional Information: Certified Professional Coder (CPC) required within 1 year of hire.

The Learner Compliancy Specialist III, Credential Support oversees compliance for learners in advanced-level courses, such as BSN366 and BSN395, where credentialing requirements extend across an entire semester or longer. This role manages the most complex compliance cases due to extended timelines, higher stakes in Experiential Learning (EL) placement, and greater learner populations. The Specialist III provides advanced problem-solving, strategic learner guidance, and collaborates closely with supervisors to resolve escalated cases. Role and Responsibilities: Oversees compliance for learners in advanced-level courses requiring long-term credential maintenance (e.g., 4 months). Proactively monitors compliance risks and intervenes early to ensure long-term learner readiness. Provides in-depth guidance for learners navigating complex credentialing requirements such as multi-step background checks, recurring drug screenings, or layered immunization updates. Leads mass communication campaigns to ensure learners meet ongoing deadlines and maintain compliance throughout extended courses. Manages escalations and coordinates with Supervisors for resolution of high-risk cases. Provides mentorship to Specialists I and II by sharing best practices and supporting workflow consistency. Contributes to developing process enhancements for managing long-term compliance tracking across large learner populations. Qualifications and Education Requirements: Bachelor's degree from an accredited institution is required. Minimum 4 years of compliance, credentialing, or educational support experience. Strong knowledge of credentialing systems and extended compliance requirements. Excellent critical thinking and time management skills. Demonstrated ability to manage large learner populations with high compliance complexity. Proficiency with Microsoft Office products preferred. Budgeted Hiring Range$29.50-$31.50 USD All new hires are required to attend New Collaborator Orientation (NCO) in Salt Lake City, Utah. The College will cover travel, lodging, and other accommodations. Nightingale's commitment to diversity and inclusion is reflected both in our learners and collaborators because we believe the best outcomes for learners from underserved and diverse populations are achieved through collaborators with similar backgrounds and cultures. Nightingale Education Group is an equal opportunity employer. Our Mission (not just words on the wall, we live it, love it, and daily contribute to it): With the primary focus on higher learning in healthcare professions, Nightingale Education Group contributes to elevating education, health, and employment systems through facilitation of academic achievement, personal growth, and professional development of its learners, alumni, and collaborators, while serving diverse communities. At Nightingale Education Group, our Innovative Education model helps transform rural health landscapes through our blended-distance learning platform. Every person involved with Nightingale Education Group helps to change the lives of our learners, our communities, and ultimately the world by adding to the quality of healthcare. We are proud to have graduated nearly 5,000 nurses serving communities in need. We are serious about our outcomes and have a little bit of fun getting there. The professional and personal development of our learners and our collaborators is our company's foundation. Not only do we develop strategies that promote a positive work-life integration, but we also create an environment that invites you to become an expert in your field, be it through higher education or professional development. Put simply, we elevate employment, elevate health, and elevate education. We're so happy that you've found us! Employment is contingent upon successful completion of a background check and drug screen.

Primary Location: 250 E Liberty StAddress: 250 East Liberty St. Louisville, KY 40202 Shift: First Shift (United States of America) Summary: : The Insurance Reimbursement Auditor is primarily responsible for the review on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates. This employee follows up with government, managed care, commercial, and third party payers on outstanding monies due for services rendered to a patient. This employee will provide “root cause” analysis and trend identification of revenue opportunities to ensure appropriate reimbursement for UofL Health facilities.Additional Job Description: • Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. • Provide detailed analysis of findings and payer trends. • Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. • Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. • Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates. • Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers. • Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies. • Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account. • Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates. • Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings. • Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system. • Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams. • Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments. • Document all follow up efforts in a clear and concise manner into the AR system. • Work assigned accounts as directed while reaching daily productivity goals. • Complete tasks by deadline provided by leadership. • Participate in system testing and training. • Attend seminars as requested. • Other duties as assigned. Minimum Education and Experience • High School Diploma or GED • 2-3 years of billing, insurance follow-up or insurance payor experience • Experience performing account resolution with third-party payors is preferred • Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Knowledge, Skills, and Abilities • Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form. • Ability to calculate rates using mathematical skills. • Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s). • Must have detailed knowledge of the uniform bill guidelines. • Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner. • Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies. • Knowledge of general insurance requirements. • Experience working directly with EOBs, contractual adjustments, and payer contracts. • General computer knowledge and working with electronic filing systems. • Ability to communicate verbally and in writing with professionalism. • Organizational and documentation skills to ensure timely follow-up and accurate record keeping. • Ability to meet productivity expectations. • Strong team player. • Strong self-motivation to achieve goals.

Primary Location: 250 E Liberty StAddress: 250 East Liberty St. Louisville, KY 40202 Shift: First Shift (United States of America) Summary: : WE ARE HIRING! Shift: First Shift About Us UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care. Primarily responsible for the review and follow up on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates and follow up with payers on outstanding monies due for services rendered to a patient. This position will provide “root cause” analysis and reporting of revenue opportunities to ensure appropriate reimbursement. • Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. • Provide detailed analysis of findings and payer trends. • Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. • Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. • Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates. • Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers. • Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies. • Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account. • Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates. • Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings. • Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system. • Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams. • Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments. • Document all follow up efforts in a clear and concise manner into the AR system. • Work assigned accounts as directed while reaching daily productivity goals. • Complete tasks by deadline provided by leadership. • Participate in system testing and training. • Attend seminars as requested. • Other duties as assigned. Additional Job Description: Minimum Education and Experience • High School Diploma or GED • 2-3 years of billing, insurance follow-up or insurance payor experience • Experience performing account resolution with third-party payors is preferred • Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Knowledge, Skills, and Abilities • Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form. • Ability to calculate rates using mathematical skills. • Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s). • Must have detailed knowledge of the uniform bill guidelines. • Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner. • Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies. • Knowledge of general insurance requirements. • Experience working directly with EOBs, contractual adjustments, and payer contracts. • General computer knowledge and working with electronic filing systems. • Ability to communicate verbally and in writing with professionalism. • Organizational and documentation skills to ensure timely follow-up and accurate record keeping. • Ability to meet productivity expectations. • Strong team player. • Strong self-motivation to achieve goals.

The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. Job Description I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations. Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Serves in an advisory and educator role for Coding Specialists. Serves as communicator between Clinical Documentation Specialists and Coding. Researches new surgical procedures and technology. Provides training to new employees Reports coding quality accuracy rate for each coder Monitors productivity rate for each coder Conducts specialized focused audits as needed. Communicates with various departments within the hospitals regarding coding accuracy. Refers any problems to management timely, providing clear details. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed. Complies with AHIMA standards of ethical coding and coding compliance guidelines. Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager. Qualifications III. Education and Experience High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. Associates or Bachelor's degree. Education will be considered in lieu of experience. Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience. One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC) IV. Knowledge, Skills and Abilities Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $33.36 - $46.70 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].

We are seeking an Internal Audit Manager that will demonstrate subject matter expertise in operational internal auditing and the healthcare and/or higher education industry. Manages multiple complex internal audit projects. Manages and serves as a technical expert to internal audit staff. Partners with department leadership: Chief Audit Officer, Executive Director Operational Audits, and Associate Director to manage the day-to-day workflow of internal audit staff and completion of assigned internal audit plan. Develops and provides training to internal audit staff. In collaboration with leadership, researches and implements internal audit operating procedures congruous to the Office of Hopkins Internal Audits operations. Performs assigned duties in accordance with the accepted professional standards requiring independence and objectivity; knowledge of accounting principles and standards, proper financial and administrative control procedures, and good business practices; ability to assess risk relative to the proper application of internal controls. Specific Duties & Responsibilities * In collaboration with Internal Audit leadership participate in the development of the annual internal audit plan. * Develop internal audit plan in assigned areas, including performing effective risk assessments and meeting with institutional management to support the development of the annual audit plan. * Oversee a portion of the annual internal audit plan, working with Executive Director Operational Audits and/or Associate Directors and in collaboration with other Internal Audit Managers to plan and staff audit projects. * Manage multiple projects or single projects in complex environments supporting the overall completion of the annual audit plan. * Responsible for overseeing the execution of audits, from audit planning through reporting. * Plan complex internal audits by gathering specific relevant background information, e.g. financial results, policies and procedures, etc. from the institution's information systems, web-based and other information sources * Utilize organizational and regulatory knowledge to identify audit constraints and shape priorities. * Negotiate audit parameters with Executive Director Operational Audits and/or Associate Directors. * Ensure that all team members understand their individual roles and responsibilities. * Design appropriate internal audit programs and time budgets based upon the review and evaluation of underlying financial and business risks. * Oversee the development of the internal audit program for projects in assigned audit plan. * Utilize advanced knowledge of Microsoft Office Suite applications and other business and audit-related software to conduct internal audit work and the extraction of relevant business data and its analysis using computer assisted auditing techniques, such as ACL software. * Ensure all projects in the assigned audit plan address appropriate risks identified and concludes on risk management strategies, considering industry best practices and cost benefit. * Prepare clear and concise working papers and other documentation supporting discussions, operational facts and results of testing to justify conclusions. * Review and approve all workpapers on projects in the assigned audit plan. * Communicate recommendations to management through logical, clear and concise written and oral means to gain understanding and agreement on audit issues and commitment to implement corrective action. * Perform or oversee follow-up of internal audits to evaluate management's implementation of action plans. Monitor overall status of open issues and hold assigned staff accountable to ensure timely validation. * Monitor status of assigned audit plan and report progress to the Associate Directors and/or Executive Director Operational Audits timely and regularly. * Evaluate customer feedback and lessons learned from meetings and identify possible improvement areas. Implement changes in future audits as needed. * Oversee the activities of multiple internal audit teams to ensure effective utilization in completing assigned projects. * Provide day-to-day support for assigned staff, e.g. create open lines of communication, provide regulatory updates, advise on difficult situations, etc. * Participate in personnel development training and performance evaluation programs. * Perform project evaluations on assigned internal audit staff. Provide input to Executive Director Operational Audits and Associate Directors on annual evaluations of assigned staff. * Demonstrate an expert knowledge of external and internal organizational, environmental and regulatory issues. Educate team in regard to those issues. * Interact appropriately with all levels of personnel including senior and executive leadership, building good working relationships across the Johns Hopkins Institutions. * Nurture existing and develop new relationships with senior management to help achieve the department's strategic plans. * Represent department on assigned Institutional committees. * Mentor and guide internal auditor staff in the execution of their assigned projects. * Demonstrate a thorough understanding of healthcare and/or higher education industry. * Monitor changes in the industry and be able to understand the impact on your own work. * Provide detailed progress updates of audits, including major findings and problems to Associate Directors, Executive Director Operational Audits, and Chief Audit Officer. * Lead and/or direct work of audit staff regarding review of scope statements, audit programs, internal control questionnaires, audit work papers, and ensure timely progress and successful completion of projects. * Research and recommend more effective ways of managing risks, performing controls, and improving operational efficiencies. * Identify and develop new audit tools and techniques. * Conduct specialized audits, projects or investigations requested by Institutional leadership. * Represent department on assigned management committees and speak for department when Executive Director Internal Audits, Associate Directors and Chief Audit Officer are not present. * Promote department image through quality work, sharing knowledge and professional dealings, and maintaining confidentiality of information. * May be responsible for overseeing projects being performed by external professional services partners. * In collaboration with Chief Audit Officer, Executive Director Operational Audits, and Associate Directors lead departmental continuous improvement efforts. * Other duties as assigned. Minimum Qualifications * Bachelor's Degree in Accounting, Business, or related field or field related to health care or higher education industry. * Eight years of accounting or audit experience in non-profit, healthcare or higher education setting. * Additional education may substitute for required experience and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. * Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) designation. (If not currently certified/designated as CPA or CIA, must become certified/designated within two years of hire.) Preferred Qualifications * Supervisory experience Technical Qualifications & Specialized Certifications * Experience with Microsoft Office Suite and computer assisted auditing tools (e.g., automated workpapers, and SAP and Epic information systems. Technical Skills & Expected Level of Proficiency * Analytical Skills - Advanced * Auditing Standards - Advanced * Internal Auditing - Advanced * Oral and Written Communications - Advanced * Process Improvement - Advanced * Project Management - Advanced * Risk Analysis - Advanced * Risk Control - Advanced Classified Title: Internal Audit Manager Role/Level/Range: ATP/04/PF Starting Salary Range: $85,500 - $149,800 Annually (Commensurate w/exp.) Employee group: Full Time Schedule: M-F 8:30-5 FLSA Status: Exempt Location: Hybrid/Eastern High Campus Department name: Johns Hopkins Medicine Personnel area: University Administration

We are seeking an _Internal Audit Manager_ that will demonstrate subject matter expertise in operational internal auditing and the healthcare and/or higher education industry. Manages multiple complex internal audit projects. Manages and serves as a technical expert to internal audit staff. Partners with department leadership: Chief Audit Officer, Executive Director Operational Audits, and Associate Director to manage the day-to-day workflow of internal audit staff and completion of assigned internal audit plan. Develops and provides training to internal audit staff. In collaboration with leadership, researches and implements internal audit operating procedures congruous to the Office of Hopkins Internal Audits operations. Performs assigned duties in accordance with the accepted professional standards requiring independence and objectivity; knowledge of accounting principles and standards, proper financial and administrative control procedures, and good business practices; ability to assess risk relative to the proper application of internal controls. **Specific Duties & Responsibilities** + In collaboration with Internal Audit leadership participate in the development of the annual internal audit plan. + Develop internal audit plan in assigned areas, including performing effective risk assessments and meeting with institutional management to support the development of the annual audit plan. + Oversee a portion of the annual internal audit plan, working with Executive Director Operational Audits and/or Associate Directors and in collaboration with other Internal Audit Managers to plan and staff audit projects. + Manage multiple projects or single projects in complex environments supporting the overall completion of the annual audit plan. + Responsible for overseeing the execution of audits, from audit planning through reporting. + Plan complex internal audits by gathering specific relevant background information, e.g. financial results, policies and procedures, etc. from the institution's information systems, web-based and other information sources + Utilize organizational and regulatory knowledge to identify audit constraints and shape priorities. + Negotiate audit parameters with Executive Director Operational Audits and/or Associate Directors. + Ensure that all team members understand their individual roles and responsibilities. + Design appropriate internal audit programs and time budgets based upon the review and evaluation of underlying financial and business risks. + Oversee the development of the internal audit program for projects in assigned audit plan. + Utilize advanced knowledge of Microsoft Office Suite applications and other business and audit-related software to conduct internal audit work and the extraction of relevant business data and its analysis using computer assisted auditing techniques, such as ACL software. + Ensure all projects in the assigned audit plan address appropriate risks identified and concludes on risk management strategies, considering industry best practices and cost benefit. + Prepare clear and concise working papers and other documentation supporting discussions, operational facts and results of testing to justify conclusions. + Review and approve all workpapers on projects in the assigned audit plan. + Communicate recommendations to management through logical, clear and concise written and oral means to gain understanding and agreement on audit issues and commitment to implement corrective action. + Perform or oversee follow-up of internal audits to evaluate management's implementation of action plans. Monitor overall status of open issues and hold assigned staff accountable to ensure timely validation. + Monitor status of assigned audit plan and report progress to the Associate Directors and/or Executive Director Operational Audits timely and regularly. + Evaluate customer feedback and lessons learned from meetings and identify possible improvement areas. Implement changes in future audits as needed. + Oversee the activities of multiple internal audit teams to ensure effective utilization in completing assigned projects. + Provide day-to-day support for assigned staff, e.g. create open lines of communication, provide regulatory updates, advise on difficult situations, etc. + Participate in personnel development training and performance evaluation programs. + Perform project evaluations on assigned internal audit staff. Provide input to Executive Director Operational Audits and Associate Directors on annual evaluations of assigned staff. + Demonstrate an expert knowledge of external and internal organizational, environmental and regulatory issues. Educate team in regard to those issues. + Interact appropriately with all levels of personnel including senior and executive leadership, building good working relationships across the Johns Hopkins Institutions. + Nurture existing and develop new relationships with senior management to help achieve the department's strategic plans. + Represent department on assigned Institutional committees. + Mentor and guide internal auditor staff in the execution of their assigned projects. + Demonstrate a thorough understanding of healthcare and/or higher education industry. + Monitor changes in the industry and be able to understand the impact on your own work. + Provide detailed progress updates of audits, including major findings and problems to Associate Directors, Executive Director Operational Audits, and Chief Audit Officer. + Lead and/or direct work of audit staff regarding review of scope statements, audit programs, internal control questionnaires, audit work papers, and ensure timely progress and successful completion of projects. + Research and recommend more effective ways of managing risks, performing controls, and improving operational efficiencies. + Identify and develop new audit tools and techniques. + Conduct specialized audits, projects or investigations requested by Institutional leadership. + Represent department on assigned management committees and speak for department when Executive Director Internal Audits, Associate Directors and Chief Audit Officer are not present. + Promote department image through quality work, sharing knowledge and professional dealings, and maintaining confidentiality of information. + May be responsible for overseeing projects being performed by external professional services partners. + In collaboration with Chief Audit Officer, Executive Director Operational Audits, and Associate Directors lead departmental continuous improvement efforts. + Other duties as assigned. **Minimum Qualifications** + Bachelor's Degree in Accounting, Business, or related field or field related to health care or higher education industry. + Eight years of accounting or audit experience in non-profit, healthcare or higher education setting. + Additional education may substitute for required experience and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. + Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) designation. (If not currently certified/designated as CPA or CIA, must become certified/designated within two years of hire.) **Preferred Qualifications** + Supervisory experience **Technical Qualifications & Specialized Certifications** + Experience with Microsoft Office Suite and computer assisted auditing tools (e.g., automated workpapers, and SAP and Epic information systems. **Technical Skills & Expected Level of Proficiency** + Analytical Skills - Advanced + Auditing Standards - Advanced + Internal Auditing - Advanced + Oral and Written Communications - Advanced + Process Improvement - Advanced + Project Management - Advanced + Risk Analysis - Advanced + Risk Control - Advanced Classified Title: Internal Audit Manager Role/Level/Range: ATP/04/PF Starting Salary Range: $85,500 - $149,800 Annually (Commensurate w/exp.) Employee group: Full Time Schedule: M-F 8:30-5 FLSA Status: Exempt Location: Hybrid/Eastern High Campus Department name: Johns Hopkins Medicine Personnel area: University Administration Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Minimum Qualifications Experience: 3 years of professional full-time audit experience, preferably with a large public accounting firm, or a government or educational audit organization. Knowledge, Skills, and Abilities: Proficiency in technical writing. Proficient in selecting and administering appropriate accounting and auditing theories, principles, techniques, and practices. Capable of applying applicable precedents and understanding auditing trends, developments, procedures, and legislation controlling the activity or function audited. Ability to clearly, concisely, and effectively prepare and present both written and oral reports. Able to gain the cooperation of and cooperate with others and to visualize the effects of recommended changes. Must possess tact, persuasiveness, sound judgment, and integrity.

We are seeking an IRB Compliance Monitoring Specialist who will be part of a team that supports the JHM Institutional Review Boards (IRBs). This role conducts internal compliance monitoring of IRB-approved human subject research and prepares summary reports. Specific Duties & Responsibilities * Schedule and conduct, monitoring reviews for IRB approved studies * Conduct pre and post enrollment research record reviews for IND/IDE sponsor investigators to * Review the available FDA required documentation for completeness and accuracy, * Familiarize sponsor investigators with applicable FDA regulations and responsibilities relative to their role and proper conduct of the trial, * Discuss and evaluate provisions for monitoring, investigative product accountability, study-team member supervision and training, and maintenance of records. * Review regulatory materials and research participant records to ensure compliance with the approved study protocol and the conduct of the clinical trial. * During the review, prepare a written report of findings and observations. * Discuss with principal investigators and study team members the regulatory and participant review findings, to reconcile compliance issues and provide corrective action recommendations based on regulatory requirements and best-practices * Provide support and resources based on regulatory requirements and best practices. * Finalize and submit written reports of monitoring findings and recommendations for review by the Institutional Review Board. * Participate in Compliance Monitoring Program (CMP) educational activities to improve compliance and convey best-practices techniques to enhance compliance. * Conduct customized research compliance in-service training sessions at the request of JHM departments or divisions. * Serve as a resource for inquiries from the JHU research community regarding institutional policies and FDA regulations. * Provide practical recommendations to implement strategies to increase regulatory and subject compliance * Ability to establish priorities, work independently, and proceed with objectives in a fast-paced, online environment. * Other duties as assigned. Minimum Qualifications * Bachelor's Degree. * Three years of related clinical/medical research experience. * Additional education may substitute for required experience and additional related experience may substitute for required education beyond high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Classified Title: IRB Compliance Monitoring Specialist Role/Level/Range: ACRP/04/MC Starting Salary Range: $48,000 - $84,100 Annually ($50,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Monday - Friday 8:30am - 5:00pm FLSA Status: Exempt Location: Remote Department name: SOM Admin Clinical Invest Human Subjects Personnel area: School of Medicine

We are seeking a Compliance Monitoring Specialist who will be responsible for conducting compliance monitoring reviews of clinical research trials in keeping with established policies and procedures. Specific Duties & Responsibilities * Schedule compliance monitoring visits with research study staff. * Develop protocol specific forms. * Review research and medical records against clinical protocols for compliance. * Prepare written summary of compliance review results. * Meet with principal investigators and data support staff to review compliance results. * Follow-up on results, as necessary. * Maintain scheduling and review information in OnCore for all protocol reviews. * Help study staff to prepare for external audits. * Participate in unscheduled internal reviews and compliance monitoring reviews at affiliate institutions as needed. * Schedule compliance monitoring visits with research study staff to monitor data integrity studies. * Generate queries and conduct follow-up for non-compliance issues. * Generate monitoring summary reports and communicate these findings. * Provide support for monitored trials in the form of research into regulations and review of protocols and Case report templates for protocol staff. * Assist staff in developing corrective actions for compliance review observations when appropriate. * Assist in training new research staff regarding research compliance; may make presentations to support this effort. * Participate on subcommittees by reviewing new studies for quality assurance and general content, and coding new studies. * Prepare reviews of studies by various committees. * Attend and participate in monthly meetings. * Assist in the development and maintenance of SOPs for the research manual on assigned areas website as needed. * Perform periodic compliance reviews. * Other duties as assigned. Minimum Qualifications * Bachelor's Degree. * Three years of related experience with clinical trials/medical research. * Additional education may substitute for required experience and additional related experience may substitute for required education beyond high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula Preferred Qualifications * Bachelor's Degree in Life Sciences, Health Care or a related field. * Certification in human subject's research. Classified Title: Compliance Monitoring Specialist Role/Level/Range: ACRP/04/MC Starting Salary Range: $48,000 - $84,100 Annually ($65,400 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Mon - Fri / 8a - 4:30p FLSA Status: Exempt Location: Hybrid/School of Medicine Campus Department name: SOM Onc Clinical Research Office Personnel area: School of Medicine

We are seeking an **IRB Compliance Monitoring Specialist** who will be part of a team that supports the JHM Institutional Review Boards (IRBs). This role conducts internal compliance monitoring of IRB-approved human subject research and prepares summary reports. **Specific Duties & Responsibilities** + Schedule and conduct, monitoring reviews for IRB approved studies + Conduct pre and post enrollment research record reviews for IND/IDE sponsor investigators to + Review the available FDA required documentation for completeness and accuracy, + Familiarize sponsor investigators with applicable FDA regulations and responsibilities relative to their role and proper conduct of the trial, + Discuss and evaluate provisions for monitoring, investigative product accountability, study-team member supervision and training, and maintenance of records. + Review regulatory materials and research participant records to ensure compliance with the approved study protocol and the conduct of the clinical trial. + During the review, prepare a written report of findings and observations. + Discuss with principal investigators and study team members the regulatory and participant review findings, to reconcile compliance issues and provide corrective action recommendations based on regulatory requirements and best-practices + Provide support and resources based on regulatory requirements and best practices. + Finalize and submit written reports of monitoring findings and recommendations for review by the Institutional Review Board. + Participate in Compliance Monitoring Program (CMP) educational activities to improve compliance and convey best-practices techniques to enhance compliance. + Conduct customized research compliance in-service training sessions at the request of JHM departments or divisions. + Serve as a resource for inquiries from the JHU research community regarding institutional policies and FDA regulations. + Provide practical recommendations to implement strategies to increase regulatory and subject compliance + Ability to establish priorities, work independently, and proceed with objectives in a fast-paced, online environment. + Other duties as assigned. **Minimum Qualifications** + Bachelor's Degree. + Three years of related clinical/medical research experience. + Additional education may substitute for required experience and additional related experience may substitute for required education beyond high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Classified Title: IRB Compliance Monitoring Specialist Role/Level/Range: ACRP/04/MC Starting Salary Range: $48,000 - $84,100 Annually ($50,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Monday - Friday 8:30am - 5:00pm FLSA Status: Exempt Location: Remote Department name: SOM Admin Clinical Invest Human Subjects Personnel area: School of Medicine Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

We are seeking a **_Compliance Monitoring Specialist_** who will be responsible for conducting compliance monitoring reviews of clinical research trials in keeping with established policies and procedures. **Specific Duties & Responsibilities** + Schedule compliance monitoring visits with research study staff. + Develop protocol specific forms. + Review research and medical records against clinical protocols for compliance. + Prepare written summary of compliance review results. + Meet with principal investigators and data support staff to review compliance results. + Follow-up on results, as necessary. + Maintain scheduling and review information in OnCore for all protocol reviews. + Help study staff to prepare for external audits. + Participate in unscheduled internal reviews and compliance monitoring reviews at affiliate institutions as needed. + Schedule compliance monitoring visits with research study staff to monitor data integrity studies. + Generate queries and conduct follow-up for non-compliance issues. + Generate monitoring summary reports and communicate these findings. + Provide support for monitored trials in the form of research into regulations and review of protocols and Case report templates for protocol staff. + Assist staff in developing corrective actions for compliance review observations when appropriate. + Assist in training new research staff regarding research compliance; may make presentations to support this effort. + Participate on subcommittees by reviewing new studies for quality assurance and general content, and coding new studies. + Prepare reviews of studies by various committees. + Attend and participate in monthly meetings. + Assist in the development and maintenance of SOPs for the research manual on assigned areas website as needed. + Perform periodic compliance reviews. + Other duties as assigned. **Minimum Qualifications** + Bachelor's Degree. + Three years of related experience with clinical trials/medical research. + Additional education may substitute for required experience and additional related experience may substitute for required education beyond high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula **Preferred Qualifications** + Bachelor's Degree in Life Sciences, Health Care or a related field. + Certification in human subject's research. Classified Title: Compliance Monitoring Specialist Role/Level/Range: ACRP/04/MC Starting Salary Range: $48,000 - $84,100 Annually ($65,400 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Mon - Fri / 8a - 4:30p FLSA Status: Exempt Location: Hybrid/School of Medicine Campus Department name: SOM Onc Clinical Research Office Personnel area: School of Medicine Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Fulfills the mission of Norwich University by ensuring compliance with state and federal laws and accreditor policy governing nursing students, courses, and programs offered through Norwich University's College of Graduate and Continuing Studies (CGCS). The Nursing Program Compliance Specialist serves as the primary liaison with state boards of nursing; researches and tracks applicable state and federal regulations related to CGCS' nursing programs and disseminates that information to pertinent individuals within the University; compiles, submits, and monitors program applications and reports; attends hearings (in-person or virtually) on submitted applications and renewals; and reviews nursing program handbooks, catalog entries, documents, advertising materials, policy drafts, and reports to ensure legal compliance. Remote work authorized for this position. Essential Functions * Works closely with administrative, enrollment, and academic units to secure required information, data, and documents in the preparation of applications, annual reports, handbooks, catalog entries, and supplemental information. * Ensures all advertisements and disclosures meet state and federal requirements. * Conducts research and remains up-to-date on all state and federal laws and regulations pertaining to and affecting nursing education (licensure, Board of Nursing approval). Maintains a database of requirements by state. * Advises the nursing program (residential and online modalities), offering expertise on regulatory and policy matters such as faculty licensure, student issues, state approvals, clinical affiliation agreements, and accreditation standards. * Establishes a relationship and maintains appropriate lines of communication with applicable state and federal agencies. * Manages, maintains, and coordinates the state, federal, and specialty authorization process for all applicable state and federal agency approvals. * Identifies all required state approval applications, reports, and supplemental information. Reviews drafts of applications in coordination with the nursing program leadership and ensure submission. Maintains an internal library of all filed applications, annual reports, and approvals obtained. * Develops, reviews and maintains relevant contracts (i.e., site agreements, preceptor agreements, Site Visitor Agreements, etc.) to ensure compliance with state requirements and the changing demands of the nursing programs. * Recommends institutional policy and procedure revisions to ensure compliance and minimize compliance risk. * Identifies areas where outside expertise (legal or otherwise) would further the development of the program and ensure compliance. * Collaborates with and delegates tasks as necessary to the University's contractual partners. * Stays abreast of all state and federal legal and regulatory changes. Provides guidance on pertinent regulatory and legislative issues. * Assists and works collaboratively with the Chief Compliance Officer on broader issues related to compliance and general online education requirements. Other Functions * Maintains confidentiality of sensitive or private information. * Communicates with employees, students, and others in a respectful and clear manner. * Serves on University committees, councils, workgroups, or other designated bodies as assigned. * Achieves, maintains proficiency in, and utilizes computers, telephones, and other job-related equipment, including related systems and software. * Speaks, reads, and writes in English. * Communicates by telephone, email, letter, in person, or other means or device. * Performs other tasks as assigned by supervisor. Requirements: * Bachelor's degree required * 3 years of experience with nursing program regulations, preferably in an educational or collegiate setting. * CHC or CCEP preferred * Proficiency in MS Office (Word, Excel, SharePoint, Teams, and Outlook) * Able to sit, squat, reach, push, pull, and manipulate related equipment; lift 15 pounds; travel outdoors to various parts of the campus * Work some evening or weekend hours Environmental Conditions * Indoor work at a computer workstation * Low level of exposure to noise, dust, fumes, vibrations, and temperature changes. Additional Information: Norwich University is an Equal Opportunity Employer and is committed to providing a positive education and work environment that recognizes and respects the dignity of all students, faculty and staff. Reasonable accommodations will be made for the known disability of an otherwise qualified applicant. Please contact the Office of Human Resources at **************** for assistance. All candidates must be legally authorized to work in the United States without requiring immigration sponsorship, including but not limited to non-immigrant visas such as H1B, STEM, or F1, now or in the future. A post offer, pre-employment background check will be required of the successful candidate. Application Instructions: Please provide a cover letter, resume, and Norwich application. URL: ***************

Compliance Specialist - (250002D9) Description Under general supervision from a Compliance Director, the Compliance Specialist monitors CNHS's adherence to regulatory requirements and organizational policies and procedures. This position will interact with all levels of CNHS stakeholders, including staff, management, leadership, and Boards of Directors. Functional accountabilities include internal investigations, auditing and monitoring activities, and education and training, as well as maintaining data and analytics that report on department operations. The position requires exceptional communication and critical thinking skills, as well as attention to detail, resourcefulness, and a commitment to process improvement. Qualifications Minimum EducationBachelor's Degree (Required) Minimum Work Experience5 years Experience in a healthcare compliance role or equivalent experience (Required) Functional AccountabilitiesSafetySpeak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Compliance ManagementEnsure sensitive and confidential issues are concisely communicated, resolved, and documented in accordance with applicable legal requirements and organizational policies and procedures. Assist with implementation of compliance work plan Develop presentations for the Compliance Management Committee and work groups. Review and revise compliance policies and procedures on a periodic basis. Assist Compliance Directors and the Vice President of Compliance with other department activities, as assigned. Maintain and manage files relating to compliance activities. Assist Compliance Directors and the Vice President of Compliance with developing and reporting compliance metrics, as needed. Internal Investigations & ReviewsPerform and document internal investigations in accordance with applicable legal requirements and organizational policies and procedures. Maintain a log of compliance investigations and reviews in accordance with department requirements. Compliance Education & TrainingProvide compliance educational and training offerings. In partnership with the Legal Department, serve as a subject matter resource and provide consultation services regarding the application and implementation of current legal requirements and organizational policies and procedures. Monitor legal and industry developments and identify opportunities for their application and integration into compliance activities. Auditing & MonitoringPerform compliance audits and reviews. Serve as strategic partner to internal stakeholders in the assessment and analysis of audit findings (by internal and external auditors) to determine root causes of issues identified and corrective action plans. Organizational AccountabilitiesOrganizational Accountabilities (Staff) Organizational Commitment/Identification Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others' ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Primary Location: Maryland-Silver SpringWork Locations: Inventa Towers 1 Inventa Place Silver Spring 20910Job: Non-Clinical ProfessionalOrganization: LegalPosition Status: R (Regular) - FT - Full-TimeShift: DayWork Schedule: 8:30-5Job Posting: Oct 15, 2025, 8:21:39 PMFull-Time Salary Range: 73070. 4 - 121804. 8