JUAKENA JOHNSON
Roselle,NJ
Summary
Dynamic, driven, creative, savvy, result-oriented, multi-tasking compliance leader with over 10 years of progressive experience managing compliance, privacy, and ethics programs for major healthcare organizations. Holds advanced certifications in healthcare compliance and privacy.
Overview
27
27
years of professional experience
1
1
Certification
Work History
US Compliance Manager/ Privacy & Ethics Champion
Demant
11.2024 - Current
- Lead U.S. compliance and privacy operations across all 50 states, ensuring alignment with federal and state healthcare laws.
- Develop, implement, and monitor standards and procedures reflecting regulatory changes.
- Oversee compliance program oversight, including policy development and implementation.
- Conduct compliance and data risk assessments, internal investigations, and privacy audits (monitoring and auditing).
- Serve as subject matter expert on Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, and CMS.
- Design and deliver compliance and HIPAA privacy training for staff (education and training).
- Administer and track learning management systems for compliance education.
- Prepare reports on compliance trends and recommendations for senior management (reporting).
- Evaluate vendor contracts and business associate agreements for privacy and security compliance.
- Promote a culture of compliance and accountability through guidance, enforcement, and quality control.
- Lead incident response and remediation efforts, ensuring timely corrective actions and prevention strategies (response/prevention).
Ethics Liaison Officer- Compliance & Privacy Mgr.
University Hospital
07.2023 - 11.2024
- Coordinated compliance program objectives and State Ethics Commission requirements (oversight).
- Developed and implemented cross-departmental initiatives to improve communication and compliance (standards and procedures).
- Delivered new hire training, compliance presentations, and committee reports (education and training).
- Maintained compliance helpline database and tracked compliance data (reporting).
- Conducted compliance reviews, audits, and corrective action plans (monitoring and auditing).
- Maintained up-to-date knowledge of laws, regulations, and best practices.
- Investigated issues and implemented appropriate corrective action plans for mitigation and resolution (response/prevention).
- Devised and implemented processes and procedures to streamline compliance.
- Performed regular HIPAA compliance reviews and audits, identifying non-compliance and enforcing standards (enforcement).
Office of Employment Equity - Compliance Investigations Case Manager and Senior Human Resources Associate
Rutgers, The State University of New Jersey
01.2019 - 07.2023
- Managed compliance investigations and case tracking systems (monitoring and auditing).
- Developed and distributed trending reports, charts, and compliance workplans for senior leadership (reporting).
- Administered mandatory training systems and created SOPs (education and training; standards and procedures).
- Ensured adherence to HIPAA and regulatory requirements (oversight).
- Led cross-functional teams to resolve compliance and productivity issues (response/prevention).
- Supported enforcement of compliance policies and procedures.
UEC -Compliance Investigations and Privacy Manager
Rutgers, The State University of New Jersey
01.2013 - 04.2019
- Implemented the 7 elements of effective compliance programs by devising actionable plans, workflows and SOPs (standards and procedures).
- Designed and established formal process for compliance intake, triage and management of compliance inquiries., investigations, coding and billing matters (oversight; monitoring and auditing).
- Conducted risk assessments , audits, and compliance awareness activities (educational nd training: monitoring and auditing).
- managed compliance documentation and reporting for regulatory bodies (reporting)
- Facilitated integration fo compliance systems across multiple institutions (response/prevention).
- Implemented and revised policies and procedures as necessary
- Enforced compliance through corrective actions remediation plans, and consistent discipline for violations (enforcement).
OCCI-Compliance Investigations Case Manager
University Of Medicine And Dentistry Of New Jersey
01.2007 - 01.2013
- Launched the university's first web-based (Navex) compliance hotline system (reporting).
- Analyzed compliance data and prepared statistical reports for leadership (monitoring and auditing).
- Conducted privacy investigations and annually reporting to the Office of Civil Rights (response/prevention).
- Collaborated with cross-functional teams to ensure regulatory compliance (oversight).
- Coordinated and enforced compliance standards and procedures across the organization (enforcement).
OBC-Senior Compliance Coding and Billing Auditor
University of Medicine and Dentistry Of, Jersey
01.2004 - 01.2007
- Charted and designed standard operating procedures, audit tools, and methodologies for the institutions, first Coding and Billing program (standards and procedure).
- Created and implemented a database system to track physician audits and compliance investigations (monitoring and auditing; reporting).
- Audited insurance billing cases prospectively and retrospectively by extracting information from operative reports and reviewing assigned ICD-9 and CPT-4 billing codes to ensure accurate billing compliance (enforcement).
- Maintained current knowledge of Medicare, Medicaid, and third-party regulations for all specialties and best practices (education and training).
- Developed findings and recommendations, established protocols and techniques to strengthen and avance the program, and supported departmental goals (response/prevention; oversight).
Supervisor of Patient Account Representatives
Edison Radiology Group
01.2004 - 01.2005
- Supervised a staff of 12 team members for a billing company
- Assured adequate staffing and approved employee work schedules
- Reviewed collection reporting, coding, billing, and accounts receivable management
- Resolved phone inquiries and answered attorney correspondences
- Set team goals, maintained departmental files, and coordinated workflow
- Conducted employee training and evaluations
- Improved office operations by automating client correspondence, record tracking and data communications.
- Developed internal requirements and standards to minimize regulatory risks and liability across programs.
- Audited team productivity, evaluated performance, interviewed, and hired staff.
Senior Reimbursement Specialist
Johns Hopkins University
01.1999 - 01.2004
- Audited and monitored patient records for billing and coding inconsistencies and discrepancies
- Prevented delays and claim denials by correcting information prior to submission.
- Reviewed edits to ensure billing errors were resolved and resubmitted timely
- Contributed knowledge to help improve financial management, billing and tracking systems.
- Designed appeals process, adhered to contractual obligations, and reduce denials.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Modified, updated and processed existing policies.
- Communicated effectively with staff members of operations, finance and clinical departments.
Education
Associates Degree - Business Management
University of Phoenix
Phoenix, ArizonaBusiness Management
Johns Hopkins University
Baltimore, MarylandBachelor of Science Degree - Healthcare Administration and Management
University of Colorado Global
Aurora, ColoradoMaster of Jurisprudence - Compliance And Risk Assessment
Loyola University of Chicago School of Law
Chicago, IL05-2027
Skills
Compliance Program Leadership
Federal & State Healthcare Regulations
HIPAA Privacy & Security
Risk Assessment & Auditing
Regulatory Investigations
Policy Development & Implementation
Compliance & Privacy Training
Incident Response & Remediation
Vendor & Contract Compliance
Data Analysis & Reporting
Multidisciplinary Team Collaboration
Project & Change Management
Affiliations
Health Care Compliance Association – HCCA -
American Institute of Healthcare Compliance - AIHC
Healthcare Financial Management Association- HFMA
Rutgers Communicators Network
Certification
Certified in HealthCare Compliance (CHC) : 12/2007 - Present
Certified in HealthCare Privacy Compliance (CHPC) : 5/2013 – Present
Certified HealthCare Compliance Officer (OHCC): 1/2014 – Present
Certified Professional Coder (CPC): 05/1997-12/2017
Timeline
US Compliance Manager/ Privacy & Ethics Champion
Demant
11.2024 - Current
Ethics Liaison Officer- Compliance & Privacy Mgr.
University Hospital
07.2023 - 11.2024
Office of Employment Equity - Compliance Investigations Case Manager and Senior Human Resources Associate
Rutgers, The State University of New Jersey
01.2019 - 07.2023
UEC -Compliance Investigations and Privacy Manager
Rutgers, The State University of New Jersey
01.2013 - 04.2019
OCCI-Compliance Investigations Case Manager
University Of Medicine And Dentistry Of New Jersey
01.2007 - 01.2013
OBC-Senior Compliance Coding and Billing Auditor
University of Medicine and Dentistry Of, Jersey
01.2004 - 01.2007
Supervisor of Patient Account Representatives
Edison Radiology Group
01.2004 - 01.2005
Senior Reimbursement Specialist
Johns Hopkins University
01.1999 - 01.2004
Associates Degree - Business Management
University of Phoenix
Business Management
Johns Hopkins University
Bachelor of Science Degree - Healthcare Administration and Management
University of Colorado Global
Master of Jurisprudence - Compliance And Risk Assessment
Loyola University of Chicago School of Law