Compliance Specialist
Compliance Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Provides compliance related coding reviews and auditing of faculty and physician documentation. The position will utilize coding knowledge to abstract record and audit data from medical records. Provides support to areas related to documentation regulatory education and auditing.
Responsibilities
1. Locates and compiles required medical documentation from a variety of different sources ensuring completeness and accuracy in preparation for pre-audit meetings. 2. Audits and reviews UBs and 1500s against provider and facility documentation to ensure compliance with University state and federal guidelines. 3. Reconciles clinic or provider visits and reports to the assigned Compliance Officer missing incomplete or inconsistent documentation. 4. Interacts with and provides auditing feedback to providers hospital staff and clinic managers on billing related issues. 5. Researches maintains current knowledge and interprets state and federal regulations regarding payments in health care to audit claims correctly.
Minimum Qualifications
Bachelors degree in Health Care Administration Business Administration or a related field or equivalency (one year of education can be substituted for two years of related work experience); plus 2 years working experience with one of those years working in a compliance office. American Health Information Management ( AHIMA ) or American Academy of Professional Coders ( AAPC ) recognized certification such as: Certified Professional Coder ( CPC ) Certified Professional Coder-Hospital ( CPC -H) or a specific certification preferred by the Department. Basic knowledge of clinical documentation requirements related to regulatory and reimbursement rules the Medicare system and proficiency with computer software such as Microsoft Word and Excel; demonstrated human relations and effective communication skills also required. Experience with University of Utah computer systems such as: Powerchart Allegra IDX IDXRAD Corporate Radar Cognos EPIC and ORMIS are highly preferred. This position is not responsible for providing patient care. Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Required Experience:
Unclear Seniority
Employment Type
Full Time
