Compliance Analyst - Office of Integrity & Compliance

University of Mississippi Medical Center • Jackson, MS

1d • Onsite

About The Position

To oversee and perform internal audits in an assigned area (Hospital, Provider, or Research) to ensure regulatory compliance in areas such as documentation, coding, billing, and research. To educate providers and departmental staff on regulatory compliance guidelines, research regulations, and/or coding and billing requirements.

Requirements

• Degree (Bachelor's or Associate's) and three (3) years of ICD-9/ICD-10 coding, CPT coding, research, and/or billing experience
• Knowledge of program/subject area (Hospital, Provider, or Research) statutory or regulatory provisions and administrative procedures.
• Knowledge of CPT, ICD-9 & ICD-10 coding principles and guidelines, billing rules, medical terminology, insurance plans, and/or research regulations.
• Verbal and written communication skills.
• Interpersonal skills to effectively interact with patients, clients, and other compliance staff members.
• Skill in applying regulatory guidelines to identify and solve problems.
• Skill in conducting compliance training.
• Ability to gather and analyze medical records and billing data and generate reports.
• Ability to present educational information.

Nice To Haves

• Certification from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Health Care Compliance Association (HCCA), Association of Clinical Research Professionals (ACRP), and/or Society of Clinical Research Professionals (SoCRA)

Responsibilities

• Performs audits on an assigned area (Hospital, Provider, or Research) and reports results to appropriate personnel.
• Participates in the development of educational and training programs that focus on elements of the compliance program; explains compliance program guidelines, policies, and procedures to departmental staff and physicians.
• Analyzes operating procedures, identifies potential violations, and provides technical assistance/recommendations to management.
• Collaborates with managers to identify aberrant trends in the coding, billing, documentation, research, and other compliance areas, as applicable.
• Confers with external auditors to ensure compliance of an assigned area.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree