Compliance Manager, Education and Training

UPMC•Pittsburgh, PA

2d•Hybrid

About The Position

The Compliance Manager, Education and Training is responsible for designing, implementing, and evaluating comprehensive education, training, and professional development programs across the system. This role ensures that clinical and non clinical staff meet regulatory, compliance, and competency standards while fostering continuous learning, high-quality care delivery, and workforce development. This hybrid position will work standard business hours, Monday through Friday. The position will require travel to UPMC Facilities as needed. Look no further and apply today!

Requirements

Bachelor's degree and five years of coding management experience preferably in an academic healthcare setting.
Associate degree or comparable technical school diploma/degree and ten years of coding management experience preferably in an academic healthcare setting.
Proficient with Microsoft products, such as Word, Excel, PowerBI, and PowerPoint.
Excellent presentation, communication, and facilitation skills.
Ability to navigate regulatory requirements and translate them into training programs.
Proficiency in LMS platforms, e-learning tools, and Microsoft 365.
Strong analytical, organizational, and project management skills.
Ability to collaborate across multidisciplinary teams and influence without authority.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) specialty certification required.
Associate degree minimum, bachelors degree preferred.
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Responsibilities

Develop, implement, and oversee organization wide education programs, including onboarding, annual training, clinical competencies, and role specific curricula.
Conduct needs assessments to identify training gaps and opportunities for workforce development.? Design evidence-based training content using adult learning principles and modern instructional design methods.
Manage the Learning system use, structure, assignments, and analytics.
Research, compile, and interpret state and federal regulatory and industry guidance, as well as internal data, pertaining to billing and regulatory compliance for purposes of analysis and responding to questions.
Maintain up-to-date knowledge of clinical workflows, regulatory requirements, healthcare billing and coding standards (CPT, ICD-10), and revenue cycle best practices to support informed decision-making.? Responsible for performing unplanned education and teaching sessions requested by physicians and advanced practice billing providers groups.? Collaborate with physicians, residents, nurse practitioners and other providers of coding and documentation issues based on audits. Provide coding and documentation guidelines to the providers, operational employees, and billing employees as needed.
Develop education and training for management and staff regarding federal payor regulatory requirements and other compliance matters based on educational needs.
Provides regular guidance and advice to various staff and personnel on compliance-related areas.
Provide orientation to new hire physicians on compliance related issues, teaching physician and billing provider guidelines.
Develop and deliver training programs on billing compliance, documentation standards, and regulatory updates.? Create and maintain educational materials, manuals, and job aids tailored to clinical specialties.
Support ongoing departmental goals.
Travel to other UPMC work locations, as needed.
Method of Delivery Facilitate training sessions for clinical and non-clinical teams using varied modalities (in person, virtual, asynchronous).
Ensure training materials are accurate, accessible, and aligned with healthcare best practices and regulatory requirements.
Support department leaders in implementing team specific education and competency validation. Regulatory Compliance & Accreditation
Ensure, if applicable, education programs meet requirements set by CMS, Joint Commission, OSHA, HIPAA, and other regulatory/accreditation bodies.
Maintain documentation and reporting for audits, program validation, mandatory education, and compliance tracking.? Collaborate with Compliance, Quality, HR, and Clinical Leadership to align training with organizational policies and standards.
Leadership & Collaboration
Lead a team of educators and trainers, (as applicable).
Partner with subject matter experts to update materials and maintain content accuracy.
Serve as a strategic consultant to leadership regarding educational initiatives, outside education requirements and clinical competency, needs.Performance Improvement & Evaluation
Develop and implement evaluation tools to measure training effectiveness and staff competency.
Monitor key performance indicators (KPIs), training completion rates, and audit findings.
Use data and feedback to continuously improve training programs and processes.