Compliance Officer

University of Utah • Salt Lake City, UT

38d • Hybrid

About The Position

Ensures patient billing practices conform to government reimbursement guidelines by monitoring current practices, managing and documenting audit processes, developing and implementing systems to track compliance activities and providing compliance education.

Requirements

• Bachelor's 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).
• Five years regulatory or administrative law experience, with at least three of those years in a health care setting or equivalency; coding certification (CPC, ACS, CCS-P/H, RHIA); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD-10, CPT, HCPCS, DRG coding; proficient with word processing, spreadsheet and related computer applications; demonstrated human relations and effective communication skills also required.
• Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Nice To Haves

• Knowledge of utilization review and quality assurance procedures is preferred.
• An understanding of University operations, policies and technology is preferred.
• Training or teaching experience is also preferred.
• Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Responsibilities

• Supports Compliance Administrator in policy review and creation.
• Monitors and assists in drafting required documentation related to compliance processes.
• Works to identify trends, issues, and risk areas while giving details and improvement recommendations.
• Participates in creation, monitoring, and updates of educational and training programs to enhance compliance and awareness of compliance issues.
• Maintains current knowledge regarding federal and state guidance, organizational needs, and regulations. Serves as an expert resource in issue resolution.
• Collaborates with faculty and staff to assist departments to implement compliance practices. Coordinates with departments to monitor compliance activities.
• Conducts audits/investigations to ensure compliance with University, state and federal guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Number of Employees: 5,001-10,000 employees