Education/Training Spec II - Office of Physician Billing Compliance

University of FloridaGainesville, FL
$65,000 - $75,000

About The Position

The Education & Training Specialist II assists in the for planning, teaching, evaluating, and development of Physician, Non-physician practitioner, and staff education for the Office of Compliance for Physician Billing in the College of Medicine. About This Role: Assists in routine, new provider, follow up audits, downstream audit, special investigations, as well as external requested reviews. Provides education to providers (physicians, ARNP’s and PA’s) in regard to documentation, reimbursement, and compliance and provides technical assistance and educational materials for both annual general update, and new provider education. Complies specialty specific packets as appropriate. (Coding credential necessary for this function.) Tracks educational activities of compliance office – including the updated list of providers and staff, and date educated and enters information in Compliance educational database. Assists in conduct of regular compliance education and coding classes, including the weekly new employee orientation (non-provider). Conducts searches for sanctioned persons in federal databases in accordance with federal requirements and maintains databases to demonstrate University efforts Employment of a federally sanctioned person is a violation of federal law. Assists in review of Encounter forms, templates and coordinate the Compliance awareness month with Shands Compliance Team. Assists college administrators in resolving specific educational or training problems and in disseminating information in regard to federal and state regulations and College policy. This position will assist the Auditors, when needed, by conducting one-on-one educational sessions with physicians, ARNP’s and PA’s on both initial training, and/or follow-up education. Assists in planning process, may participate in information gathering, meetings, compilation of work papers, monitoring provider billing services, compilation of findings. Contributes to the assessment of risks and compilation of audit narrative describing systems and internal controls. Develop an understanding of the operations, system processes and procedures used in the areas being audited. About The College of Medicine: The University of Florida’s College of Medicine advances health through education, research, and patient care, with a strong focus on innovation and excellence. It prepares future healthcare leaders through a rigorous curriculum that blends foundational sciences with hands-on clinical experience, while promoting interdisciplinary collaboration and community engagement. With cutting-edge research and state-of-the-art facilities, the college plays a vital role in improving healthcare outcomes and shaping the future of medicine. For more information about the College of Medicine and its programs, visit College of Medicine . We Offer Exceptional Benefits: Low-cost State Health Plans : Medical, Dental, and Vision Insurance Life and Disability Insurance Generous Retirement Options to secure your future Comprehensive Paid Time Off Packages : (includes over 10 paid holidays, as well as paid family, sick and vacation leave) Exceptional Personal and Professional Development Opportunities : Access to UF Training & Organizational Development programs, leadership development, LinkedIn Learning, and more Tuition Assistance through the UF Employee Education Program Public Service Loan Forgiveness (PSLF) Eligible Employer

Requirements

  • Bachelor's degree in an appropriate area and four years of relevant experience, or an equivalent combination of education and experience.

Nice To Haves

  • CPC or CHC credentials highly preferred
  • Proficiency with medical terminology
  • Proficiency with procedural coding (including Level II HCPCs) and diagnosis coding
  • Proficiency with Evaluation and Management guidelines and CMS Teaching Physician regulations
  • Ability to manage and impart confidential information
  • Ability to manage multiple priorities and deadlines
  • Ability to work independently and as part of a team
  • Ability to deliver presentations
  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies
  • Advanced working knowledge of Microsoft Word and Excel software in a Windows environment
  • Experience with PowerPoint and Access in a Windows environment a plus
  • Experience with management information systems and medical software
  • Ability to gather data, compile information, and prepare reports
  • Previous supervisory experience preferred
  • Previous compliance auditing experience
  • Experience with Medicare, Medicaid, and Tricare/Champus regulations pertaining to billing and reimbursement required

Responsibilities

  • Assists in routine, new provider, follow up audits, downstream audit, special investigations, as well as external requested reviews.
  • Provides education to providers (physicians, ARNP’s and PA’s) in regard to documentation, reimbursement, and compliance and provides technical assistance and educational materials for both annual general update, and new provider education.
  • Complies specialty specific packets as appropriate.
  • Tracks educational activities of compliance office – including the updated list of providers and staff, and date educated and enters information in Compliance educational database.
  • Assists in conduct of regular compliance education and coding classes, including the weekly new employee orientation (non-provider).
  • Conducts searches for sanctioned persons in federal databases in accordance with federal requirements and maintains databases to demonstrate University efforts Employment of a federally sanctioned person is a violation of federal law.
  • Assists in review of Encounter forms, templates and coordinate the Compliance awareness month with Shands Compliance Team.
  • Assists college administrators in resolving specific educational or training problems and in disseminating information in regard to federal and state regulations and College policy.
  • This position will assist the Auditors, when needed, by conducting one-on-one educational sessions with physicians, ARNP’s and PA’s on both initial training, and/or follow-up education.
  • Assists in planning process, may participate in information gathering, meetings, compilation of work papers, monitoring provider billing services, compilation of findings.
  • Contributes to the assessment of risks and compilation of audit narrative describing systems and internal controls.
  • Develop an understanding of the operations, system processes and procedures used in the areas being audited.

Benefits

  • Low-cost State Health Plans : Medical, Dental, and Vision Insurance
  • Life and Disability Insurance
  • Generous Retirement Options to secure your future
  • Comprehensive Paid Time Off Packages : (includes over 10 paid holidays, as well as paid family, sick and vacation leave)
  • Exceptional Personal and Professional Development Opportunities : Access to UF Training & Organizational Development programs, leadership development, LinkedIn Learning, and more
  • Tuition Assistance through the UF Employee Education Program
  • Public Service Loan Forgiveness (PSLF) Eligible Employer

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

1,001-5,000 employees

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