University of Utah Health Research · 21 hours ago
Compliance Specialist
Salt Lake City, UT
Full-time
Hybrid
Entry, Mid Level
$39K/yr - $55K/yr
2+ years expUniversity of Utah Health Research is seeking a Compliance Specialist to provide compliance-related coding reviews and auditing of faculty and physician documentation. The role involves ensuring accuracy and completeness of medical documentation, auditing claims for compliance with regulations, and providing feedback to healthcare providers on billing issues.
Higher Education
Responsibilities
Locates and compiles required medical documentation from a variety of different sources, ensuring completeness and accuracy in preparation for pre-audit meetings
Audits and reviews UBs and 1500s against provider and facility documentation to ensure compliance with University, state and federal guidelines
Reconciles clinic or provider visits and reports to the assigned Compliance Officer missing, incomplete or inconsistent documentation
Interacts with and provides auditing feedback to providers, hospital staff and clinic managers on billing related issues
Researches, maintains current knowledge, and interprets state and federal regulations regarding payments in health care to audit claims correctly
Qualification
Required
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)
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
proficiency with computer software such as Microsoft Word and Excel
demonstrated human relations and effective communication skills
Preferred
Experience with University of Utah computer systems such as: Powerchart, Allegra, IDX, IDXRAD, Corporate Radar, Cognos, EPIC and ORMIS
Benefits
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work).
Company
University of Utah Health Research
At University of Utah Health, our world-class researchers work together to tackle some of the toughest problems in health and medicine.
5001-10000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase