University of Utah Compliance Officer in Salt Lake City, Utah

Details

Open Date 06/07/2018

Requisition Number PRN17405B

Job Title Compliance Officer

Working Title Compliance Officer

Job Grade F

FLSA Code Administrative

Patient Sensitive Job Code? No

Standard Hours per Week 40

Full Time or Part Time? Full Time

Shift Day

Work Schedule Summary

VP Area U of U Health - Academics

Department 01663 - COMPLIANCE SERVICES

Location Other

City Salt Lake City, UT

Type of Recruitment External Posting

Pay Rate Range 60,000 to 90,000

Close Date

Open Until Filled No

Job Summary

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

Responsibilities

1. Oversees, coordinates and conducts audits on documentation, abstraction and coding to ensure compliance with University, state and federal guidelines.

2. Analyzes and documents audit processes. Recommends enhancements to operating policies and procedures for compliance review.

3. Monitors and follows up on required documentation related to audit processes.

4. Develops, monitors, and updates quality control systems to track compliance activities. Identifies trends, issues and risk areas and makes recommendations for improvement.

5. Develops, coordinates and participates in educational and training programs to enhance compliance and awareness of compliance issues.

6. Teams with faculty and staff to assist departments in implementing compliance practices and monitors and coordinates those activities with the departments.

7. Maintains current knowledge regarding federal and state guidance, organizational needs, and payer regulations. Serves as an expert resource in issue resolution.

Problem Solving

Incumbent is responsible for assisting the University in preparation for regulatory audits by developing, monitoring and updating quality controls and recommending actions to maintain compliance. This position is the primary contact and expert regarding regulatory agency standards governing healthcare program requirements.

Representative challenges of this position include determining the validity of collected data, assessing process shortfalls, and developing effective safeguards to reduce risk. The incumbent must possess the ability to foster collaborative working relationships with a wide range of constituencies.

This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Work Environment and Level of Frequency typically required

Nearly Continuously: Office environment.

Physical Requirements and Level of Frequency that may be required

Nearly Continuously: Sitting, hearing, listening, talking.

Often: Repetitive hand motion (such as typing), walking.

Seldom: Bending, reaching overhead.

Minimum Qualifications

Bachelor’s degree in Health Care Administration, Business Administration or a related field or equivalency (2 years related work experience may be substituted for 1 year of education). 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), andICD-10,CPT,HCPCS,DRGcoding; proficient with word processing, spreadsheet and related computer applications; demonstrated human relations and effective communication skills also required.

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.

Preferences

Type Benefited Staff

Special Instructions Summary

Additional Information

The University of Utah is an Affirmative Action/Equal Opportunity employer and is committed to diversity in its workforce. In compliance with applicable federal and state laws, University of Utah policy of equal employment opportunity prohibits discrimination on the basis of race or ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran’s status, status as a qualified person with a disability, or genetic information. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities, and protected veterans are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law.

To inquire about this posting, email: employment@utah.edu or call 801-581-2300. Reasonable accommodations in the application process will be provided to qualified individuals with disabilities. To request an accommodation or for further information about University AA/EO policies, please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/ TDD ), email: oeo@umail.utah.edu .

The University is a participating employer with Utah Retirement Systems (“URS”). To be eligible for retirement contributions, you must be hired into a benefit-eligible position. Certain new hires are automatically assigned to the URS retirement plan and other employees with prior URS service, may elect to enroll in the URS within 30 days of hire. Regardless of whether they are hired into a benefit-eligible position or not, individuals who previously retired and are receiving monthly retirement benefits from URS must notify the Benefits Department upon hire. Please contact Utah Retirement Systems at (801)366-7770 or (800)695-4877 or the University’s Benefits Department at (801)581-7447 for information.

This position may require the successful completion of a criminal background check and/or drug screen.