Job Information

University of Utah Compliance Specialist in Salt Lake City, Utah

Details

Open Date 12/21/2021

Requisition Number PRN28815B

Job Title Compliance Specialist

Working Title Compliance Specialist

Job Grade E

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 Campus

City Salt Lake City, UT

Type of Recruitment External Posting

Pay Rate Range $39,300 to $64,349

Close Date

Open Until Filled No

Job Summary

Provides compliance related coding reviews and auditing of faculty and physician documentation. The position will utilize coding knowledge to abstract, record and audit data from medical records. Provides support to areas related to documentation, regulatory education and auditing.

Remote Work Available

Responsibilities

1. Locates and compiles required medical documentation from a variety of different sources, ensuring completeness and accuracy in preparation for pre-audit meetings.

2. Audits and reviews UBs and 1500s against provider and facility documentation to ensure compliance with University, state and federal guidelines.

3. Reconciles clinic or provider visits and reports to the assigned Compliance Officer missing, incomplete or inconsistent documentation.

4. Interacts with and provides auditing feedback to providers, hospital staff and clinic managers on billing related issues.

5. Researches, maintains current knowledge, and interprets state and federal regulations regarding payments in health care to audit claims correctly.

Minimum Qualifications

Bachelor’s degree in Health Care Administration, Business Administration or a related field or equivalency; 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 and proficiency with computer software such as Microsoft Word and Excel; demonstrated human relations and effective communication skills also required.

Experience with University of Utah computer systems such as: Powerchart, Allegra, IDX , IDXRAD , Corporate Radar, Cognos, EPIC and ORMIS are highly preferred.

This position is not responsible for providing patient care.

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 values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action:

Director/ Title IX Coordinator

Office of Equal Opportunity and Affirmative Action ( OEO /AA)

135 Park Building

Salt Lake City, UT 84112

801-581-8365

oeo@utah.edu

Online reports may be submitted at oeo.utah.edu

For more information: https://www.utah.edu/nondiscrimination/

To inquire about this posting, email: employment@utah.edu (%20employment@utah.edu) or call 801-581-2300.

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). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.

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