Compliance Specialist

Job description


POSITION INFORMATION

Requisition Number
6213

Job Title
Compliance Specialist

Department
Compliance - 300160

Quick Link
www.unthscjobs.com/applicants/Central?quickFind=61924

Shift
Day

Department Overview
The University of North Texas Health Science Center Office of Institutional Compliance & Integrity is seeking to hire a Compliance Specialist to join our team. The Compliance Specialist will assist the Chief Compliance Officer and Sr. Compliance Manager in
carrying out the UNTHSC Compliance Program including identifying federal and state laws and regulations with which UNTHSC must comply; developing, initiating, maintaining and revising policies and procedures for the general operation of the compliance program, and participation in monitoring activities for identified compliance risk areas.

The University of North Texas System and its component institutions are committed to equal opportunity and comply with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University of North Texas System and its component institutions do not discriminate on the basis of race, color, sex, sexual orientation, gender identity, gender expression, religion, national origin, age, disability, genetic information, or veteran status in its application and admission processes, educational programs and activities, and employment practices.

Position Details
The University of North Texas Health Science Center Office of Institutional Compliance & Integrity is seeking to hire a Compliance Specialist to join our team.

Responsibilities of the position include but are not limited to:

* Assist in identifying federal and state laws and regulations with which the UNTHSC must comply.
* Assist in compliance investigations.
* Identify, develop and monitor compliance training.
* Provide support for the Institutional Compliance Committee and other compliance oversight committees, as needed.
* Collaborate with teams in monitoring identified risk areas.
* Effectively communicate the compliance program.
* Serve as a compliance resource to teams and workgroups as needed to continuously improve processes designed to mitigate the risk of noncompliance.
* Provide rapid response to executive management requests for ad hoc analysis and reporting.
* Performs other duties as assigned.

Department Specific Responsibilities:

* Plan and conduct routine provider audits and reviews under the direction of the Chief Compliance Officer and Deputy Compliance Officer.
* Identify patterns or trends and develop provider education.
* Develop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding and coding trends found in chart reviews, etc.
* Orient and train new providers
* Establish routine meetings with coders and providers to discuss findings; Revenue Cycle management as needed.
* Provide financial analysis of revenue loss due to documentation errors.
* Evaluate quality of clinical documentation to identify incomplete and inconsistent documentation.
* Provide ongoing feedback and analysis of education needs of providers and staff
* Coordinate and assist with the investigation as needed.
* Perform Notice of Privacy Practice (NPP) assessments; report finding and potential corrective action.
* Ongoing review and assessment of CMS guidelines, Office of Inspector General (OIG) guidance and Federal Register.
* Keep up to date with coding guidelines, ICD, CPT and HCPCS changes,
* Serve as a resource to leadership, providers, and employees on clinical compliance issues.
* Provide assistance with coding inquiries.
* Assist in identifying risk as it relates to the clinical practice group; collaborate with teams in monitoring identified risk areas.
* Serve as a compliance resource to teams and workgroups as needed to continuously improve processes designed to mitigate the risk of noncompliance.
* Assist in the development of compliance training.
* Provide routine reports on accuracy rates, documentation deficits and billing denials.
* Effectively communicate the compliance program throughout organization.
* Provide rapid response to executive management requests for ad hoc analysis and reporting.

Required Qualifications
The successful candidate will possess the following required qualifications:

* Bachelor's degree and two (2) years related experience; or equivalent combination of education and experience. CPC required.

Preferred Qualifications
The preferred candidate will possess the following additional qualifications:

* Associate's degree in a related health care or business field or higher.
* At least 5 years of related experience in performing documentation audits.
* CPMA, RHIT or RHIA highly preferred.
* High proficiency with Microsoft Office to include: Word, Excel, Outlook, SharePoint and PowerPoint.
* Experience and knowledge of HIPAA Privacy Rules.
* Experience with physician/provider education.

Special Instructions to Applicants
Applicants must submit a resume along with a cover letter with their online application.

Pay Rate
Salary Commensurate with Experience

Pay Basis
Monthly

Job Type
Full-Time

Application Types Accepted
Main Form

Occupational Exposure to HIV/HBV?
No

Occupational Exposure to Hazardous Chemicals?
No

Occupational Exposure to Tuberculosis?
No

Security Sensitive?
Yes

Require a valid Texas Driver's License?
Yes

Require a certification?
Yes

If required, please list all certifications required for this position.
CPC


MINIMUM REQUIREMENTS

Official Job Title
Compliance Specialist

Job Open Date
06-19-2019

Job Close Date
Open Until Filled

Job Category
Professions

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Job No:
Posted: 6/20/2019
Application Due: 8/19/2019
Work Type:
Salary: