Compliance Analyst II - Office of Integrity & Compliance

Hello,

Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:

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Thank you,

Human Resources

Important Applications Instructions:

Please complete this application in entirety by providing all of your work experience, education and certifications/

license. You will be unable to edit/add/change your application once it is submitted.

Job Requisition ID:
R00028337

Job Category:
Professional and Technical

Organization:
Integrity & Compliance-Supervisor

Location/s:
Main Campus Jackson

Job Title:
Compliance Analyst II - Office of Integrity & Compliance

Job Summary:
To perform oversee and perform internal audits to ensure regulatory compliance in an assigned area such as documentation, coding, insurance, Health Insurance Portability and Accountability Act (HIPAA), and research. To educate physicians and departmental staff on regulatory compliance guidelines, privacy regulations, research operations, coding and billing requirements.

Education & Experience

Bachelor's degree in accounting, health information management, business administration, health or social sciences, or related field plus three (3) years of ICD-9/ICD-10 coding, CPT coding, research, and/or billing experience or equivalent combination of education/experience. Prefer certification from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Health Care Compliance Association (HCCA), Association of Clinical Research Professionals (ACRP), and/or Society of Clinical Research Professionals (SoCRA).

Certifications, licenses or registration required: Prefer certification from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Health Care Compliance Association (HCCA), Association of Clinical Research Professionals (ACRP), and/or Society of Clinical Research Professionals (SoCRA).

Knowledge, Skills & Abilities

Knowledge of program/subject area statutory or regulatory provisions and administrative procedures. Knowledge of CPT, ICD-9 & ICD-10 coding principles and guidelines, medical terminology, insurance plans, and/or research regulations. Verbal and written communication skills. Interpersonal skills to effectively interact with patients, clients, and other compliance staff members. Skill in applying regulatory guidelines to identify and solve problems. Skill in conducting compliance training. Ability to gather and analyze medical records and billing data and generate reports. Ability to present educational information.

Responsibilities

• Performs audits on an assigned area or unit on the Jackson campus as well as those in other areas of the state as needed and reports results to appropriate personnel.
• Participates in the development of educational and training programs that focus on elements of the compliance program; explains compliance program guidelines, policies, and procedures to departmental staff and physicians.
• Analyzes operating procedures, identifies potential violations, and provides technical assistance/recommendations to management.
• Collaborates with managers to identify aberrant trend in the coding, billing, provacy, research, and other compliance areas.
• Confers with external auditor to ensure compliance of an assigned area.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands
Requires occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 50 pounds, occasional crouching/stooping, occasional driving, constant sitting, occasional standing, occasional twisting, and occasional walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type:
Full time

FLSA Designation/Job Exempt:
Yes

Pay Class:
Salary

FTE %:
100

Work Shift:
Day

Benefits Eligibility:
Benefits Eligible

Grant Funded:

Job Posting Date:
02/2/2024

Job Closing Date (open until filled if no date specified):