Current jobs related to Compliance Coding - San Antonio - UT Health San Antonio

  • Compliance Coding

    1 week ago

    San Antonio, United States UT Health San Antonio Full time

    Job DescriptionThe Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, developing policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and...

  • Compliance Coding

    2 months ago

    San Antonio, United States UT Health San Antonio Full time

    Job Description:The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, developing policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and...

  • Compliance Auditor-Senior

    3 months ago

    San Antonio, United States UT Health San Antonio Full time

    Job DescriptionUnder general supervision responsible for helping to execute the UT Health San Antonio's (UTHSA) Compliance Work Plan. Responsible for facilitating UTHSA's compliance with federal and state laws and regulations. Conducts monitoring and auditing activities, documenting findings and corrective action plans, investigating issues of noncompliance,...

  • Healthcare Coding Compliance Analyst

    7 days ago

    San Diego, California, United States Family Health Centers of San Diego Full time

    Make a Difference in HealthcareFamily Health Centers of San Diego (FHCSD) is dedicated to delivering outstanding healthcare services to all individuals, particularly those in underserved communities with limited access to medical care. Established over 50 years ago by a community advocate, FHCSD has evolved into one of the largest community health...

  • Code Compliance Officer II

    1 week ago

    San Mateo, California, United States CSG Consultants Inc. Full time

    Job OverviewPOSITION SUMMARYThe Code Compliance Officer II serves as a pivotal role within the Code Compliance Officer series, allowing the individual to enhance their professional knowledge and skills in code enforcement. Under general oversight, the officer engages in a variety of field and administrative tasks associated with the inspection of both new...

  • Billing and Coding Auditor

    2 days ago

    San Antonio, Texas, United States University Health Full time

    Join Our Team at University HealthWe are excited to announce an opening for an Integrity Auditor specializing in Coding, Billing, and Compliance Monitoring. This role is a full-time position that requires on-site presence during daytime hours.Key Responsibilities:Perform detailed auditing and monitoring tasks to ensure adherence to University Health's...

  • Claims Coding Compliance Supervisor

    1 week ago

    San Jose, California, United States UnitedHealth Group Full time

    About UnitedHealth Group:UnitedHealth Group is a leading global organization dedicated to enhancing healthcare through innovative technology and services that empower individuals to lead healthier lives.Role Overview:As a Claims Coding Compliance Supervisor, you will play a crucial role in overseeing the daily operations of the claims review team. Your...

  • Billing and Coding Integrity Specialist

    2 days ago

    San Antonio, Texas, United States University Health Full time

    Join Our Team at University HealthWe are excited to announce an opening for the position of Integrity Auditor focused on Coding, Billing, and Compliance Monitoring. This is a full-time role that requires on-site presence during daytime hours.Key Responsibilities:Perform detailed auditing and monitoring tasks to ensure adherence to University Health's...

  • Healthcare Coding Education Specialist

    1 week ago

    San Antonio, Texas, United States UT Health San Antonio Full time

    Job OverviewUnder general oversight, this role is pivotal in evaluating medical record documentation against billing standards and providing guidance to departments and faculty on the accurate documentation of medical records for patient services.Key Responsibilities- Conduct thorough quality assessments of coding practices to ensure that documentation...

  • Coding Education Consultant

    3 months ago

    San Antonio, United States UT Health San Antonio Full time

    Job Summary:Under general supervision, responsible for assisting with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on appropriately documenting the medical record for services provided to patients. Job Duties:Conducts quality reviews of coding activities to ensure documentation supports...

  • Compliance Auditor

    2 days ago

    San Antonio, Texas, United States University Health Full time

    Join Our Team at University HealthWe are excited to announce an opening for the position of Integrity Auditor specializing in Coding, Billing, and Compliance Monitoring. This role is a full-time opportunity that requires on-site presence during daytime hours.Key Responsibilities:Perform detailed auditing and monitoring tasks to ensure adherence to University...

  • Compliance Reviewer

    3 months ago

    San Antonio, United States Texas Department of Aging & Disability Services Full time

    Job Description: This position’s headquarters can be located in any available HHSC LTCR office in the state of Texas and reports to the Quality Assurance Regional Program Manager. Under the supervision of the Quality Assurance Regional Programs (QARP) Manager, the QARP Compliance Reviewer (CR) reviews certification and licensure forms that resulted...

  • Regulatory Compliance Analyst

    2 days ago

    San Antonio, Texas, United States Texas Department of Aging & Disability Services Full time

    Job Overview: This role is essential within the Texas Department of Aging & Disability Services, focusing on the evaluation of compliance within various long-term care programs. Under the guidance of the Quality Assurance Regional Programs Manager, the Compliance Evaluator conducts thorough assessments of certification and licensure documentation...

  • Quality Assurance Compliance Specialist

    2 days ago

    San Antonio, Texas, United States Texas Department of Aging & Disability Services Full time

    Job Overview: This role is essential within the Texas Department of Aging & Disability Services, focusing on ensuring adherence to quality standards across various long-term care facilities. Under the guidance of the Quality Assurance Regional Program Manager, the Compliance Evaluator conducts thorough assessments of certification and licensure...

  • Long-Term Care Compliance Evaluator

    2 days ago

    San Antonio, Texas, United States Texas Department of Aging & Disability Services Full time

    Job Overview: This role is integral to the Texas Department of Aging & Disability Services, focusing on compliance within various long-term care programs. Reporting to the Quality Assurance Regional Program Manager, the Compliance Reviewer plays a vital role in assessing certification and licensure documentation associated with identified deficiencies in...

  • Head of Regulatory Compliance

    2 days ago

    San Antonio, Texas, United States Extremity Care Full time

    Position OverviewSalary: $116,288.Objective:The Head of Regulatory Compliance is tasked with managing all aspects of regulatory affairs, ensuring adherence to the regulatory framework, submissions, and operational functions. This role is critical in maintaining compliance with FDA regulations, state mandates, AATB Standards, ISO Standards, and other relevant...

  • Healthcare Compliance Operations Manager

    7 days ago

    San Antonio, Texas, United States GoldenWolf Full time

    Job Title: Healthcare Facilities Compliance ManagerJob Type: Full-Time, On-SiteLocation: San Antonio, TXGolden Wolf, LLC is a dedicated organization focused on delivering outstanding logistics management support to military medical facilities. As a Women-Owned, Service-Disabled Veteran-Owned Small Business, we emphasize excellence and innovation in our...

  • Healthcare Compliance Operations Manager

    7 days ago

    San Antonio, Texas, United States GOLDEN WOLF LLC Full time

    Job Title: Healthcare Facilities Compliance ManagerJob Type: Full-Time, On-SiteLocation: San Antonio, TXCompany Overview: Golden Wolf, LLC is a mission-focused organization committed to delivering outstanding logistics management support to military medical facilities. As a Women-Owned, Service-Disabled Veteran-Owned Small Business, we pride ourselves on our...

  • Healthcare Compliance Operations Manager

    7 days ago

    San Antonio, Texas, United States GOLDEN WOLF LLC Full time

    Job Title: Healthcare Facilities Compliance ManagerJob Type: Full-Time, On-SiteLocation: San Antonio, TXGolden Wolf, LLC is a mission-driven organization dedicated to providing exceptional logistics management support to military medical facilities. As a Women-Owned, Service-Disabled Veteran-Owned Small Business, we are committed to excellence and innovation...

  • Healthcare Facilities Compliance Coordinator

    7 days ago

    San Antonio, Texas, United States GOLDEN WOLF LLC Full time

    Job OverviewPosition Title: Healthcare Facilities Compliance CoordinatorEmployment Type: Full-Time, On-SiteCompany: Golden Wolf, LLC is a dedicated organization focused on delivering outstanding logistics management services to military medical establishments. As a Women-Owned, Service-Disabled Veteran-Owned Small Business, we prioritize excellence and...

Compliance Coding

2 months ago

San Antonio, United States UT Health San Antonio Full time

Job Description

The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, developing policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.

Responsibilities

Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and billing regulations/guidelines and ensure staff is kept informed. Create audit schedules and manage workflows to adhere to the audit schedule. Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc. Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations. Performs charge audits by comparing itemized bill to medical record documentation to ensure appropriate charging. Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems. Serve as a point of contact for reports of billing compliance concerns or potential issues. Respond timely and professionally. Monitor emerging changes and trends in the law, regulations and industry standards relating to compliance with and enforcement of applicable law and report impactful developments. Performs research, as needed. Collaborate broadly across business and operational areas within the university to analyze and assess business processes, data, and risk controls. Performs medical record audits of documentation, coding and billing for technical and professional services, 340-B Pharmacy, grant-funded research, risk adjustment, non-physician practitioner documentation (including "incident-to guidelines, teaching physician guidelines, dental, and other areas as identified. maintains communication with auditors and other relevant individuals/organizations until all identified discrepancies are resolved. Analyze data/reports to identify and address trends, issues, and risk areas. Participates in the development of voluntary disclosures and repayments to federal and state agencies. Performs all other duties as assigned.

Qualifications

Ability to review, analyze, and interpret regulatory requirements in a clear and concise manner. Advanced Demonstrates in-depth knowledge regarding professional/hospital coding, billing and revenue cycle, research grant funding, as well as Health Information Management (HIM) operations. Has a working knowledge of electronic auditing tools like MDAudit. Advanced Highly organized with ability to independently analyze, conduct research and present findings/relay information to other departments/teams on various compliance, documentation, coding, and finance-related topics. Advanced Knowledge of treatment protocols, medical and surgical procedures and other healthcare practices. Intermediate Knowledge of state and federal laws applicable to healthcare and compliance industry. Intermediate Current Procedural Terminology (CPT) and Diagnosis Related Group (DRG) coding knowledge. Intermediate Ability to self-direct and prioritize work. Intermediate Detail oriented with excellent organizational skills and high degree of integrity and confidentiality. Advanced Advanced computer database and Microsoft Office software skills. Advanced Excellent customer service skills and strong willingness to take initiative. Advanced Strong verbal, written and interpersonal communication skills. Advanced Ability to present to small or large groups. Intermediate Ability to commute to various UTHSA facility locations within a 50-mile radius of the University Campus. Intermediate Established track record working with EPIC EHR system. Advanced

EDUCATION: Bachelor's degree required. Graduate level degree or will have acquired professional experience working with an auditing/consulting company preferred

EXPERIENCE: Three (3) to five (5) years of experience working in a professional fee clinic and teaching hospital (inpatient and outpatient) settings. Two (2) years of auditing experience using EPIC EHR system, and use of an electronic auditing tool like MDAudit.

LICENSES: Must possess a valid coding certification from a recognized certifying agency such as AHIMA and/or AAPC. Must become a Certified Professional Medical Auditor within one year of employment.

About Us

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical

- UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists.

Dental

- Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision

- Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Retirement

- Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off

- A generous leave program offers multiple paid leave options:

Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire. Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken. Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment. Holidays: 12 set paid holidays each year plus three floating holidays, which can be used anytime during the fiscal year.

FSAs

- Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Discounts

- Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status. #J-18808-Ljbffr