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Compliance Analyst II

1 month ago

Jackson, United States University of Mississippi Medical Center Full time

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: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile. Thank you, Human Resources Job Requisition ID: R00032324 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 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 regulations, 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, privacy, 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 Job Posting Date: 05/29/2024 Job Closing Date (open until filled if no date specified): #J-18808-Ljbffr