Compliance Analyst/Educator, URMC

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

175 Corporate Woods, Ste 225, Brighton, New York, United States of America, 14623

Opening

Worker Subtype:

Regular

Time Type

Full time

Scheduled Weekly Hours

40

Department

900017 Compliance Office

Work Shift

UR - Day (United States of America)

Range

UR URG 111

Compensation Range

$63,815.00 - $95,723.00

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

GENERAL PURPOSE

Supports the Compliance Plan through review, analysis, communication and training activities. Determines compliance with billing and/or laboratory policies and procedures to ensure applicable laws are followed. Develops and disseminates comprehensive resources, education and training programs to support compliance and operational policies and procedures.

Essential Functions

• Responds to individual/departmental concerns and reporting by conducting appropriate follow-up. Records initial inquiries and assesses appropriate course of action, conducts investigative work to assess the situation, formulates proposed resolutions, and discusses with necessary parties to determine corrective actions. Consults with the Compliance Director as necessary to review issues.
• Creates and updates presentations to educate and train faculty, residents, and staff on compliance issues. Provides education to reduce the frequency of non-compliances and enhance staff’s ability to perform duties with a clear understanding of legal responsibilities and limitations. Conducts orientation presentations for staff, requested focused education presentations, and case specific presentations determined to be necessary. Answers questions arising and provides direction to those who require assistance from other departments.
• Prepares and submits reports containing review findings. Identifies areas requiring change. Makes recommendations for corrective action and is accountable for appropriate follow-up. Assists in formulating, reviewing, and updating Compliance policies.
• Performs internal reviews of clinical faculty billing to determine compliance with billing policies and procedures. Conducts in-depth reviews of medical record chart documentation to ensure compliance with HCFA Guidelines. Ensures chart documentation supports the designated billing level.
• Maintains current knowledge of issues in the area of professional compliance issues through networking with counterparts at other teaching hospitals, review of literature, and participation in seminars and update programs.
  
  

Other duties as assigned.

Minimum Education & Experience

• Bachelor's degree in related field and 3 years of compliance, coding and consulting experience required
• Or equivalent combination of education and experience
  
  

EOE Minorities / Females / Protected Veterans / Disabled

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.