Compliance Educator - Office of Integrity & Compliance

Job Summary

Develops, coordinates, implements, and manages the education efforts for the UMMC Office of Integrity and Compliance. Provides extensive education to billing providers on medical coding (ICD-10, CDT, CPT, and HCPCS), billing, and documentation. Serves as a subject matter expert as it relates to coding and billing to include CMS, federal, and state regulations and third party reimbursement requirements. Assists in other educational endeavors as required.

Education & Experience

Bachelor's or Associate's degree and three (3) years of ICD-9/ICD-10 coding, CPT coding, research, and/or billing experience.

Preferred Qualifications

• Certification from the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and/or Health Care Compliance Association (HCCA)

Knowledge, Skills & Abilities

• Extensive knowledge in medical coding and billing rules to include ICD-10, CPT, and HCPCS
• Proficient verbal and written communication skills, including the ability to take complex information and present in a clear and concise manner
• Ability to develop, maintain, and strengthen collaborative relationships
• Ability to handle the demands of new tasks/assignments/projects, along with other routine responsibilities
• Excellent organization, facilitation, and presentation skills
• Self-motivated and a quick study
• Ability to establish priorities, work independently, and proceed with objectives through to completion
• Proficient with Microsoft applications which may include Outlook, Word, Excel, PowerPoint, SharePoint, or Teams and other web-based applications

Responsibilities

• Develops educational materials specific to individual, departmental, and institutional needs
• Prepares, coordinates, implements, and oversees institutional compliance training
• Prepares, coordinates, implements, and oversees new employee compliance training
• Conducts training sessions to educate billing providers on compliance matters related to coding, billing, and documentation guidelines and teaching physician guidelines
• Conducts training sessions to educate workforce members on deficiencies identified in compliance program auditing and monitoring activities
• Conducts training sessions to educate workforce members on research compliance and conflicts of interest
• Conducts faculty onboarding training
• Collaborates with management to identify other educational opportunities
• Prepares, coordinates, implements, and oversees other educational endeavors as may arise