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, 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

• Required: Degree (Bachelor's or Associate's) and three (3) years of ICD-9/ICD-10 coding, CPT coding, research, and/or billing experience
• PREFERRED: Certification from the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and/or Health Care Compliance Association (HCCA)

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.

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,
• Frequent standing,
• Occasional twisting,
• Frequent walking.