Compliance Analyst Professional Services

Profile

:,ActualValueFromSolar:null},{QuestionName:Job Summary,AnswerValue:JOB OVERVIEW\u003cbr/\u003eThe Compliance Analyst – Professional Services supports the efforts of the Revenue Cycle Compliance component of the UCSF Healthcare Compliance Program through adherence and promotion of functions which correspond to the seven elements of an “effective compliance program.” The Analyst conducts coding and billing compliance audits to determine compliance of professional services coding and billing practices in accordance with relevant laws, regulations, and policies. Communicates compliance audit results to Physicians, Non-Physician Providers, Leadership and Staff as well as develops and provides education and / or training based upon audit findings. \u003cbr/\u003e\u003cbr/\u003eFunctions as a subject matter expert and authoritative resource for interpretation and application of documentation, coding and billing rules and regulations for professional services. May provide advice and assistance to other Compliance Analysts with revenue cycle compliance functions pertaining to Professional Services and / or Hospital settings.\u003cbr/\u003e\u003cbr/\u003e\u003cb\u003eThis opportunity is eligible for telecommuting/working remotely\u003c/b\u003e\u003cbr/\u003e\u003cbr/\u003eHEALTHCARE COMPLIANCE PROGRAM \u003cbr/\u003eThe UCSF Healthcare Compliance Program is responsible for implementation of an “effective compliance program,” consistent with the U.S. Federal Sentencing Guidelines and guidance of the HHS Office of the Inspector General. The Program is responsible for the promotion of a comprehensive approach to compliance with health care laws, regulations, and policies across the UCSF healthcare enterprise, which includes a leading academic medical center, outpatient clinics, professional services, and clinical schools. \u003cbr/\u003e\u003cbr/\u003eThe Program develops, implements, and enforces University policy related to UCSF clinical operations and supports methods of preventing and detecting inappropriate, improper, and fraudulent conduct in the furnishing of health care services.\u003cbr/\u003e\u003cbr/\u003eABOUT UCSF \u003cbr/\u003eThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.,VerityZone:jobdescription,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Organization,AnswerValue:Campus,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Req Number,AnswerValue:55423BR,VerityZone:autoreq,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Location,AnswerValue:Laurel Heights,VerityZone:formtext8,QuestionType:single-select,ActualValueFromSolar:null},{QuestionName:Job Title,AnswerValue:Compliance Analyst – Professional Services,VerityZone:formtext10,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Appointment Type,AnswerValue:Career,VerityZone:formtext12,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Percentage,AnswerValue:100%,VerityZone:formtext13,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Shift Length,AnswerValue:8 Hours ,VerityZone:formtext14,QuestionType:Radio,ActualValueFromSolar:null},{QuestionName:Shift,AnswerValue:Days,VerityZone:formtext15,QuestionType:Checkbox,ActualValueFromSolar:null},{QuestionName:Work Days,AnswerValue:Monday - Friday, 8:00 am - 5:00 pm,VerityZone:formtext16,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Required Qualifications,AnswerValue:• Bachelor\u0027s degree in health care or related field, and / or equivalent combination of experience / training in a professional service / physician revenue cycle setting\u003cbr\u003e• Registered Health Information Administrator (RHIA) certification, Registered Health Information Technician (RHIT) certification, Certified Professional Coder (CPC) or Coding Specialist- Physician-based (CCS-P®) certification\u003cbr\u003e• Minimum three years of progressive experience in Professional Services production coding and / or conducting coding and billing compliance audits\u003cbr\u003e• Demonstrated knowledge of ICD-10-CM and CPT / HCPCS coding guidelines \u003cbr\u003e / conventions and applying in varied clinical settings (i.e. hospital, ED, clinic, etc.) and / or multi-specialty areas\u003cbr\u003e• Knowledge of Medicare and Medicaid program rules and regulations and experience applying to coding and billing of Professional Services\u003cbr\u003e• Experience researching, interpreting and comprehending federal and state rules and regulations applicable to clinical documentation and corresponding revenue cycle compliance requirements \u003cbr\u003e• Demonstrated skills in written and verbal communications, with the ability to convey complex technical information, education, and instructions in a clear and concise manner, and to produce high-quality reports, documentation, and presentations\u003cbr\u003e• Demonstrated project management skills and the ability to effectively manage time, organize competing priorities, address complex issues as they arise, and see projects through to completion on schedule\u003cbr\u003e• Demonstrated interpersonal skills for collaborating effectively with managers and staff at all levels and across the organization, and with representatives of external regulatory agencies\u003cbr\u003e• Willingness to travel, as needed, within the UCSF geographical area to the various clinical locations and administrative offices\u003cbr\u003e• Willingness to work flexible schedule, as needed,VerityZone:formtext3,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Preferred Qualifications,AnswerValue:• Certification in Health Care Compliance (CHC) by Health Care Compliance Association (HCCA)\u003cbr\u003e• Five years of progressive experience in Professional Services production coding and / or conducting coding and billing compliance audits\u003cbr\u003e• Experience in an academic and / or trauma level 1 medical center setting\u003cbr\u003e• Experience with Epic electronic health record system\u003cbr\u003e• Experience with Encoder software (e.g., 3M, EncoderPro) and / or coding and billing audit software,VerityZone:formtext4,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:License/Certification,AnswerValue:• Registered Health Information Administrator (RHIA) certification, Registered Health Information Technician (RHIT) certification, Certified Professional Coder (CPC) or Coding Specialist- Physician-based (CCS-P®) certification,VerityZone:formtext5,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Position Type,AnswerValue:Full Time,VerityZone:formtext6,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Department Name,AnswerValue:Associate Vice Chancellor / Ethics and Compliance Program,VerityZone:formtext17,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Equal Employment Opportunity,AnswerValue:The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. 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Company info

UCSF Medical Center
Website : http://www.ucsfhealth.org