Compliance Specialist | Compliance | Full Time | DayShift at UF Health

Gainesville, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Feb, 26

Salary

0.0

Posted On

15 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance Monitoring, Auditing, Regulatory Requirements, Billing, Coding, Documentation, Medical Necessity, Healthcare Laws, Problem Solving, MS Office, Organizational Skills, Research Skills, Communication Skills, Training, Investigation Protocols, Compliance Education

Industry

Hospitals and Health Care

Description

Overview FTE: 1.0 Mon-Fri - 8:00 am to 5:00 pm To provide ongoing compliance monitoring and auditing functions for a multi-hospital healthcare system, including reviews of regulatory requirements, audits, billing, coding, documentation, medical necessity, and other general compliance processes and analyses that support appropriate reimbursement and adherence to applicable laws, rules, guidelines, and regulations. This role also provides ongoing compliance education and training, researches and responds to compliance inquiries, follows investigation protocols, and addresses reported, suspected, or confirmed non-compliance. Additionally, it participates in compliance meetings that foster open communication across the organization, assists with the development and monitoring of special compliance projects in partnership with Compliance Managers and hospital departments, and provides compliance advice and guidance as needed. Qualifications Minimum Education & Experience Bachelor’s degree and 2 years of compliance, clinical, coding, auditing, legal, or related experience; OR Associate’s degree in a health- or business-related field and 4 years of compliance, clinical, coding, auditing, legal, or related experience; OR Certifications in Compliance, Coding, and/or Auditing and 6 years of compliance, clinical, coding, auditing, legal, or related experience, plus knowledge of healthcare laws and regulations. Licensure & Certifications CHC (Certified in Healthcare Compliance) required May be obtained within 12 months of hire or transfer. Preferred: RN, LPN, RHIA, RHIT, CPC-H/COC, CPC, or CCS. Knowledge, Skills & Abilities Familiarity with hospital billing systems and medical records. Strong coding skills and a clinical background preferred. Knowledge of Medicare, Medicaid, and state/federal healthcare regulations. Ability to research and interpret complex regulations. Strong problem-solving skills. Proficiency with MS Office (Excel, Word, PowerPoint). Must be organized, versatile, and able to work independently. Motor Vehicle Operator Designation Position requires operating vehicles for business purposes as a non-frequent driver.

Responsibilities

The Compliance Specialist will provide ongoing compliance monitoring and auditing functions for a multi-hospital healthcare system. This includes reviewing regulatory requirements, conducting audits, and addressing compliance inquiries.