What are the responsibilities and job description for the Hospital Compliance Manager position at University of Arkansas For Medical Sciences?
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Type of Position:
Management - Operations
Job Type:
Regular
Work Shift:
Day Shift (United States of America) Sponsorship Available:
No
Institution Name:
University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
The safety of our team members at the University of Arkansas for Medical Sciences is our top priority. For this reason, successful applicants for this position must be fully vaccinated against Covid-19 or have an approved medical or religious exemption on file with our Student & Employee Health Services dept. UAMS will adhere to all federal, state and local regulations and will obtain necessary proof of vaccination prior to employment to ensure compliance.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
UAMS is an Affirmative Action and Equal Opportunity Employer of individuals with disabilities and protected veterans and is committed to excellence. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (501) 686-6432 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).
At UAMS we value Diversity, Equity and Inclusion. Visit our website to learn more: https://ddei.uams.edu/
For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu .
Department:
INST | Compliance Clinical Billing Comp
Department's Website:
Summary of Job Duties:
The Compliance Audit Manager (External Audit Manager), under the general direction of the Sr. Director of Clinical Billing Compliance, processes and manages audit requests (both facility and professional services) from Government payers (Medicare and Medicaid, Recovery Audit Contractors (RACs), and other external governmental agencies. The position writes appeal letters and must meet strict deadlines. This position also maintains databases with claim audit information, reviews medical records and billing system programs to determine procedure codes and billing accuracy. The position ensures that all federal and state guidelines are followed and that confidentiality is maintained in all aspects. Performs hospital and professional audits based on risk analysis. The position requires both strong written and oral communication skills.
Qualifications:
Minimum Qualifications:
- Bachelor's degree plus
- Seven (7) years' related healthcare experience, with 3 of those years directly related to inpatient and outpatient coding and/or auditing experience
- *** Will consider well-qualified candidates who are within two years of completing their Bachelor's degree.**
- Must have one of the following CURRENT coding certifications: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P) or Certified Professional Coder (CPC).
- Must have demonstrated ability to present information verbally, and have strong written communication skills with attention to detail
- Ability to create PowerPoint presentations and ability to present regulatory information to large groups
- Must have ability to make reasonable decisions based upon the information gathered and ability to make independent audit decisions
- Requires a good understanding of software systems, exporting reports and data manipulation
Preferred Qualifications:
- Bachelor's degree in Health Information Management, Healthcare Administration, or related field
- Current Certified in Healthcare Compliance (CHC), Certified Professional Medical Auditor (CPMA) or Certified Evaluation and Management Coder (CEMC) certification.
Additional Information:
Salary Information:
Required Documents to Apply:
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact askrecruitment@uams.edu for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:
No Background Check Required
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:
Sitting
Frequent Physical Activity:
Hearing, Manipulate items with fingers, including keyboarding, Talking, Walking
Occasional Physical Activity:
Kneeling, Standing
Benefits Eligible:
Yes
Employment Type: Full time