University of Mississippi Medical Center
The Compliance Analyst II is expected to perform internal audits to ensure regulatory compliance in an assigned area such as documentation, coding, insurance, and Health Insurance Portability and Accountability Act (HIPAA). You will also be expected to educate physicians and departmental staff on regulatory compliance guidelines, privacy regulations, coding and billing requirements.
Knowledge, Skills & Abilities:
- Knowledge of program/subject area statutory or regulatory provisions and administrative procedures. Knowledge of CPT, ICD-9 & ICD-10 coding principles and guidelines, medical terminology, and insurance plans.
- Verbal and written communication skills.
- Interpersonal skills to effectively interact with patients, clients, and other compliance staff members.
- Skill in applying regulatory guidelines to identify and solve problems.
- Skill in conducting compliance training.
- Ability to gather and analyze medical records and billing data and generate reports.
- Ability to present educational information.
- Performs audits on an assigned area or unit on the Jackson campus as well as those in other areas of the state as needed and reports results to appropriate personnel.
- Participates in the development of educational and training programs that focus on elements of the compliance program; explains compliance program guidelines, policies, and procedures to departmental staff and physicians.
- Analyzes operating procedures, identifies potential violations, and provides technical assistance/recommendations to management.
- Collaborates with managers to identify aberrant trend in the coding and billing areas.
- Confers with external auditor to ensure compliance of an assigned area.
The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.
Education & Experience:
Bachelor’s degree in accounting, health information management, or related field plus three (3) years of ICD-9, CPT coding, and/or billing experience or equivalent combination of education/experience. Prefer certification from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and/or Health Care Compliance Association (HCCA).
Certifications, licenses or registrations:
Prefer certification from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and/or Health Care Compliance Association (HCCA).
A Bachelor’s degree in accounting, health information management, or related field is required.
Compensation will be commensurate with qualifications.
Please email firstname.lastname@example.org for a list of our benefits.
Instructions for Resume Submission:
Please apply online to requisition R00013368.