The Senior Compliance Education and Outreach Specialist will report to the Director of Compliance Education, Risk and Data Services.The primary function of the job is to lead the management of the daily operations of the Compliance Education Program.Primary goals include developing education content related to compliance matters and regulatory changes; promoting and enforcing annual compliance fraud awareness training requirements; providing live training to faculty and staff; tracking employee education statistics; monitoring regulatory changes and communicating changes to affected parties, and addressing inquiries directed to the Office of Corporate Compliance.
Development and maintenance of compliance fraud awareness course content, including live presentations, webinars, and online classes. Training topics may range from fraud awareness, to general compliance, to specific billing, coding and documentation requirements.
Delivery of live training sessions to UCM and BSD workforce, including faculty, senior leadership, clinical and non-clinical staff, volunteers.
Providing education about the Compliance Program to new employees at new employee orientation several times a month.
Managing the annual compliance fraud awareness training endeavors, including course development, enrollment efforts, generation of education completion statistics, and course promotion.
Ensuring that new staff are identified and enrolled into the appropriate compliance fraud awareness training; tracking completion stats, and reaching out to new hires and management to ensure that training is completed.
Proactively monitoring regulatory changes, updating/creating policies, guidance to reflect such changes, and conducting outreach to communicate changes to affected parties.
Help manage all aspects of the Compliance Hotline. Investigating and responding to compliance concerns and inquiries received via email and phone.
Demonstrated capacity to work independently in an organized, detailed manner while maintaining a collaborative team environment is required.
Ability to think abstractly and concretely required.
Ability to develop reports, presentations, and spreadsheets required.
Strong computer skills including the ability to effectively use software applications such as Microsoft Word, Excel, Outlook, PowerPoint, Access and Internet Explorer is required.
Outstanding verbal and written communication skills are required.
Experience in handling complex organizational projects; and an excellent problem identification and solution skill to address difficult, complex issues is required.
Coding certification or Certification in Healthcare Compliance preferred.
Providing live education and training sessions to adults and responding to questions and feedback, sometimes critical, from faculty and staff required.
Working in an academic medical center or other large, complex healthcare organization required.
Knowledge and understanding of compliance concepts such as elements of a corporate compliance program,fraud, waste, and abuse, conflicts of interest, CMS Teaching Physician Rules, and billing, coding and documentation requirements required.
Project management with demonstrated ability to lead multiple projects from inception to launch and evaluate ongoing results required.
Knowledge of federal, state, local, and payor-specific regulations and policies pertaining to billing, coding and documentation preferred.
Knowledge of hospital and professional service reimbursement systems (i.e., OPPS, IPPS, PFS) preferred.
Coding certification or demonstrated understanding and ability to apply coding and revenue cycle principles preferred.
NOTE: When applying, all required documents MUST be uploaded under the Resume/CV section of the application
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