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Yale University

Research university in New Haven, CT

YM Compliance Educator

Regulatory Compliance & EthicsConfirmed live in the last 24 hours
Full-timeConnecticut, USA$82k - $131.5k

About the Job

Requirements

  • Thorough understanding of anatomy, medical terminology, and coding, with demonstrated provider-coding experience in CPT and ICD-9/ICD-10 and Certified Professional Coder (CPC) licensure.
  • Extensive knowledge of healthcare management financial and billing concepts, particularly Medicare billing guidelines.
  • Knowledge of healthcare reimbursement and managed care issues.
  • Proficiency in Microsoft Word and Excel.
  • Ability to develop and conduct comprehensive training programs.
  • A bachelor's degree in a related field and five years of experience, or an equivalent combination of education and related experience.
  • CPC licensure is required.

Responsibilities

  • Manage the development and completion of compliance education related to risks identified through internal and external auditing activities.
  • Provide education on federal, state, and other payer changes in coding, documentation, and billing requirements.
  • Increase and strengthen Yale Medicine providers' awareness and understanding of medical record documentation guidelines and coding principles.
  • Serve as a role model for ethical management behavior and promote awareness and understanding of the Yale Medicine Compliance Program.
  • Assist in assessing risk and developing an auditing plan to support the overall compliance plan.
  • Manage and monitor technology needs, conduct inventory, and determine system requirements for assigned departments.
  • Manage and coordinate training sessions for assigned departments when new policies or practices are adopted.
  • Ensure compliance with University and federal regulations as they apply to assigned departments.
  • Identify and assist with developing administrative policies for assigned departments.
  • Perform other duties as assigned.

Desired Qualifications

  • Experience with EPIC, MD Audit, and ComplyTrack software.
  • Certification in Healthcare Compliance (CHC).
  • Experience in training and education in a healthcare compliance context.

About the Company

Yale University

Research university in New Haven, CT

Yale University is a private research university in New Haven, Connecticut. It provides undergraduate, graduate, and professional education alongside research, scholarship, and public engagement.

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