U

University of Mississippi Medical Center

Academic medical center

Compliance Analyst - Office of Integrity & Compliance

Regulatory Compliance & EthicsUpdated on Nov 13
Full-timeJackson, MS, USANo salary listed

About the Job

Requirements

  • A bachelor's or associate's degree and three years of ICD-9/ICD-10 coding, CPT coding, research, and/or billing experience are required.
  • Knowledge of statutory or regulatory provisions and administrative procedures for the assigned Hospital, Provider, or Research program area.
  • Knowledge of CPT, ICD-9 and ICD-10 coding principles and guidelines, billing rules, medical terminology, insurance plans, and/or research regulations.
  • Verbal and written communication skills and interpersonal skills to interact effectively with patients, clients, and other compliance staff members.
  • Skill in applying regulatory guidelines to identify and solve problems and in conducting compliance training.
  • Ability to gather and analyze medical records and billing data, generate reports, and present educational information.

Responsibilities

  • Performs audits in an assigned Hospital, Provider, or Research area and reports results to appropriate personnel.
  • Participates in developing educational and training programs focused on elements of the compliance program; explains compliance guidelines, policies, and procedures to departmental staff and physicians.
  • Analyzes operating procedures, identifies potential violations, and provides technical assistance and recommendations to management.
  • Collaborates with managers to identify aberrant trends in coding, billing, documentation, research, and other applicable compliance areas.
  • Confers with external auditors to ensure compliance in an assigned area.
  • May occasionally work significantly beyond regularly scheduled hours and travel to offsite locations.

Desired Qualifications

  • Certification from the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Health Care Compliance Association (HCCA), Association of Clinical Research Professionals (ACRP), and/or Society of Clinical Research Professionals (SoCRA).

About the Company

University of Mississippi Medical Center is Mississippi’s public academic medical center and health-sciences university. The institution operates hospitals, clinics, professional schools, research programs, and statewide health initiatives. It serves patients, students, families, clinicians, researchers, and communities throughout Mississippi. Its operating model centers on clinical care integrated with education, research, public service, and centralized university operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, and administration. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.

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