Classification Title:
Compliance Audit Specialist II
Job Description:
The Compliance Audit Specialist II in the Office of Physician Billing Compliance conducts regulatory compliance audits of the University of Florida, College of Medicine departments, institutes, and centers to ensure data integrity and compliance with federal and state regulations, reviewing medical and billing records to determine if service and documentation requirements are met. Works in collaboration with the Compliance Audit Specialist manager and Director of Physician Billing Compliance to provide input and assist in the development of any applicable training and education content.
More About This Role
Conduct compliance audits of the University of Florida College of Medicine departments, institutes, and centers to ensure data integrity, compliance with federal and state regulations pertaining to, but not limited to provider billing services. Review medical and billing records to determine if service and documentation requirements are met. Clearly document findings related to work performed. Communicate any identified patterns of error that may create institutional risk.
Contribute to audit findings report and assist in the organization of documentation to support and communicate audit findings. May oversee clerical search of paper or electronic health records. These findings may lead to substantive refunds to the College of Medicine, and/or disciplinary action for faculty, residents, non-physician providers and operational staff.
Draft summary reports, communications with physicians, compilation of findings, discussion of findings. Familiarize with the structure of our clinical practice and participates in recommendations on educational and internal control policies to improve compliance plan effectiveness and operational outcomes.
Assist with the development of training sessions for providers, professional fee billing staff and others on a regularly scheduled or ad hoc basis
Stay current on coding changes and seek institutional interpretations based on changes. Research current federal, state and payer documentation, billing and coding rules and regulations.
Remote Work Opportunity
The University of Florida recognizes the value of telecommuting in fostering a flexible work environment. Therefore, consideration may be given to remote within the Gainesville area after 6 months of successful performance.
We Offer Exceptional Benefits
Expected Salary:
$21.00 - $22.25 per hour
Minimum Requirements:
Preferred Qualifications:
Special Instructions to Applicants:
To apply, please upload your current resume, a letter of interest, and three professional references with your application.
This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration. See our Veteran's Preference Page for more specific information.
If an accommodation due to a disability is needed to apply for this position, please call 352-392-2477 or the Florida Relay System at 800-955-8771 (TDD). Hiring is contingent upon eligibility to work in the US. Searches are conducted in accordance with Florida's Sunshine Law.
Application must be submitted by 11:55 p.m. (ET) of the posting end date.
Health Assessment Required: No
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