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Job Details

Compliance Educator

Location
San Francisco, CA, United States

Posted on
Sep 03, 2020

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:,ActualValueFromSolar:null},{QuestionName:Job Summary,AnswerValue:JOB OVERVIEWu003cbr/u003eThe Compliance Educator supports the efforts of the Revenue Cycle Compliance component of the UCSF Healthcare Compliance Program through adherence and promotion of functions which correspond to the seven elements of an “effective compliance program.” The Educator conducts compliance training and education to Providers and Staff to ensure compliance and comprehension of hospital and/or professional services coding and billing in accordance with relevant laws, regulations, and policies. Communicates compliance audit results to Physicians, Non-Physician Providers, Leadership and Staff as well as develops and provides education and/or training based upon audit findings. u003cbr/u003eu003cbr/u003eFunctions as a subject matter expert and authoritative resource for interpretation and application of documentation, coding and billing rules and regulations for hospital and/or professional services. May provide advice and assistance to other Compliance Educators/Analysts with revenue cycle compliance functions pertaining to Professional Services and/or Hospital settings.u003cbr/u003eu003cbr/u003eHEALTHCARE COMPLIANCE PROGRAM u003cbr/u003eThe UCSF Healthcare Compliance Program is responsible for implementation of an “effective compliance program,” consistent with the U.S. Federal Sentencing Guidelines and guidance of the Health and Human Services (HHS) Office of the Inspector General. The Program is responsible for the promotion of a comprehensive approach to compliance with health care laws, regulations, and policies across the UCSF healthcare enterprise, which includes a leading academic medical center, outpatient clinics, professional services, and clinical schools. The Program develops, implements, and enforces University policy related to UCSF clinical operations and supports methods of preventing and detecting inappropriate, improper, and fraudulent conduct in the furnishing of health care services.u003cbr/u003eu003cbr/u003eABOUT UCSF u003cbr/u003eThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.,VerityZone:jobdescription,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Organization,AnswerValue:Campus,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Req Number,AnswerValue:55775BR,VerityZone:autoreq,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Location,AnswerValue:Mission Bay,VerityZone:formtext8,QuestionType:single-select,ActualValueFromSolar:null},{QuestionName:Job Title,AnswerValue:Compliance Educator,VerityZone:formtext10,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Appointment Type,AnswerValue:Career,VerityZone:formtext12,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Percentage,AnswerValue:100%,VerityZone:formtext13,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Shift Length,AnswerValue:8 Hours ,VerityZone:formtext14,QuestionType:Radio,ActualValueFromSolar:null},{QuestionName:Shift,AnswerValue:Days,VerityZone:formtext15,QuestionType:Checkbox,ActualValueFromSolar:null},{QuestionName:Work Days,AnswerValue:Monday - Friday, 8:00 am - 5:00 pm,VerityZone:formtext16,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Required Qualifications,AnswerValue:• Bacheloru0027s degree in health care or related field, and/or equivalent combination of experience/training in a professional service/hospital revenue cycle settingu003cbru003e• One or more of the following certifications: RHIA, RHIT, CPC or CCS-Pu003cbru003e• Three or more years of progressive experience developing and conducting revenue cycle compliance education and training for Professional Fee and/or Hospital servicesu003cbru003e• Strong knowledge of ICD-10-CM and CPT/HCPCS coding guidelines/conventions and applying in varied clinical settings (i.e. hospital, ED, clinic, etc.) and/or multi-specialty areasu003cbru003e• Knowledge of Medicare and Medicaid program rules and regulations and experience applying to coding and billing of Professional Servicesu003cbru003e• Experience researching, interpreting and comprehending federal and state rules and regulations applicable to clinical documentation and corresponding revenue cycle compliance requirementsu003cbru003e• Strong skills in written and verbal communications, with the ability to convey complex technical information, education, and instructions in a clear and concise manner, and to produce high-quality reports, documentation, and presentationsu003cbru003e• Strong project management skills and the ability to effectively manage time, organize competing priorities, address complex issues as they arise, and see projects through to completion on scheduleu003cbru003e• Strong interpersonal skills for collaborating effectively with managers and staff at all levels and across the organization, and with representatives of external regulatory agenciesu003cbru003e• Willingness to travel, as needed, within the UCSF geographical area to the various clinical locations and administrative officesu003cbru003e• Willingness to work flexible schedule, as needed,VerityZone:formtext3,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Preferred Qualifications,AnswerValue:• Certification in Health Care Compliance (CHC) by Health Care Compliance Association (HCCA)u003cbru003e• Five or more years of progressive experience in Professional Services and/or Hospital production coding and/or conducting coding and billing compliance auditsu003cbru003e• Experience in an academic and/or trauma level 1 medical center settingu003cbru003e• Experience with Epic electronic health record systemu003cbru003e• Experience with Encoder software (e.g., 3M, EncoderPro) and/or coding and billing audit software,VerityZone:formtext4,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:License/Certification,AnswerValue:• One or more of the following certifications: RHIA, RHIT, CPC or CCS-P,VerityZone:formtext5,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Position Type,AnswerValue:Full Time,VerityZone:formtext6,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Department Name,AnswerValue:Associate Vice Chancellor / Ethics and Compliance Program,VerityZone:formtext17,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Equal Employment Opportunity,AnswerValue:The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. 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