Details **Open Date** 09/04/2024 **Requisition Number** PRN39764B **Job Title** Compliance Specialist **Working Title** Compliance Specialist **Job Grade** E **FLSA Code** Administrative **Patient Sensitive Job Code?** No **Standard Hours per Week** 40 **Full Time or Part Time?** Full Time **Shift** Day **Work Schedule Summary** Arranged with Supervisor **VP Area** U of U Health - Academics **Department** 02148 - Clinical Research Service Ofc **Location** Campus **City** Salt Lake City, UT **Type of Recruitment** External Posting **Pay Rate Range** $55,000 - $62,000 **Close Date** **Open Until Filled** No **Job Summary** This position is responsible for reviewing and ensuring records comply with state and federal regulations regarding payments in research billing. Provides guidance and auditing feedback to providers and staff and clinic managers on research billing issues. Responsible for reviewing and ensuring records comply with state and federal regulations regarding payments in research billing. Provides guidance and auditing feedback to providers staff and clinic managers on research billing issues. **Responsibilities** + Audit research protocol billing to ensure it meets the Center for Medicare and Medicaid Services coding rules, laws, and guidelines + Review study records to ensure compliance with system interface requirements and collaborate with Epic ITS and study teams to rectify errors. + Communicate with and provide auditing feedback to the medical billing division, hospital staff, clinical research coordinators, and managers on billing code-related issues. + Develop documentation and workflow processes for end users for training and teaching purposes. + Consult with departments on OnCore interactive systems related to financial concerns. + Examine and reconcile study accounts and report any outstanding charges to the director and department **Minimum Qualifications** Bachelor’s degree in Health Care Administration, Business Administration or a related field or equivalency (one year of education can be substituted for two years of related work experience); plus 2 years working experience with one of those years working in a compliance office. American Health Information Management ( AHIMA ) or American Academy of Professional Coders ( AAPC ) recognized certification such as: Certified Professional Coder ( CPC ), Certified Professional Coder-Hospital ( CPC -H) or a specific certification preferred by the Department. Basic knowledge of clinical documentation requirements related to regulatory and reimbursement rules, the Medicare system and proficiency with computer software such as Microsoft Word and Excel; demonstrated human relations and effective communication skills also required. Experience with University of Utah computer systems such as: Powerchart, Allegra, IDX , IDXRAD , Corporate Radar, Cognos, EPIC and ORMIS are highly preferred. This position is not responsible for providing patient care. Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description. **Preferences** **Type** Benefited Staff **Special Instructions Summary** **Additional Information** The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules. This position may require the successful completion of a criminal background check and/or drug screen. The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients. All qualified individuals are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both. To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/ Online reports may be submitted at oeo.utah.edu https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.