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University of North Texas Health Science Center - Compliance Specialist (Clinical Auditor)

- Fort Worth, TX

Full/Part Time: 
 Full-Time
City: 
 Fort Worth
State: 
 TX
The University of North Texas Health Science Center Office of Institutional Compliance & Integrity is seeking to hire a Compliance Specialist to join our team. Responsibilities of the position include but are not limited to: * Assist in identifying federal and state laws and regulations with which the UNTHSC must comply. * Assist in compliance investigations. * Identify, develop and monitor compliance training. * Provide support for the Institutional Compliance Committee and other compliance oversight committees, as needed. * Collaborate with teams in monitoring identified risk areas. * Effectively communicate the compliance program. * Serve as a compliance resource to teams and workgroups as needed to continuously improve processes designed to mitigate the risk of noncompliance. * Provide rapid response to executive management requests for ad hoc analysis and reporting. * Performs other duties as assigned. Department Specific Responsibilities: * Plan and conduct routine provider audits and reviews under the direction of the Chief Compliance Officer and Deputy Compliance Officer. * Identify patterns or trends and develop provider education. * Develop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding and coding trends found in chart reviews, etc. * Orient and train new providers * Establish routine meetings with coders and providers to discuss findings; Revenue Cycle management as needed. * Provide financial analysis of revenue loss due to documentation errors. * Evaluate quality of clinical documentation to identify incomplete and inconsistent documentation. * Provide ongoing feedback and analysis of education needs of providers and staff * Coordinate and assist with the investigation as needed. * Perform Notice of Privacy Practice (NPP) assessments; report finding and potential corrective action. * Ongoing review and assessment of CMS guidelines, Office of Inspector General (OIG) guidance and Federal Register. * Keep up to date with coding guidelines, ICD, CPT and HCPCS changes, * Serve as a resource to leadership, providers, and employees on clinical compliance issues. * Provide assistance with coding inquiries. * Assist in identifying risk as it relates to the clinical practice group; collaborate with teams in monitoring identified risk areas. * Serve as a compliance resource to teams and workgroups as needed to continuously improve processes designed to mitigate the risk of noncompliance. * Assist in the development of compliance training. * Provide routine reports on accuracy rates, documentation deficits and billing denials. * Effectively communicate the compliance program throughout organization. * Provide rapid response to executive management requests for ad hoc analysis and reporting.

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P.O.Box 292788 Lewisville, TX 75029-2788  |  Phones: (214) 222-1500  |  (214) 222-8884  |  (800) 594-7036

P.O.Box 292788
Lewisville, TX
75029-2788

Phones:
  (214) 222-1500
  (214) 222-8884
  (800) 594-7036

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