Compliance Audit Manager

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Type of Position:

Management - Operations

Job Type:

RegularDay Shift (United States of America)No

Institution Name:

University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
 

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.  To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department:

INST | Compliance Clinical Billing Comp

Department's Website:

Summary of Job Duties:

The Compliance Audit Manager, under the general direction of the Sr. Director of Clinical Billing Compliance, reviews medical records and billing system programs to determine billing accuracy and to ensure that all federal and state guidelines for billing are followed; DRGs, Outpatient APCs, research billing, drug billing, and other identified risk areas. Leads or assists in audits and reviews by outside regulatory agencies. This is a part time (50% FTE) position.

Qualifications:

Minimum Qualifications:

• Bachelor's degree plus seven (7) years' experience in healthcare setting in administration, finance, law, coding or auditing.
• Must have one of the following CURRENT coding certifications: Registered Health Information Administrator (RHIA), Certified in Healthcare Compliance (CHC), Certified Professional Coder (CPC), Certified Coding Specialist-Physician (CCS-P) or Certified Coding Specialist (CCS).
• Must have demonstrated ability to present information verbally, and have strong written communication skills with attention to detail.
• Must have ability to make reasonable decisions based upon the information gathered and ability to make independent audit decisions.

 

Preferred Qualifications:

• PREFER degree in Health Information Management, Healthcare Administration, or related field
• Knowledge in areas of auditing, communication, problem identification, investigation and resolution, billing/coding, risk management, regulatory compliance or internal auditing. Ability to create PowerPoint presentations and ability to present regulatory information to large groups.

Additional Information:

Additional Information:

• Processes Medicaid cases in the most efficient and cost-effective method.
• Evaluates existing programs and systems and continues to seek personal and professional growth. 
• Analyzes patients’ responsibility by understanding verification of assets, family size, liability, budget, etc.
• Works Medicaid cases timely, including preparing budgets as directed by DHS policy.
• Works assigned accounts and documents the outcome and status of the Medicaid application in Epic as needed.
• Keys Medicaid cases into the DHS eligibility system.
• Obtains knowledge of DHS/UAMS programs, policies, and procedures.
• Documents and retrieves eligibility information from different data bases.
• Reviews adult and newborn accounts in Epic that have pending applications and reviews DHS verifications.
• Contacts patients as required to continue processing applications.
• Assists patients and/or care providers, RNs, and social workers with self- pay patients.
• Assist in adding adult and newborn AR DHS Medicaid applications into OnBase. 
• Acts as a resource for Medicaid Enrollment team.
• Develops and maintains knowledge of Medicaid/UAMS policies and procedures, maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Medicare, EMTALA, HIPAA, and Joint Commission.
• Successfully completes annual competency tests and competency testing and training required to validate skills. 
• Interacts with and assists the public in a professional and friendly manner. 
• Demonstrates effective communication skills. Communicates accurate and complete information.
• Maintains strict confidentiality when necessary. Demonstrates positive working relationships with co-workers, management team, and ancillary departments.
• Follows the Core Concepts of Patient and Family Centered Care.
• Basic Code of Conduct Guidelines. 
• Assist internal and external stakeholders as needed with exceptional customer service.

Salary Information:

Commensurate with education and experience

Required Documents to Apply:

ResumeCover Letter/Letter of Application, Curriculum Vitae, Letters of Recommendation, License or Certificate (see special instructions for submission instructions), Proof of Veteran Status

Special Instructions to Applicants:

Please contact askrecruitment@uams.edu for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements:

No Background Check Required

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 

Constant Physical Activity:

Manipulate items with fingers, including keyboarding, Sitting

Frequent Physical Activity:

Hearing, Talking, Walking

Occasional Physical Activity:

Crouching, Kneeling, Reaching, Standing, Stooping

Benefits Eligible:

Yes