Compliance Associate Director (Research) - Research Billing Compliance - Patient Financial Services

University of Iowa Health Care’s department of Patient Financial Services is seeking a Compliance Associate Director (AD) within Research. This role develops, implements, and directs programs to ensure institutional compliance with federal and state Research Billing regulations, and to ensure institutional compliance with the University of Iowa (UI) Health Care Conflict of Interest Policy.

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Inhouse/Zoom) from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

University of Iowa Health Care — recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®

WE CARE Core Values:

• Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education.

• Excellence - We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.

• Collaboration - We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork—guided by compassion—is the best way to work.

• Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur.

• Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community.

• Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Position Responsibilities:

• Define, develop and recommend goals and objectives of the UI Health Care Research Billing Compliance Program.

• Develop criteria for audits related to research billing programs.  Investigate potential violations of research billing compliance laws and regulations at UI Health Care.  Monitor changing Medicare clinical trials billing regulations and other federal legislations related to research protocols.

• Serve as institutional resource for faculty, staff, departmental executive officers, UI Health Care executive leadership, principal investigators and research staff related to billing within research studies.

• Monitor and identify daily operations at UI Health Care that may create research billing compliance and/or financial risk or vulnerabilities; develop policies and operational guidelines to avoid risk and noncompliance with regulations and policies.  Develop and oversee daily operations and workflows in the Epic system regarding billing for patients enrolled in clinical trials; continually monitor high dollar Epic work queues for compliance with criteria set by UI Health Care senior leadership.

• Serve as official liaison to outside agencies, organizations and individuals for the Research Billing Compliance Program policies and procedures. Prepare reports and presentations on both programs to executive leadership and outside constituents as directed.

• Develop, plan and oversee policies and procedures to effectively implement objectives of the UI Health Care Research Billing Compliance Program in order to ensure compliance with federal, state and other third-party clinical trial billing regulations.

• In consultation with senior leadership and other units/orgs, create new policies and develop new workflows to remain current with regulatory and internal changes and systems.

• Perform regular evaluation of Research Billing Compliance Program services based upon defined objectives.  Direct quality assessment review of the program as needed.

• Review patient billing accounts and insurance claims for proper ICD-10 and HCPCS coding related to clinical trials billing; advise UI Health Care coders on coding and claims requirements for clinical trials billing.

• Develop and present educational programs and written materials on research billing compliance; oversee development of educational materials by other staff.  Coordinate the communication of research billing compliance policies and procedures to faculty, staff, and UI Health Care researchers to ensure compliance with federal and state billing regulations.

• Responsible for oversight of Research Billing Compliance staff, including interviewing, selection, training, monitoring job performance, annual evaluation, salary determination, promotion and disciplinary action.  Continually evaluate staffing requirements to optimize program operations. Schedule and delegate work to Research Billing Program staff. Assign priority projects as required to meet deadlines.

• Assist in preparation of departmental budgets.  Monitor Research Billing Compliance Program allocations and expenditures.

• Create, maintain and monitor UI Health Care websites for the Research Billing Compliance Program.

• Serve on internal and external committees and task forces as assigned.

Classification Title: Compliance Associate Director (AD)

Department: Patient Financial Services (Research)

Percent of Time: 100%

Schedule:

Pay Grade: 6B

Location: Hospital Support Services Building (HSSB) located in Coralville, IA

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Inhouse/Zoom) from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Equipment:

• Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet.

• Hybrid – while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR.  The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.

• Remote - when working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR.  The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.