Senior Compliance Coordinator - Education and Special Projects
University of Iowa Health Care's Joint Office for Compliance (JOC) seeks a Senior Compliance Coordinator - Education and Special Project to develop and deliver educational material related to coding and documentation in accordance with internal policies and guidelines, federal rules and regulations, and other rules that govern correct coding. Additionally, this role assists in coding/billing policy and guideline creation and other special projects as needed.
Hybrid within Iowa: Following an onsite training period, this position is eligible for a combination of on-campus and remote work. Remote work must be performed within Iowa and will require a work arrangement form to be completed upon the start of your employment. 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
Position Responsibilities:
- Develop educational materials for coders, providers, administration, and other staff to assist in compliant coding and documentation.
- Develop and conduct educational sessions related to coding, documentation, and regulatory guidelines. Sessions may be individual, group, in person, or on demand.
- Serves as a resource to JOC auditors, Health Information Management, Professional Coding Division, non-centralized coders, clinical department administration, Patient Financial Services, Finance and Accounting, Information Systems, health care providers, and others.
- Develop coding and billing related policies and guidelines based on risk audit trends, coding changes, and federal rules and regulations.
- Review clinical policies, guidelines, and protocols as it pertains to appropriateness with coding and billing guidelines, medical necessity, and other regulatory requirements.
- Research, audit, and provide education related to non-core services such as DME, home health, hospice, and other compliance related topics.
- Perform or assist with auditing that may include ICD-10-CM/PCS, CPT/HCPCS coding, and DRG assignment.
- Assist Risk Audit and Investigation supervisors with unit quality checks.
- Maintain unit’s SOP documents.
Required:
- A Bachelor’s Degree in Health Information Management or related field, or equivalent combination of education and experience is required.
- Certification as RHIT, RHIA, CPC, or equivalent through a nationally recognized credentialing body such as AHIMA or AAPC.
- 2-5 years of coding experience (inpatient, outpatient, professional, hospital or a combination).
- Considerable knowledge of various coding systems used by hospitals and physicians including ICD-9-CM, ICD-10-CM/PCS, CPT, HCPCS.
- Excellent written and verbal and interpersonal communication skills.
- Proficient in computer software applications.
- Adaptability, creative problem solving, project management and organizational skills.
- Knowledge of team dynamics and skilled in building consensus. Ability to develop and maintain effective relationships with internal and external partners.
- Demonstrated experience working effectively in a welcoming and respectful workplace environment.
Desired:
- 1-3 years of experience in coding education and training
- Strong knowledge of compliance as it relates to a teaching environment.
- Knowledge of hospital inpatient, outpatient, and professional billing concepts which includes Medicare Severity Diagnosis Related Groups (MSDRG), Ambulatory Payment Classification (APC)/Ambulatory Patient Groups (APG), Resource Based Relative Value Scale (RBRV) and additional managed care and capitated arrangements.
- Experience with auditing, summarizing and discussing medical coding findings with providers.
- Knowledge of computer systems, such as coding encoders, Diagnosis Related Group (DRG) analyzers and computer-assisted coding.
- Knowledge of various payor billing requirements as well as billing rules and regulations for Medicare, Medicaid, and other federal payor plans.
- Knowledge of University policies, procedures, and regulations.
Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 14 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu.
This position is not eligible for University sponsorship for employment authorization.
Equal opportunity/affirmative action employer
The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, or associational preferences.
Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, (319) 335-2660 or fsds@uiowa.edu. For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543.
