Job Details

Compliance Specialist

Position Number: 6226112
Location: Salt Lake City, UT
Position Type: Assessment, Accreditation, and Compliance

Compliance Specialist

Job Summary

Provides compliance related coding reviews and auditing of faculty and physician documentation. The position will utilize coding knowledge to abstract, record and audit data from medical records. Provides support to areas related to documentation, regulatory education and auditing.

Responsibilities
1. Locates and compiles required medical documentation from a variety of different sources, ensuring completeness and accuracy in preparation for pre-audit meetings.
2. Audits and reviews UBs and 1500s against provider and facility documentation to ensure compliance with University, state and federal guidelines.
3. Reconciles clinic or provider visits and reports to the assigned Compliance Officer missing, incomplete or inconsistent documentation.
4. Interacts with and provides auditing feedback to providers, hospital staff and clinic managers on billing related issues.
5. Researches, maintains current knowledge, and interprets state and federal regulations regarding payments in health care to audit claims correctly.

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

Special Instructions

Requisition Number: PRN41889B
Full Time or Part Time? Full Time
Work Schedule Summary: Hybrid weekday schedule.
Department: 01663 - COMPLIANCE SERVICES
Location: Campus
Pay Rate Range: $39,300 - $55,000
Close Date: 8/13/2025
Open Until Filled:

To apply, visit https://utah.peopleadmin.com/postings/182442