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Audit & Billing Compliance Specialist

University of Arkansas
life insurance, sick time
United States, Arkansas, Little Rock
2801 South University Avenue (Show on map)
Jan 15, 2025
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Closing Date:

02/14/2025 Type of Position:Professional Staff - Fiscal Affairs Job Type:Regular
Work Shift:
Day Shift (United States of America)

Sponsorship Available:

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 Hospital & Professional Coding Auditing

Department's Website:

Summary of Job Duties:The Audit & Billing Compliance Specialist, under the general direction of the Director of Clinical Billing Compliance, conducts internal monitoring and auditing functions on policies and procedures. Reviews medical records and billing system programs to determine procedure code and billing accuracy and ensures that all federal, state and UAMS guidelines for coding and billing are followed. Provides education and training to UAMS billing providers and staff in reference to audit results. Qualifications: Minimum Qualifications:
  • Bachelor's degree plus 3 years' experience in coding/auditing functions OR
  • High School diploma plus 7 years' experience in professional coding/auditing functions.
  • Must have one of the following CURRENT coding certifications: 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.

Preferred Qualifications:

  • Prefer degree in Health Information Management, Healthcare Administration, or related field
  • Prefer surgical coding experience or previous Evaluation and Management (E&M) code audit experience.
  • Prefer one of the following CURRENT coding certifications: Certified in Healthcare Compliance (CHC), Certified Professional Medical Auditor (CPMA) or Certified Evaluation and Management Coder (CEMC).

    Additional Information:

    Responsibilities:

    PROFESSIONAL CODING AUDITS
    • Manages the Compliance issues for assigned departments.
    • Conducts professional coding & billing audit/monitoring functions according to the audit plan schedule.
    • Reviews medical record documentation and billing system processes to determine the accuracy of the revenue cycle.
    • Serves as a contact for issues that arise within assigned programs, as resource for coding and billing questions, and reporting issues. This position works very independently and must have good decision-making skills.
    TRAINING AND DEVELOPMENT
    • Meets with billing providers to discuss areas of improvement in documentation for appropriate reimbursement.
    • Develops and presents educational in-service programs according to the audit plan schedule.
    • Maintains tracking program to ensure attendance at mandatory sessions.
    REQUIRED PROFESSIONAL PROFICENCIES
    • Keeps abreast of current trends, problems and activities relating to billing documentation and coding.
    • Proficient and keeps current with all COM/UAMS billing policies and procedures and applicable federal and state regulations.
    • Serves as a resource to assigned departments on current regulations and documentation issues.
    • Research issues and provides professional coding guidance.
    PERFORM SPECIAL AUDITS
    • Performs ad hoc audits and follow-up functions for areas of compliance concerns which may include external audits.
    DIVISION SUPPORT/COMMITMENT TO INSTITUTIONAL COMPLIANCE
    • Participates in special projects as assigned by the Senior Director of Clinical Billing Compliance and/or the Vice Chancellor for Institutional Compliance and other duties as assigned.

    Salary Information:

    Commensurate with education and experience.

    Required Documents to Apply:

    List of three Professional References (name, email, business title), Resume

    Optional Documents:

    Proof of Veteran Status Special Instructions to Applicants:Must have (current) one of the following coding certifications: CPC, CCS-P, or CCS

    Recruitment Contact Information:

    Please contact askrecruitment@uams.edufor any recruiting relatedquestions.

    All application materials must be uploaded to the University of Arkansas System Career Sitehttps://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:N/A, Talking, Walking Occasional Physical Activity:Crouching, Kneeling, N/A, Reaching, Standing, Stooping Benefits Eligible:Yes
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