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Job Description
Education/Training Spec II - Physician Billing Compliance University of Florida - 4.2 Gainesville, FL Job Details Full-time $65,000 - $75,000 a year 1 day ago Benefits Paid holidays Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance Loan forgiveness Qualifications Database maintenance Medicare Medical law Overseeing educational regulatory compliance Presentation software Audit report preparation Provider database maintenance for medical credentialing Health education for healthcare providers Program development Job-specific skills training (staff training program) CMS Online learning activities Healthcare documentation compliance audits Clinical staff development programs Implementing healthcare compliance training programs Mid-level Windows Healthcare regulatory compliance investigations Orientation and onboarding programs (healthcare teaching and curriculum development) Audit Reporting CMS regulatory compliance Employee data management Clinical staff training Presentation skills Bachelor's degree Health insurance knowledge Data management Medicare regulations Healthcare provider information Audit risk assessments
Full Job Description JOB NO:
540240
WORK TYPE:
Staff Full-Time
LOCATION
Main Campus (Gainesville, FL)
CATEGORIES
Health Care Administration/Support
DEPARTMENT
29011800 - MD-PHYSICIAN
BILL COMPLIANCE CLASSIFICATION TITLE
Education/Training Spec
II CLASSIFICATION MINIMUM REQUIREMENTS
Bachelor's degree in an appropriate area and four years of relevant experience; or an equivalent combination of education and experience.
JOB DESCRIPTION
The Compliance Education & Training Specialist provides education & training to providers and non-providers and shares efforts/responsibility for planning, teaching, evaluating, and developing Physician, Non-physician practitioner, and staff education for the Office of Physician Billing Compliance, College of Medicine (COM-PBC). Includes on-line educational modules that meet the requirements of the College Compliance Plan. Emphasis on regulations concerning documentation requirements for state and federal payors (includes Medicare and Florida Medicaid). Instructs both staff and physicians in coding requirements. Performs federally required searches for ineligible/sanctioned persons. Performs federally required searches for ineligible/sanctioned persons. This position reports directly to the Physician Billing Compliance Director. About this Role Provides education to providers (physicians, advanced practice registered nurses (APRNs), and physician assistants (PAs)) regarding documentation, reimbursement, and compliance and provides technical assistance and educational materials for both annual general update, and new provider education. Compiles specialty specific packets as appropriate. (Coding credential necessary for this function.) Assists in routine, new provider follow up audits, downstream audits, special investigations, as well as external requested reviews. Tracks educational activities of the Office of Physician Billing Compliance, including the updated list of providers and staff with date educated. Enters information into the Compliance educational database. As part of the Education and Training team, responsible for coordinating with online developers, maintenance of database, coordinating with departmental administrators to ensure that all personnel in College and Faculty Group Practice are identified and that the list is current, and notifying departmental contacts of those who have not completed required education by deadline.
Note:
This position is responsible for tracking clinical personnel required to meet educational requirements, and track those employed by the College, but have been exempted as non-clinical personnel. This takes extensive coordination and interaction with department administrators - more than 6,000 individuals completed annual update training in 2020. Assists in conduct of regular compliance education and coding classes, including the weekly new employee orientation (non-provider). (Credentialed coder necessary for this function.) Conducts searches for sanctioned persons in federal databases in accordance with federal requirements and maintains databases to demonstrate University efforts. Employment of a federally sanctioned person is a violation of federal law. Assists in review of Encounter forms and templates. Coordinates the Compliance awareness month with Shands Compliance Team. Assists college administrators in resolving specific educational or training problems and in disseminating information in regard to federal and state regulations and UF Health and College policies. Assists the Compliance Audit Specialists (Auditors), when needed, by conducting one-on-one educational sessions with physicians, APRNs, and PAs on both initial training, and/or follow-up education. This requires a credentialed coder (in consideration of risk to University for failure in either appearance or in fact to distribute accurate information on the complex rules of federal and state regulations regarding reimbursement for physician services.) Assists in planning process, may participate in information gathering, meetings, compilation of work papers, monitoring provider billing services, compilation of findings. Contributes to the assessment of risks and compilation of audit narrative describing systems and internal controls. Develops and stays up to date on understanding of the operations, system processes, and procedures used in the areas being audited. About the College of Medicine The University of Florida's College of Medicine is committed to advancing health through education, research, and patient care. With a focus on innovation and excellence, the college prepares future healthcare leaders through a rigorous curriculum that combines basic sciences with hands-on clinical experience. The College of Medicine emphasizes interdisciplinary collaboration and community engagement, fostering and environment where students, faculty, and staff work together to improve healthcare outcomes. The College is home to cutting-edge research initiatives and state-of-the-art facilities, providing an exceptional training ground for aspiring medical professionals. Dedicated to enhancing health care, the College of Medicine plays an impactful role in shaping the future of medicine. For more information about the College of Medicine and its programs, visit College of Medicine.
We Offer Exceptional Benefits Low-cost State Health Plans :
Medical, Dental, and Vision Insurance Life and Disability Insurance Generous Retirement Options to secure your future Comprehensive Paid Time Off Packages with 10+ paid holidays, paid family, sick and vacation leave
Exceptional Personal and Professional Development Opportunities :
Access to UF Training & Organizational Development programs, leadership development, LinkedIn Learning, and more Tuition Assistance through the UF Employee Education Program Public Service Loan Forgiveness (PSLF) Eligible Employer Learn more about what we have to offer here!
EXPECTED SALARY
$65,000 - $75,000 annually; commensurate with education and experience.
REQUIRED QUALIFICATIONS
Bachelor's degree in an appropriate area and four years of relevant experience, or an equivalent combination of education and experience.
PREFERRED
The ideal candidate will possess: Previous compliance auditing experience Experience and comfortability presenting education information to providers in a large setting and one-on-one Experience with Medicare, Medicaid, and Tricare/Champus regulations pertaining to billing and reimbursement 6 or more years of billing/coding experience Certified in Healthcare Compliance (CHC) Proficiency with medical terminology. Proficiency with procedural coding (including Level II HCPCs) and diagnosis coding. Proficiency with Evaluation and Management guidelines and CMS Teaching Physician regulations. Experience with PowerPoint and Access in a Windows environment. Experience with management information systems and medical software. Demonstrated ability to gather data, compile information, and prepare reports for auditing.
SPECIAL INSTRUCTIONS TO APPLICANTS
In order to be considered, you must upload your cover letter, resume, and contact information for three professional references. Application must be submitted by 11:55 p.m. (ET) of the posting end date.
