University of Utah · 1 day ago
Compliance Specialist - Hybrid/Remote
Salt Lake City, UT
Full-time
Hybrid
Entry, Mid Level
$39K/yr - $55K/yr
2+ years expUniversity of Utah is seeking a Compliance Specialist to provide compliance related coding reviews and auditing of faculty and physician documentation. The role involves auditing medical records, ensuring compliance with regulations, and providing feedback to healthcare providers and staff.
Higher Education
Responsibilities
Locates and compiles required medical documentation from a variety of different sources, ensuring completeness and accuracy in preparation for pre-audit meetings
Audits and reviews UBs and 1500s against provider and facility documentation to ensure compliance with University, state and federal guidelines
Reconciles clinic or provider visits and reports to the assigned Compliance Officer missing, incomplete or inconsistent documentation
Interacts with and provides auditing feedback to providers, hospital staff and clinic managers on billing related issues
Researches, maintains current knowledge, and interprets state and federal regulations regarding payments in health care to audit claims correctly
Qualification
Required
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
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description
Preferred
Experience with University of Utah computer systems such as: Powerchart, Allegra, IDX, IDXRAD, Corporate Radar, Cognos, EPIC and ORMIS are highly preferred
Company
University of Utah
The University of Utah, located in Salt Lake City in the foothills of the Wasatch Mountains, is the flagship institution of higher learning in Utah.
10001+ employees
H1B Sponsorship
University of Utah has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (216)
2024 (189)
2023 (201)
2022 (175)
2021 (156)
2020 (174)
Funding
Current Stage
Late StageLeadership Team
Allison Nicholson
Special Assistant to CFO
Bruce Hunter
Interim Chief Innovation and Economic Engagement Officer
Recent News
National Institutes of Health (NIH)
2023-06-27
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