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As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

175 Corporate Woods, Ste 225, Brighton, New York, United States of America, 14623

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

900017 Compliance Office

Work Shift:

UR - Day (United States of America)

Range:

UR URG 111

Compensation Range:

$63,815.00 - $95,723.00

_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._

Responsibilities:

GENERAL PURPOSE

Supports the Compliance Plan through review, analysis, communication and training activities. Determines compliance with billing and/or laboratory policies and procedures to ensure applicable laws are followed. Develops and disseminates comprehensive resources, education and training programs to support compliance and operational policies and procedures.

ESSENTIAL FUNCTIONS

+ Responds to individual/departmental concerns and reporting by conducting appropriate follow-up. Records initial inquiries and assesses appropriate course of action, conducts investigative work to assess the situation, formulates proposed resolutions, and discusses with necessary parties to determine corrective actions. Consults with the Compliance Director as necessary to review issues.

+ Creates and updates presentations to educate and train faculty, residents, and staff on compliance issues. Provides education to reduce the frequency of non-compliances and enhance staff’s ability to perform duties with a clear understanding of legal responsibilities and limitations. Conducts orientation presentations for staff, requested focused education presentations, and case specific presentations determined to be necessary. Answers questions arising and provides direction to those who require assistance from other departments.

+ Prepares and submits reports containing review findings. Identifies areas requiring change. Makes recommendations for corrective action and is accountable for appropriate follow-up. Assists in formulating, reviewing, and updating Compliance policies.

+ Performs internal reviews of clinical faculty billing to determine compliance with billing policies and procedures. Conducts in-depth reviews of medical record chart documentation to ensure compliance with HCFA Guidelines. Ensures chart documentation supports the designated billing level.

+ Maintains current knowledge of issues in the area of professional compliance issues through networking with counterparts at other teaching hospitals, review of literature, and participation in seminars and update programs.

Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

+ Bachelor's degree in related field and 3 years of compliance, coding and consulting experience required

+ Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Classes). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates for all persons consistent with our values and based on applicable law.

Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.

Learn. Discover. Heal. Create.

Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals

At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.