-
Compliance Analyst II
Found in: Lensa US 4 C2 - 2 days ago
University of Rochester Rochester, United StatesGENERAL PURPOSE: · Oversees and supports a portfolio of clinical specialties as assigned by Director of Compliance through review, analysis, communication and training activities. Determines compliance with billing policies and procedures including government regulatory requireme ...
-
Compliance Analyst I
Found in: beBee S2 US - 2 days ago
University of Rochester Rochester, United States Full timeCompliance Analyst I - Remote Hybrid Opportunity · Job ID251882 · Location · Strong Memorial Hospital · Full/Part TimeFull-Time · Regular/TemporaryRegular · Full Time 40 hours Range URG 107 Patient Financial Services · Responsibilities · Position Summary: · This position oversees ...
-
Senior Compliance
Found in: Lensa US 4 C2 - 2 days ago
GreaterROC Rochester, United StatesThe expected rate of pay for this position is shown above. · Compensation offers are based on a wide range of factors including relevant skills, training, experience, education and, where applicable, licenses or certifications obtained. · Market and organizational factors are a ...
-
Senior Benefit Analyst
Found in: Lensa US 4 C2 - 1 day ago
Insero Talent Solutions Rochester, United StatesInsero Talent Solutions is recruiting a Senior Benefits Analyst for a fast growing utilities company in Rochester, NY. · JOB SUMMARY: Under supervision, the Senior Benefits Analyst will collect, compile, and analyze HR data, metrics, and statistics to employee benefits and leave. ...
-
Payroll Tax Analyst
Found in: Lensa US 4 C2 - 4 days ago
Georgia IT Inc Rochester, United StatesPayroll Tax Analyst · Location: Remote · Duration: 6 months · * *Responsibilities for payroll tax analyst* · Audit employee data, tax set ups, requests, and escalations · Review and take appropriate action with notifications received from taxing jurisdictions · Prepares week ...
-
Budget Analyst
Found in: Lensa US 4 C2 - 4 days ago
Action Rochester, United StatesJob Vacancy · Program: Finance Department · Location: 400 West Avenue · Position: Budget Analyst · Hours: 37.5 hours per week · Salary Range: $44,959 - $58,446 annually · Grade 8 · Summary of Responsibilities: · Under the direction of the Director of Budgets & Contracts, ...
-
Hotel Revenue Management Analyst
Found in: Lensa US 4 C2 - 2 days ago
Hotel Resource Rochester, United States**Hospitality - Hotel** · **Hotel Revenue Management Analyst** · Hotel Revenue Management Analyst DelMonte Hotel Group Rochester NY · **Hotel Revenue Management Analyst** · **Company:** · DelMonte Hotel Group · **Location:** · 909 Linden Avenue · 14625 · US · **Category:** · Hosp ...
-
Hotel Revenue Management Analyst
Found in: Lensa US 4 C2 - 1 day ago
Hotel Resource Rochester, United States**Hospitality - Hotel** · **Hotel Revenue Management Analyst** · Hotel Revenue Management Analyst DelMonte Hotel Group Rochester NY · **Hotel Revenue Management Analyst** · **Company:** · DelMonte Hotel Group · **Location:** · 909 Linden Avenue · 14625 · US · **Category ...
-
Risk Adjustment Analyst I/II/III/IV
Found in: Lensa US 4 C2 - 2 days ago
Univera Healthcare Rochester, United States** Risk Adjustment Analyst I/II/III/IV ** · **Job Category****:** Non Manager **Requisition Number****:** RISKA006549 Showing 1 location The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with ...
-
Compensation Analyst
Found in: Lensa US 4 C2 - 2 days ago
Gorbel Rochester, United StatesGorbel's mission is simple: We improve people's lives. · That mission guides everything we do, from the products and service we provide to our outside customers to the work environment we foster for our employees. We are a manufacturer of material handling and fall protection pr ...
-
Sr Revenue Cycle Analyst
Found in: Lensa US 4 C2 - 1 day ago
University of Rochester Rochester, United StatesResponsibilities · **Job Summary:** · In direct support of the URMC United Business Office (UBO), this position will serve as a Senior-Level resource for data analysis within the United Business Office to identify and prevent recurrence of issues that can cause revenue leakage. T ...
-
Financial Analyst, Monroe County OMH
Found in: Lensa US 4 C2 - 2 days ago
CCSI Rochester, United StatesFinancial Analyst, Monroe County OMH · Rochester, NY ) · • Monroe County Office of Mental Health · Job Type · Full-time · Description · Financial Analyst · Monroe County Office of Mental Health · Rochester, NY Hybrid (3 days in office/week) · FULL-TIME Nonexempt : 40 hours per w ...
-
Analyst - Joint Use of Plant
Found in: Lensa US 4 C2 - 3 days ago
Iberdrola Rochester, United StatesJob Title: Analyst - Joint Use of PlantReports To: Supervisor - Joint Use of PlantLocation: 3 City Center - 180 S. Clinton Avenue, 5th Floor Rochester, NY 14607Company: Rochester Gas & ElectricBusiness Area: Joint Use of Plant - NY - 2The base salary range for this position is $6 ...
-
Tax Analyst
Found in: Lensa US 4 C2 - 2 days ago
GreaterROC Rochester, United StatesAs a Tax Analyst at our Wegmans corporate offices, you will support all aspects of corporate tax, for all jurisdictions in which Wegmans operates. This role provides the tax analysis, reporting, and project coordination to ensure compliance with applicable tax laws. · What will I ...
-
Senior Benefits Analyst
Found in: Lensa US 4 C2 - 3 days ago
Lewis Tree Rochester, United StatesThe Senior Benefits Analyst will collect, compile, and analyze HR data, metrics, and statistics for employee benefits and leave administration. Train new staff and current staff on policies, procedures, and all human resource and benefit systems.We Offer...Specialized paid traini ...
-
Financial Analyst, SMH
Found in: Lensa US 4 C2 - 5 days ago
University of Rochester Rochester, United StatesGENERAL PURPOSE: · The Financial Analyst II will conduct specialized and complex analysis of financial data for both Strong Memorial and Highland Hospitals in support of Hospital Finance functions. Responsible for providing senior management with the analysis and information they ...
-
Senior Benefits Analyst
Found in: Lensa US 4 C2 - 2 days ago
Lewis Tree Rochester, United StatesThe Senior Benefits Analyst will collect, compile, and analyze HR data, metrics, and statistics for employee benefits and leave administration. Train new staff and current staff on policies, procedures, and all human resource and benefit systems. · We Offer... · Specialized pai ...
-
Sr. Oracle DBA
Found in: Appcast Linkedin GBL C2 - 1 day ago
LaBella Associates Rochester, United StatesLaBella Associates was established in 1978 and is a certified Great Place To Work. We are headquartered in Rochester, NY with offices across New York, Ohio, Pennsylvania, Connecticut, Maine, Virginia, North and South Carolina, and Madrid, Spain. LaBella is a multi-disciplined arc ...
-
Analyst-Campus Store/SSC
Found in: Lensa US 4 C2 - 1 day ago
Penn Foster Inc Rochester, United StatesAnalyst-Campus Store/SSC · 7656BR · Finance & Administration · Partnerships - SSC · Detailed Job Description · General Summary: The Analyst will have primary responsibility for the RIT Campus Store and the Book Store of the Future (Campus Store) reporting, and will assist in the ...
-
Analyst Programmer Senior, Academic IT
Found in: Lensa US 4 C2 - 1 day ago
University of Rochester Rochester, United StatesResponsibilitiesGeneral Purpose:Responsible for the conceptual design, creation, delivery, and support of applications that facilitate the strategic direction of the School of Medicine and Dentistry. Plans, designs, interprets requirements, programs, tests, trains, and collaborat ...
Compliance Analyst II - Rochester, United States - University of Rochester
Description
Compliance Analyst II
Job ID252094
Location
Health Sciences
Full/Part TimeFull-Time
Regular/TemporaryRegula
Full Time 40 hours Grade 053 Compliance Office
Schedule
8 AM-4:30 PM
Responsibilities
GENERAL PURPOSE:
Oversees and supports a portfolio of clinical specialties as assigned by Director of Compliance through review, analysis, communication and training activities. Determines compliance with billing policies and procedures including government regulatory requirements to ensure applicable laws are followed. Develops and disseminates comprehensive resources, education and training programs to support compliance and operational policies and procedures.
SPECIFIC RESPONSIBILITIES:
Analyzes data to identify potential risk areas. Performs internal reviews and audits of professional and facility billing to determine compliance with applicable policies and procedures. Conducts in-depth reviews of medical record chart documentation to ensure compliance with CMS Guidelines. Ensures chart documentation supports the selected billing code and level.
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 Medical Center Compliance policies.
Responds to individual/departmental concerns 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 Director of Compliance Audit.
Creates and provides presentations to educate and train faculty, residents and staff on reimbursement, fraud and abuse and other healthcare related compliance issues and Medicare and Medicaid requirements. Acts as a resource on billing, coding and complex reimbursement issues to Medical Center personnel on a daily basis.
Assists in due diligence activities related to physician practice and provider acquisitions as directed by the Director of Compliance and/or Office of Counsel. Generates timely, concise, and coherent due diligence reports.
Participates in special projects and investigations as directed by the Chief Compliance Officer, Director of Compliance, and/or Office of Counsel. Assists in responding to external audits, government investigations, and litigation.
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
REQUIREMENTS:
Bachelor's degree in related field required;
3-5 years of relevant experience required;
or an equivalent combination of education and compliance/coding/consulting experience required.
5 years' experience in a direct or indirect healthcare compliance or privacy role in an integrated health system or a component of such preferred.
Prior compliance program experience in an Academic Medical Center or other complex setting preferred.
Strong communication, interpersonal, and public speaking skills required;
Ability to efficiently produce clear, concise, and complete written audit reports required.
Excellent analytical, organizational, and problem-solving skills required.
Ability to lead and manage complex projects and effectively manage staff in a motivational and positive manner.
Willingness to collaborate with others and to work as part of a team required.
Ability to maintain high discretion and confidentiality with sensitive information required.
Experience creating, editing, and manipulating data and documents using Microsoft Office preferred.
Ability to effectively use privacy and compliance monitoring and documentation systems preferred.
Prior experience with project management preferred.
Prior experience with APG, APC, and/or DRG coding methodologies preferred.
Prior experience with professional billing in specialty areas preferred.
AHIMA certification as Registered Health Information Technician (RHIT) or AAPC Certification as a Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), or Certified Professional Compliance Officer and/or CHC Certification in Healthcare Compliance (CHC) or as a Certified Compliance and Ethics Professional or equivalent professional certification preferred.
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion 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 status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range: $62,525 - $93,766 Annually
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.