| Job Description: |
The HSC RAC Administration Manager reports directly to the Physician Billing Compliance Director. The HSC RAC Administration Manager is responsible for managing the Physician Billing Compliance Department’s auditing staff and planning the Departmental auditing activities related to physician billing and coding, to ensure smooth operation and timely completion. This position is also responsible for completion and documentation of federally required educational effort for the College of Medicine as a whole.
The Manager will be heavily involved in the supervision and implementation of new audit tools and processes, and the modification of existing audit tools and processes for improvement. Provide daily management of staff and coordinates compliance activities to achieve work plan and departmental goals. The Manager works closely with the Director of Physician Billing Compliance to help promote and administer above mentioned Compliance missions for UFCOM.
About This Role
- Study compliance periodicals, list-serves, and governmental communications, and consult with the Director and COM General Counsel to ensure that instruction and guidance are accurately interpreted.
- Draft, coordinate on-line implementation, and monitor completion of on-line annual compliance update training modules for targeted audiences.
- Work to ensure all elements of an effective program are met through auditing and monitoring, training and education, policy development, maintaining open lines of communication, follow investigation protocols and respond to reported, suspected or confirmed non-compliant issues.
- Work to ensure federally required searches for ineligible/sanctioned persons, as well downstream audits.
- Work with Chairs, physicians and non-physician providers (APPs) to identify and correct issues associated with non-compliant billing.
- Provide one-on-one training for providers (physicians and non-physician providers) when the results of regular/follow-up/otherwise warranted indicate additional training in federal and state documentation requirements
- The aforementioned items one and two require specialty specific knowledge at a tertiary care center level: such training must be provided in a diplomatic and clear manner, and preparation of specialty specific guidance, templates, specific examples of from patient records essential.
- Work to ensure risk reduction and compliance with federal and state rules and regulations and organizational policies by providing compliance guidance to staff and leadership.
- Make regular compliance presentations to the COM onboarding orientations for Faculty, Regional Provider Network, and Staff.
- Conduct searches for sanctioned persons in federal databases in accordance with federal requirements, and maintains databases to demonstrate University efforts. Perform downstream audits to demonstrate the controls are in place and to ensure accuracy of the mentoring process.
- Responsible for the compliance website to update the regulatory as well the educational related materials.
- Assist college administrators to resolve specific educational or training problems and disseminate information in regard to federal and state regulations and College policy.
- Assist in review of Encounter forms, templates and coordinate the Compliance Awareness Month with Shands Compliance Team.
- Assist in planning process, information gathering, organizing meetings, monitoring provider billing services, and compilation of audit findings. Contribute to the assessment of risks and compilation of audit narratives describing systems and internal controls. Develop an 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 the health of community, the College of Medicine plays a pivotal 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: (includes over 10 paid holidays, as well as 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
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| Preferred: |
The ideal candidate will possess:
- Working knowledge of Medicare, Medicaid coding regulations. Experience in compliance, and Academic Health Center preferred.
- Strong leadership, interpersonal, and communication (oral and written) skills.
- Excellent communication skills required, including staff interaction, conflict resolution skills, dissemination of information, ability to interact with physicians and in management forums.
- Excellent organization and problem-solving skills required. The ability to multi-task, prioritize, problem solve and achieve successful outcomes and function effectively in a team environment are necessary attributes of the successful incumbent.
- Ability to understand and interpret complex regulatory requirements and apply them in an academic setting.
- Ability to work effectively through others and with others beyond giving and receiving instructions.
- Ability to perform under stress when confronted with emergency, critical, confrontational situations and have the adaptability to perform a variety of duties without loss of efficiency or composure.
- Proven ability to effectively and independently direct complex projects.
- Familiarity with compliance, auditing, and general investigatory procedures
- Program management and supervisory experience.
- Candidates with RN, LPN, RHIA, CPC, CCS or CHC are preferred.
- Proficient in Microsoft Access and Excel
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| 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.
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