YM Compliance Educator

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Overview

The YM Compliance Educator will manage the development and completion of compliance education related to identified risks related to internal and external auditing activities. Education will also focus on federal, state and other payer changes in coding, documentation and billing requirements. They will work to increase and strengthen Yale Medicine providers' awareness and understanding of medical record documentation guidelines and coding principles. The Role serves as a role model for ethical management behavior and promotes an awareness and understanding of the Yale Medicine Compliance Program. They will assist in assessing risk and developing an auditing plan to support the overall compliance plan.

Required Skills and Abilities

1. Thorough understanding of anatomy, medical terminology, and coding with demonstrated experience in provider coding (CPT and ICD-9/ICD-10) and licensure as a Certified Professional Coder (CPC).
2. Extensive knowledge of healthcare management in terms of financial and billing concepts, particularly Medicare billing guidelines.
3. Knowledge of health care reimbursement and managed care issues.
4. Proficiency in Microsoft Word and Excel; preferred experience with EPIC, MD Audit, and ComplyTrack software.
5. Demonstrated ability to develop and conduct comprehensive training programs.

Preferred Skills and Abilities

1. Certified in Healthcare Compliance (CHC) and a Registered Nurse (RN) preferred.
2. Proven experience in training and education in a healthcare compliance context.

Principal Responsibilities

Required Education and Experience

Bachelor’s Degree in related field and 5 years of experience or an equivalent combination of education and related experience.

Required License(s) or Certification(s)

LICENSURE  CPC is required.

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Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through  their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.