Job Description

Job Title: Corporate Compliance Analyst
Job ID: 57892462
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Corporate Compliance
Location: 5150 Centre Avenue, Pittsburgh PA 15232

Description

Purpose:
The compliance team with UPMC is searching for a Corporate Compliance Analyst to join their team!  Under the direction of the Compliance and Privacy Officer and the Compliance Manager, the Compliance Analyst is primarily responsible for supporting the mission and goals of the Office of Ethics and Compliance Department. They will be responsible for the assistance and support may include research and analysis of regulations, monitoring and compiling reports of compliance activity and behavior identified through compliance reporting mechanisms, and conducting investigations and audits in support of the various compliance programs. The Compliance Analyst is expected to contribute to the implementation and success of ongoing departmental goals as defined in the Annual Compliance Work-plan.

Responsibilities:
  • Assist in developing, maintaining and exhibiting departmental professionalism and reputation.
  • Assist in establishing and maintaining policies, procedures and tools to support compliance activities.
  • Assist in planning, developing and creating educational and training materials related to specific compliance topics.
  • Assist the Compliance and Privacy Officer and Compliance Manager on special projects, as assigned.
  • Assist with collection and monitoring of Compliance Watch results.
  • Assist with monitoring and reporting of conflict management plans.
  • Contribute to ongoing departmental goals.
  • Effectively communicate and support the values of UPMC to employees at all levels of the organization.
  • Extract and compile reimbursement data for regulatory analysis.
  • Facilitate and help analyze conflict of interest reporting.
  • Facilitate investigations, as assigned.
  • Help to enhance and maintain internal and external websites.
  • Monitor and report on Compliance Helpline (hotline), Exit Interviews, Conflict of Interest related matters and other miscellaneous compliance projects as assigned.
  • Oversees Compliance Analyst I staff, as required.
  • Perform chart reviews to assess compliance with coding and billing regulations.
  • Possess understanding of health care terminology and industry risk.

Qualifications

  • Bachelors degree and two years of compliance related health care experience
    • OR Graduate of an approved coding program and eight years of compliance related health care experience
    • OR High School graduate or equivalent, coding certification from a recognized accrediting organization such as HCCA (Health Care Compliance Association), AHIMA (American Health Information Management Association), AAPC (American Academy of Professional Coders), and eight years of compliance related health care experience. 
  • Computer skills (MicroSoft Office products) required.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $20.30 to $33.86 / hour

Union Position: No

Apply Current Employee?

UPMC VALUES

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


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