Advertised Summary Job Description: Reporting to the Department Administrator and Office of Billing Compliance, with accountability to the Department Compliance Leaders, the Compliance Officer is responsible for the direct oversight of all billing compliance activities within the Department of Emergency Medicine, and provides continuing compliance education to all members of the Department of Emergency Medicine. The Regulatory Compliance Officer will manage and administer all regulatory programs in the clinical and research divisions of the Department.
PRINCIPAL RESPONSIBILITIES - Implement the application of all Columbia University compliance guidelines, regulations, policies and recommendations within the department. - Direct the application of The University's and The Department's compliance plans. Revise the departmental compliance plan annually. - Develop department specific compliance educational programs focused on the department's documentation, coding, and billing processes. - Coordinate the departmental pre-billing review process. - Randomize quality control transaction reviews to assure adherence to documentation standards. - Monitor the quality of the pre-billing transaction reviews. - Prepare and disseminate compliance information to all departmental staff and faculty. - Develop and maintain departmental compliance log reporting all compliance concerns and corrective action towards resolution. - Submit compliance log monthly to the Health Sciences Office for Billing Compliance, with major concerns reported immediately. - Develop monthly analytic reports based on the compliance activities within the department. - Work with Billing Supervisor on post-payment transaction reviews. - Provide general oversight of all billing activities, as they relate to compliance, within the department. - Develop methodology, implement, and monitor research related billing activities within the department. - Assist with all other assignments and related responsibilities as assigned.
General Minimum Qualifications: Requires a bachelor's degree or equivalent in education and experience, plus four years of related experience.
Must hold a current CPC certification.
Comprehensive knowledge of CPT code and ICD-10.
Additional Specific Minimum Qualifications: Knowledge of relevant policies and procedures and applicable local, state, federal, agency regulations.
Ability to work under pressure with multiple and competing deadlines required.
Must be highly organized, with excellent communication and follow through skills.
Must have proven record of ability to work as part of a team, with administrative, clinical, research, and financial staff.
Preferred Qualifications: Knowledge of Microsoft Office Suite, and web-based database applications preferred.
As a member of the National Collegiate Athletic Association (NCAA) and the Council of Ivy Group Presidents (Ivy League), it is imperative that members of the Columbia University community, in all matters related to the intercollegiate athletics program, exhibit the highest professional standards and ethical behavior with regard to adherence to NCAA, Conference, University, and Department of Intercollegiate Athletics and Physical Education rules and regulations.
Columbia University is an Equal Opportunity/Affirmative Action employer.
Internal Number: 126_170360
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.