Billing Compliance Educator & LMS Training Specialist

UF Health; Jacksonville (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

The University of Florida Health in Jacksonville seeks a Billing Compliance Education Specialist to develop and implement educational programs on billing compliance.

This role involves creating training materials, conducting sessions, and collaborating with various teams on compliance requirements. A strong background in medical billing and coding, along with excellent communication skills, is essential. The position requires at least five years of relevant experience and proficiency in LMS environments.

Qualifications

• Experience with LMS environments and eLearning authoring.
• Five years of medical billing experience including coding and terminology.
• Excellent written and verbal communication skills.

Responsibilities

• Oversees creation of billing compliance education materials.
• Conducts training sessions on compliance audits.
• Collaborates with teams to improve documentation requirements.

Skills

Medical billing

Coding

Adult training

Microsoft Office

Interpersonal skills

Education

High School Diploma or GED equivalent

Bachelor's degree

Tools

Learning Management Systems (LMS)

eLearning authoring software

Job description

Overview

JOB DUTIES

The Billing Compliance Education Specialist oversees creation and implementation of documentation, coding, and billing compliance education for physicians, advanced practice professionals, residents, fellows, post-doctoral associates, medical students, and staff in accordance with the UF College of Medicine – Jacksonville Billing Compliance Plan. Education will be delivered by way the organization's learning management system via E-learning authoring software and in-person.

Responsibilities

ESSENTIAL FUNCTIONS

• Collaborates with the Director of Physician Billing ComplianceServices to design and publish (by way of E-learningauthoring software) documentation, coding, billing, andcompliance educational materials and tests for use in annualmandatory compliance education, new provider education,
and remedial education delivered to providers (physicians,advanced practice professionals, residents, fellows, postdoctoralassociates, and medical students) as well asbilling/coding staff. Ensures that all online educational/trainingmaterial is revised or updated as soon as possible after coding/payer/regulatory changes are made. Determinestraining objectives of future online educationalinitiatives/courses and in-services.

•Delivers one-on-one or in-person education when requestedand available. One-on-one training may require travelthroughout the UF Health network.
• Assists practice plan administrators in resolving specificeducational or training problems and in disseminatinginformation in regard to federal and state regulationspertaining to billing compliance.
• Collaborates with the Physician Billing Compliance Servicesauditing team by conducting one-on-one educational sessionswith providers and/or billing/coding staff on remedialeducation needs identified in billing compliance audits.
• Responds to email inquiries from medical departments,Revenue Cycle, and Patient Accounting and Collections withofficial/authoritative citations supporting the advice given.Records inquiries and responses in the investigative casemanagement system (Case IQ).
• Oversees continuing education on existing documentation,coding, and billing compliance concepts
• Analyzes adverse billing compliance audit results and createsabbreviated and targeted remedial educational courses in theLearning Management System which are designed toimprove audit outcomes
• Collaborates with the Professional Billing ClinicalDocumentation Improvement team to create educationalmaterial that clarifies documentation and billing requirements
• Creates/maintains the official UFJPI E/M Coding Tools usedby UF COM—JAX providers and UFJPI staff to assigncodes/levels for E/M visit services correctly.

Qualifications

ExperienceRequirements
Experience with LMS environments and eLearning authoring.
Five (5) years of medical billing/claims experience including coding, medical terminology, and
third-party reimbursement.
Experience in adult training environment.
Excellent written, verbal, and interpersonal skills and commitment to customer service.
Computer literate with proficiency in Microsoft Office
Required Licensure/Certifications — Certified Professional Coder (CPC or CCS-P)
Education

High School Diploma or GED equivalent – Required
Bachelors - Preferred
Additional Duties Additional duties as assigned may vary.

UFJPI is an Equal Opportunity Employer and Drug Free Workplace