Compliance Analyst III, Professional Billing

UT Southwestern Medical Center; Dallas (TX); Hybrid; USD 95,000 - 125,000; Full time

Benefits offered by this job

PPO medical plan

Paid Time Off

Retirement Programs

Paid Parental Leave

Wellness programs

Tuition Reimbursement

Public Service Loan Forgiveness (PSLF)

Learn more about benefits

Job summary

UT Southwestern Medical Center in Dallas, TX seeks a Compliance Analyst III to conduct complex professional billing and coding audits, evaluate documentation, and ensure adherence to federal and state requirements. This role analyzes claims and reimbursement patterns to identify risks and potential overpayments, guiding corrective actions.

This hybrid position requires a Bachelor's degree in a related field and at least five years of compliance experience; two days per week in the office with

Qualifications

• Bachelor's Degree in business or healthcare administration, regulatory compliance, consulting, project management, or related area.
• 5 years of professional experience in a compliance-related field.
• Licenses and Certifications Compliance Certification (preferred).

Responsibilities

• Serves as team leader and project manager for complex assurance/effectiveness reviews and other department projects.
• Conducts complex assurance/effectiveness reviews of compliance activities per standards and policies.
• Evaluates effectiveness of compliance controls and adherence to university policies.
• Prepares compliance reports with supporting evidence and defends findings and recommendations.
• Assists in investigations of alleged breaches of policy or non-compliance.
• Maintains relationships with compliance personnel to achieve objectives.
• Develops and maintains education and training materials on compliance topics.
• Performs other duties as assigned.

Skills

Regulatory compliance

Project management

Education

Bachelor's Degree in business or healthcare administration, regulatory compliance, consulting, project management, or related area

Tools

Compliance tools

Job description

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

Job Summary

The Compliance Analyst III conducts complex professional billing and coding compliance audits and reviews, including evaluation of medical record documentation, coding, billing, modifiers, medical necessity, and other reimbursement requirements. Evaluate provider billing practices for compliance with applicable federal and state requirements, payer requirements, and institutional policies and procedures. Perform risk-based and targeted reviews involving higher-risk professional billing areas, including evaluation and management services, procedural services, teaching physician requirements, split/shared services, incident-to billing, modifiers, time-based services, and other specialty-specific billing requirements. Analyze claims, coding, reimbursement, and other data to identify trends, outliers, potential overpayments, and emerging compliance risks requiring further investigation or monitoring.

This position operates on a hybrid work schedule, with a minimum of two days per week in the office (Monday and Wednesday) and additional on-site attendance as business needs require.

Benefits

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

Required

EXPERIENCE AND EDUCATION

• Education Bachelor's Degree in business or healthcare administration, regulatory compliance, consulting, project management, or related area
• Experience 5 years of professional experience in a compliance-related field.

Preferred

• Licenses and Certifications Compliance Certification

Job Duties

• Serves as team leader and project manager while conducting complex assurance/effectiveness reviews or other department projects, including the establishment of goals, objectives, timelines and quality measures for the team's work and deliverables.
• Conducts complex assurance/effectiveness reviews of compliance activities in accordance with appropriate standards, metrics, established compliance plan(s) and prescribed departmental/unit/program policies.
• Evaluates effectiveness of compliance controls used by reviewed department/unit/program, as well as compliance with all applicable university policies and procedures.
• Prepares compliance reports and is capable of providing supporting evidence and defend the findings and recommendations made regarding identified compliance deficiencies or gaps.
• Assists in investigations of alleged breaches of policy, misconduct or other acts of non-compliance to determine the cause, extent of loss and mechanisms for prevention.
• Maintains effective working relationships with compliance personnel to achieve objectives of assurance-related assignments.
• Remains abreast of current developments in compliance.
• Develops and maintains compliance-related education and training materials and, when necessary, conducts training sessions on compliance-related topics.
• Performs other duties, as assigned.

SECURITY AND EEO STATEMENT

Security

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Primary Location

Texas-Dallas-5323 Harry Hines Blvd

Work Locations

5323 Harry Hines Blvd

Job

Professional & Executive

Organization

106000 - Office of Compliance

Schedule

Full-time

Shift

Day Job

Employee Status

Regular

Job Type

Standard

Job Posting

Sep 16, 2026, 2:54:34 AM