Compliance Specialist

UtahPresents; Salt Lake City (UT); On-site; USD 39,000 - 55,000; Full time

Job summary

A leading healthcare institution is seeking a Compliance Specialist to perform coding reviews and audits of documentation. This full-time role involves ensuring compliance with guidelines and providing feedback to staff. The ideal candidate will have a Bachelor's degree and experience in a compliance office, along with strong communication skills. A hybrid work schedule is offered, providing flexibility while meeting the needs of the organization.

Qualifications

• 2 years working experience in a compliance office.
• Knowledge of clinical documentation requirements.

Responsibilities

• Audits and reviews documentation for compliance.
• Researches and interprets regulations regarding payments.

Skills

Communication

Human Relations

Education

Bachelor’s degree in Health Care Administration

Tools

Microsoft Word

Excel

Powerchart

EPIC

Job description

Details

Open Date 05/13/2025

Requisition Number PRN41889B

Job Title Compliance Specialist

Working Title Compliance Specialist

Job Grade E

FLSA Code Administrative

Patient Sensitive Job Code? No

Standard Hours per Week 40

Full Time or Part Time? Full Time

Shift Day

Work Schedule Summary

Hybrid weekday schedule.

VP Area U of U Health - Academics

Department 01663 - COMPLIANCE SERVICES

Location Campus

City Salt Lake City, UT

Type of Recruitment External Posting

Pay Rate Range $39,300 - $55,000

Close Date 08/13/2025

Priority Review Date (Note - Posting may close at any time)

Job Summary

Provides compliance related coding reviews and auditing of faculty and physician documentation. The position will utilize coding knowledge to abstract, record and audit data from medical records. Provides support to areas related to documentation, regulatory education and auditing.

Responsibilities

1. Locates and compiles required medical documentation from a variety of different sources, ensuring completeness and accuracy in preparation for pre-audit meetings.

2. Audits and reviews UBs and 1500s against provider and facility documentation to ensure compliance with University, state and federal guidelines.

3. Reconciles clinic or provider visits and reports to the assigned Compliance Officer missing, incomplete or inconsistent documentation.

4. Interacts with and provides auditing feedback to providers, hospital staff and clinic managers on billing related issues.

5. Researches, maintains current knowledge, and interprets state and federal regulations regarding payments in health care to audit claims correctly.

Minimum Qualifications

Bachelor’s degree in Health Care Administration, Business Administration or a related field or equivalency (one year of education can be substituted for two years of related work experience); plus 2 years working experience with one of those years working in a compliance office. American Health Information Management ( AHIMA ) or American Academy of Professional Coders ( AAPC ) recognized certification such as: Certified Professional Coder ( CPC ), Certified Professional Coder-Hospital ( CPC -H) or a specific certification preferred by the Department.

Basic knowledge of clinical documentation requirements related to regulatory and reimbursement rules, the Medicare system and proficiency with computer software such as Microsoft Word and Excel; demonstrated human relations and effective communication skills also required.

Experience with University of Utah computer systems such as: Powerchart, Allegra, IDX , IDXRAD , Corporate Radar, Cognos, EPIC and ORMIS are highly preferred.

This position is not responsible for providing patient care.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferences

Type Benefited Staff

Special Instructions Summary

Additional Information

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at [phone] for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at [phone] or [phone] or University Human Resource Management at [phone] if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.

All qualified individuals are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/

Online reports may be submitted at oeo.utah.edu

https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.