ComplianceAnalystII

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. _**Job Location (Full Address):**_ 601 Elmwood Ave, Rochester, New York, United States of America, 14642 _**Opening:**_ Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900017 Compliance Office Work Shift: UR - Day (United States of America) Range: UR URG 111 Compensation Range: $63,815.00 - $95,723.00 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job 's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ _**Responsibilities:**_ Provides compliance oversight and support for assigned clinical specialties across URMC and Affiliates in accordance with the OIG and OMIG compliance program guidance. Evaluates adherence to coding and billing regulations and guidelines through review, research, and analysis. Serves as a compliance resource, developing and delivering comprehensive education and training. Conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud, waste, and abuse, specifically addressing the DRA, NY SSL § 363-d, and 18 NYCRR SubPart 521. Requires a high degree of accuracy, professional judgment, and accountability, as errors can result in significant regulatory or financial penalties or reputational risk. **ESSENTIAL FUNCTIONS** * Analyzes billing data to identify potential risk areas related to professional and/or facility payment systems. * Performs audits