Regulatory Compliance Administrator - Hybrid/Remote

Job Summary

Provides leadership and support conducive to the management of team of Compliance Managers and administrative staff. Conducts scheduled and unscheduled inpatient, outpatient, and professional audits and projects related to billing and payment integrity, workflow, and duties in order to ensure accurate and timely responses to governmental contractors. Oversees, coordinates, and conducts audits on documentation, abstraction, and coding to ensure compliance with University, State, and Federal guidelines.

Responsibilities

Essential Functions

• Manage workflow and tasks, provide leadership, direction, and support to staff and/or external customers.
• Oversees, coordinates and conducts audits/investigations to ensure compliance with University, state and federal guidelines.
• Analyzes and documents compliance processes. Recommends enhancements to policies and procedures for compliance review.
• Designs and implements training and education program to enhance compliance awareness.
• Maintains current knowledge regarding federal and state guidance, organizational needs, and regulations. Serves as an expert resource in compliance issue resolution.
• Collaborates with providers, managers and staff to assist departments, clinics, and/or service lines in implementing, coordinating, and monitoring compliance practices. This could include recommended enhancements to operating policies and procedures in various departments.
• Assist the University in preparation for regulatory audits by developing, monitoring, and updating quality controls, and recommends actions to maintain compliance.

Problem Solving

This individual must be highly skilled in high performance leadership, time management and possess strong communication skills. This individual will work with his/her team to evaluate the task assignments, review each compliance manager's and support staffs skill and knowledge level, and assign tasks accordingly.

Minimum Qualifications

Bachelor's degree in a related area or equivalency (one year of education can be substituted for two years of related work experience) and four to six years of progressively more responsible management experience. Background knowledge of hiring department's area of specialization in order to analyze, plan and draw conclusions for recommendations to superiors. Demonstrated leadership skills in planning and directing employees and processes in order to effectively monitor and develop subordinates and to ensure the smooth operation of department. Master's degree in a related area may be preferred.

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

Preferences

• Bachelor's Degree in Health Care Administration, Business Administration or a related field, or the equivalent; plus five years working experience; the American Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) recognized coding certification (CPC, CPC-H, ACS, CCS-P/H, RHIA); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD-10, CPT, HCPCS, DRG coding; proficient with word processing, spreadsheet and related computer applications; demonstrated human relations and effective communication skills also required.
• Certification from the Healthcare Compliance Association (HCCA) as a Compliance Officer and clinical degree and experience is preferred.
• Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Special Instructions

Writing and competency test will be requested.

For Supplemental Question 3: Due to a formatting error, please click and select to proceed with your application. Your experience will be evaluated based on your resume and through additional screening.

Requisition Number: PRN43591B

Full Time or Part Time? Full Time

Work Schedule Summary: Hybrid schedule.

Department: 01663 - COMPLIANCE SERVICES

Location: Campus

Pay Rate Range: $70,000 - $100,000

Close Date: 2/13/2026

Open Until Filled:

To apply, visit https://utah.peopleadmin.com/postings/192210