Compliance Audit Specialist Supervisor

Summary

Supervise compliance audit staff. Analyze and submit required statistical reports regarding compliance activities. Serve as expert resource for the interpretation and application of institutional policies, practices, and procedures related to local, state and federal regulations. Conduct and oversee investigations of complex and/or multiple internal claims. Evaluates statistics and metrics to identify trends, existing and/or developing problems related to compliance. Make recommendations on corrective actions plans or programs to address identified problems.

Examples of Work

Job functions are specific duties that would be included in the essential functions of the job description. These functions are not all-inclusive nor do they cover the full extent of the duties performed.

• Oversees the day-to-day activities of staff engaged in processing investigations of complex and/or multiple internal claims.
• Oversees the supervision of personnel, which includes work allocation, training, promotion and enforcement of internal procedures and controls, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
• Deals directly with providers and serves as expert resource for the interpretation and application of institutional policies, practices, and procedures related to local, state and federal regulations.
• Analyzes, and submits required statistical reports regarding compliance activities.
• Evaluates statistics and metrics to identify trends, existing and/or developing problems related to compliance; makes recommendations on corrective actions plans or programs designed to address identified problems.
• Manages projects that enhance the image of the institution; re-designs processes such as conflict of interest disclosure, reporting hotlines and/or acquisition of advanced security software technology.
• Ensures the implementation of consistent disciplinary action strategies in cases of compliance standard violations.
• Serves on various University committees on behalf of the office; recommends and participates in the development of University policies and procedures as they relate to compliance.

Education and Experience

High School Diploma or equivalent and eight years of appropriate experience. Appropriate college course work may substitute at an equivalent rate for the required experience.

Licensure and Certification

Certified Professional Coder (CPC)/ American Academy of Professional Coders or Certified Coding Specialist (CCS-P) (American Health Information Management Association) or Certified Coding Associate (CCA) (American Health Information Management Association) or Certified in Healthcare Compliance (CHC) or Certified in Healthcare Research Compliance (CHRC) or Certified in Healthcare Privacy Compliance (CHPC) or Certified Compliance & Ethics Professional (CCEP) or Certified Compliance & Ethics Professional-International (CCEP-I) is required.

Supervision

May supervise lower level compliance audit specialists and other support staff.

To see common career pathways for each position at the University of Florida please visit the Career Paths section of the UFHR website.