DCG Billing Compliance Analyst

* About Us

Augusta University is Georgia's innovation center for education and health care, training the next generation of innovators, leaders, and healthcare providers in classrooms and clinics on four campuses in Augusta and locations across the state. More than 10,500 students choose Augusta for educational opportunities at the center of Georgia's cybersecurity hub and experiential learning that blends arts and application, humanities, and the health sciences.

Augusta is home to Georgia's only public academic health center, where groundbreaking research is creating a healthier, more prosperous Georgia, and world-class clinicians are bringing the medicine of tomorrow to patient care today. Our mission and values https://(Use the "Apply for this Job" box below). make Augusta University an institution like no other.

Augusta University's distinct characteristics in education and research include real-world experiences and community engagement, as well as a culture of building community, corporate and government partnerships that address health, security, economic and societal concerns locally and across the state.

The University System of Georgia https:// is comprised of our 26 institutions of higher education and learning as well as the System Office. Our USG Statement of Core Values are Integrity, Excellence, Accountability, and Respect. These values serve as the foundation for all that we do as an organization, and each USG community member is responsible for demonstrating and upholding these standards.

More details on the USG Statement of Core Values and Code of Conduct are available in USG Board Policy 8.2.18.1.2 and can be found online at https://.

Additionally, USG supports Freedom of Expression as stated in Board Policy 6.5 Freedom of Expression and Academic Freedom found online at https://.

Location

Augusta University ¿

Our Health Sciences Campus:

1120 15th Street, Augusta, GA 30912

Our Summerville Campus:

2500 Walton Way, Augusta, GA 30904

College/Department Information

The Dental College of Georgia at Augusta University, we provide dental education to the next generation of professionals by offering hands-on education through innovative research, patient care, and service. Join other dental providers to improve the oral health of Georgia and beyond. The DCG was founded to provide the people of Georgia with quality dental care by educating students in dentistry.

As a patient, you have the option to receive treatment in one of our three different practice models consisting of student clinics, resident care, or in the faculty practice. All dental treatments can be completed by the specialists in our facility. We also serve patients in more than 20 clinics across Georgia.

Job Summary

The DCG Billing Compliance Analyst will conduct internal billing and documentation audits and compliance investigations; produce audit reports and findings with viable recommendations, monitor internal compliance reports.

Responsibilities

The duties include, but are not limited to:

AUDITING & MONITORING:
Performance of interim, and annual billing, documentation audits across multiple dental and medical specialties and programs for faculty, resident and student providers to identify potential compliance risks and assist with the development of corrective action plans.

Monitor and analyze missing charge and procedure reports, communicate and coordinate with Program Directors on chart deficiencies, verify chart updates. Monitor and analyze corrective action plans to ensure DCG billing operations are aligned with DCG and Augusta University policies and adhere to contractual (commercial insurance), federal, state, local, regulatory documentation, coding and billing requirements.

EDUCATION & TRAINING:
Provide periodic training to providers and employees on DCG and Augusta University compliance policies to include but not limited to contractual (commercial insurance); regulatory (e.g. False Claims Act, Stark Laws, Anti-Kickback Statutes) for billing, coding, and…