OverviewThe YM Compliance Educator will manage the development and completion of compliance education related to identified risks related to internal and external auditing activities. Education will also focus on federal, state and other payer changes in coding, documentation and billing requirements. They will work to increase and strengthen Yale Medicine providers' awareness and understanding of medical record documentation guidelines and coding principles. The Role serves as a role model for ethical management behavior and promotes an awareness and understanding of the Yale Medicine Compliance Program. They will assist in assessing risk and developing an auditing plan to support the overall compliance plan.
Required Skills and Abilities1. Thorough understanding of anatomy, medical terminology, and coding with demonstrated experience in provider coding (CPT and ICD-9/ICD-10) and licensure as a Certified Professional Coder (CPC).
2. Extensive knowledge of healthcare management in terms of financial and billing concepts, particularly Medicare billing guidelines.
3. Knowledge of health care reimbursement and managed care issues.
4. Proficiency in Microsoft Word and Excel; preferred experience with EPIC, MD Audit, and ComplyTrack software.
5. Demonstrated ability to develop and conduct comprehensive training programs.
Preferred Skills and Abilities1. Certified in Healthcare Compliance (CHC) and a Registered Nurse (RN) preferred.
2. Proven experience in training and education in a healthcare compliance context.
Principal Responsibilities
1. Manages and monitors technology needs, conducts inventory, and system requirements for the assigned departments.
2. Manages and coordinates training sessions for assigned departments when new policies or practices are adopted.
3. Ensures compliance with University and federal regulations as they apply to the assigned departments.
4. Identifies and assists with the development of administrative policies for the assigned departments.
5. May perform other duties as assigned.
Required Education and Experience
Bachelor’s Degree in related field and 5 years of experience or an equivalent combination of education and related experience.
Required License(s) or Certification(s)
LICENSURE CPC is required.
Job Posting Date
07/23/2026
Job Category
Professional
Bargaining Unit
NON
Compensation Grade
Administration & Operations
Compensation Grade Profile
Senior Manager; Senior Program Leader (25)
Salary Range
$82,000.00 - $131,500.00
Time Type
Full time
Duration Type
Staff
Work Model
Remote
Background Check Requirements
