1. Mathew Spencer
6812 89th
Street, Lubbock, TX, 79424 • 806-790-5561 • mathewspencer@hotmail.com
A dedicated Compliance Director with over 10 years of experience within academic and non-academic
medical practices. A strategic thinker with the ability to analyze issues and brainstorm creative yet
practical solutions in order to resolve issues quickly and effectively and develop effective policies and
procedures. An articulate communicator who is skilled at facilitating communications among physicians,
clinical staff, administrative staff and executive management in order to increase compliance, efficiency,
encourage teamwork, and enhance cultural stability.
AREAS OF EXPERTISE
Multispecialty Academic Compliance • Multispecialty Physician Health System • HIPAA • Fraud Waste
and Abuse • Training • Program Creation and Implementation • Risk Assessments • Policy
Development and Implementation • Process Improvement • Billing Processes • Patient Services •
Health Administration • Physician Relations • Team Leadership • Strategic Analysis • Organizational
Management • Effective Issue Resolution • Interpersonal Skills • Articulate Communication
EDUCATION & CERTIFICATIONS
Master of Business Administration, Health Organization Management
Rawls College of Business, Texas Tech University, Lubbock, TX, 2004
Master of Business Administration, Management
Rawls College of Business, Texas Tech University, Lubbock, TX, 1999
Bachelor of Business Administration, Management
University of Texas of the Permian Basin, Odessa, TX, 1998
CHC, Certified In Healthcare Compliance, HCCA, 2006
CPC, American Association of Professional Coding (ICD-9 and ICD-10), 2007
CCEP, Certified Compliance and Ethics Professional, SCCE, 2006
PROFESSIONAL EXPERIENCE
UMC HEALTH SYSTEM, Lubbock, TX, 2012-2016
Compliance Director UMC Health System (2015-2016)
Execute compliance functions as part of the health system, focused on the physician group practice
(UMCPS), helped liaison between UMC System and UMCPS, providers, clinical staff, and the UMC and
UMCPS executive teams regarding compliance related activities, policy creation and implementation,
HIPAA, Fraud Waste and Abuse, investigative matters, external reporting, interaction with enforcement
agencies and enforcement of other regulatory standards.
Achievements:
Promoted and executed an effective seven elements compliance program for the system
physician practice.
Continued focus with executive management to update, create and develop policies and
procedures for the physician practice and system in order to promote understanding, structure
and teamwork and meet health system compliance.
2. Matured the physician practice based compliance training program to include yearly and ad-hoc
training.
Coordinated investigative matters related to voluntary repayment scenarios with payers.
Organized and executed UMCPS committee structure and UMCPS physician practice board
structure to promote cooperation continued cultural change related to compliance.
Compliance Director UMC Health System (Physician Services) (2012-2015)
Execute compliance functions primarily focused on the health system physician group practice
(UMCPS), helped liaison between UMC System and UMCPS, providers, clinical staff, and the UMC and
UMCPS executive teams regarding compliance related activities, policy creation and implementation,
HIPAA, Fraud Waste and Abuse, investigative matters, external reporting, interaction with enforcement
agencies and enforcement of other regulatory standards.
Achievements:
Created and executed an effective seven elements compliance program for the system
physician practice.
Work with executive management to update, create and develop policies and procedures for the
physician practice and system in order to promote understanding, structure and teamwork and
meet health system compliance.
Create and implement physician practice based compliance training program to include yearly
and ad hoc training.
Coordinated investigative matters related to hotline and voluntary repayment scenarios.
Organized and executed committee structures and physician practice board structure to
promote cooperation and cultural change related to compliance.
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER, Lubbock, TX, 2005-2012
Director of Billing Compliance
Helped completethe implementation of a seven elements based compliance program within the TTUHSC
System. Provided audit support, education, and acted as a communication conduit for the TTUHSC
Lubbock based academic provider group. Provided the highest level of focus and the utmost in
compliance centered service and provider satisfaction by communicating directly with physicians,
physician assistants, residents, and clinical administrative staff.
Achievements:
Helped complete the process of creating and implementing an effective seven elements
compliance program for the academic physician practice.
Executed a systematic billing audit process to include results based education and training for
the providers, billers, coders and administrative staff across all specialties.
Provided compliance training across the multispecialty group accounting for ongoing regulatory
changes.
Organized and executed compliance committee processes to promote cooperation and cultural
change related to compliance.