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Revenue Cycle Government Audit Coordinator jobs in United States
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UW Health · 1 day ago

Revenue Cycle Government Audit Coordinator

UW Health is the #1 hospital in Wisconsin, seeking a Revenue Cycle Government Audit Coordinator. This role involves tracking and monitoring government audits, interpreting audit findings, and assisting reimbursement staff with compliance and appeals related to Medicare regulations.
EducationHealthcareHospitalHealth CareMedical

Responsibilities

Track and monitor government audits for government payors
Monitor, research, record, and appeal Medicare ADRs (additional development requests) to ensure compliance with CMS billing and payment regulations
Interpret audit findings and assertions working with appropriate stakeholders to author responses and/or draft appeals that require complex interpretation of regulation as it applies to the respective claim and medical record
Assist Government reimbursement staff in understanding denials and CMS policy
Work and resolve high dollar, complex accounts

Qualification

ComplianceCodingHealth Information ManagementLegal experienceEpicProcess improvementWritten communicationOral communication

Required

Associate's Degree in Business, Paralegal Studies, Coding, Communications, or another related field. Two (2) years of relevant experience in Compliance, Coding, Health Information Management, or Legal experience may be considered in lieu of an Associate degree in addition to the experience below
5 years experience within the healthcare field performing any variety of organizational, administrative, or process improvement functions

Preferred

Bachelor's Degree in Business, Legal Studies, Communications, Healthcare or other related field with demonstrated written and oral communication skills
Experience in compliance, coding and/or a legal setting
Experience or background in RAC
Experience working with Epic

Benefits

Health and dental insurance
Paid time off
Retirement plans
Two-week paid parental leave
Adoption assistance
Tuition benefits eligibility
Referral bonus

Company

UW Health

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UW Health is an academic health system associated with the University of Wisconsin-Madison.

Funding

Current Stage
Late Stage

Leadership Team

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Elizabeth Hagerman
Chief Innovation Officer
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Richard Bruce
Vice Chair of Informatics
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