Compliance Analyst

UW Health • Middleton, WI

2d • $68,454 - $102,682 • Remote

About The Position

This is a full-time, remote position. The scheduled work week will be Monday – Friday, 8am-4:30pm. This is a fully remote position and will not be required to work onsite at any point. Join the #1 hospital in Wisconsin! We are seeking a Compliance Analyst to audit high risk reimbursement issues for both professional and facility billing across all of UW Health (Madison, Northern Illinois, and joint ventures). Utilize in depth knowledge of CPT/ICD10 coding to assess, research, educate, and problem solve complex issues/questions. Work with key stakeholders across the organization on projects and actively participate in meetings/workgroups. Ability to be proficient in data analytics programs, systems, and databases to identify risks and track audit findings. Responsible for compliance audits of billing providers and facilities.

Requirements

• Graduate of a Medical Coding Program
• Two years of Coding experience may be considered in lieu of the medical coding program, in addition to the experience below.
• 3 years of related coding or auditing experience in a health care setting Required
• Experience with third-party reimbursement and billing systems Required
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA) Required

Nice To Haves

• High School diploma or equivalent Preferred
• Bachelor's Degree in a health care related field Preferred
• 5 years multi-specialty physician/hospital coding experience in an academic medical center Preferred
• Experience interacting with physicians/hospital staff regarding coding requirements Preferred

Responsibilities

• Audit high risk reimbursement issues for both professional and facility billing across all of UW Health (Madison, Northern Illinois, and joint ventures).
• Utilize in depth knowledge of CPT/ICD10 coding to assess, research, educate, and problem solve complex issues/questions.
• Work with key stakeholders across the organization on projects and actively participate in meetings/workgroups.
• Ability to be proficient in data analytics programs, systems, and databases to identify risks and track audit findings.
• Responsible for compliance audits of billing providers and facilities.

Benefits

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement
• The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED