Revenue Cycle Government Audit Coordinator

UW Health • Middleton, WI

7d • Hybrid

About The Position

We are seeking a Revenue Cycle Government Audit Coordinator to:
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.

At UW Health, you will have:
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.

Requirements

• 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.

Nice To Haves

• 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

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.

Benefits

• health and dental insurance
• paid time off
• retirement plans
• two-week paid parental leave
• 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
• 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: Associate degree