Revenue Cycle Government Audit Coordinator

University of Wisconsin Hospitals and Clinics Authority • Middleton, WI

19d • Hybrid

About The Position

Work Schedule: This is a full time, 1.0 FTE position. Shifts will be scheduled Monday-Friday. Hours may vary based on the operational needs of the department and the selected individual can be hybrid or remote, this will be discussed further in the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! 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.
• Bachelor's Degree in Business, Legal Studies, Communications, Healthcare or other related field with demonstrated written and oral communication skills.
• 5 years experience within the healthcare field performing any variety of organizational, administrative, or process improvement functions.
• Experience in compliance, coding and/or a legal setting

Nice To Haves

• 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 - 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