13 days old

Revenue Integrity Auditor - Administrative Service Building (3775)

University of Wisconsin Medical Foundation
Middleton, WI 53562
  • Job Code
    3775
Join the #1 hospital in Wisconsin! We are seeking a Revenue Integrity Auditor to: - Resolve third-party payer, audit review company and patient inquiries about charges on UW Health inpatient and outpatient accounts. - Develop and administer UW Health policies and procedures related to third party audits to make sure that those policies are consistent with the National Health Care Billing Audit Guidelines and other hospital policies. Education: Minimum - Bachelors degree in nursing or related field. Preferred - Masters degree in Nursing Work Experience: Minimum - Three years work experience in a clinical setting, case or utilization management. Two years experience with charge capture auditing, denial management, clinical documentation integrity or similar role for a complex tertiary care institution. Preferred - Five years of progressively responsible charge capture auditing, clinical documentation integrity or similar role in an academic medical center. Licenses and Certifications: Minimum - Preferred - Registration as a professional nurse in the State of Wisconsin Required Skills, Knowledge, and Abilities: - Broad knowledge of health care and/or hospital business office practices and principles - Knowledge of third party payer practices including precertification, filing deadlines, claims processing, coverage issues and referral requirements. - Knowledge and understanding of state and federal rules and regulations related to Medicare and Medicaid, laws regarding confidentiality, compliance, release of information, probate and lien legislation, Fair Debt Collection practices, and insurance regulations. - Effective organizational, planning, scheduling and project management abilities - Effective leadership skills. - Ability to implement change in a positive, sensitive and forward-thinking manner - Planning and problem solving - Developing goals and objectives, and establishing priorities - Inspires confidence, appropriate risk taking and achievement of high standards - Self-starter with a willingness to try new ideas - Positive, can-do attitude coupled with a sense of urgency. - Good judgment and ability to act decisively at the right time. - Ability to persuade others and develop consensus - Effective communication skills both in written and verbal presentation with a communication style that is open and fosters trust, credibility and understanding. - Effective analytical ability in order to develop and analyze options, recommend solutions to and solve complex problems and issues - Strong customer service and human relations abilities - Ability to effect collaborative alliances and promote teamwork - Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders - Experience working with unions is preferred. - Ability to use various computer applications is preferred including EPIC - Knowledge of EDI claims and remittance advice processing is preferred - Knowledge of general accounting principles Physical Requirements: Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met. W ork Schedule: This is a temporary, part-time .20position that is scheduled to work 8 hours per week. Hours will vary based upon the operational needs of the department. UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others. Learn more about this opening UW Medical Foundation benefits UW Health values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.





Posted: 2020-01-08 Expires: 2020-02-06
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Revenue Integrity Auditor - Administrative Service Building (3775)

University of Wisconsin Medical Foundation
Middleton, WI 53562

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