Senior Compliance Coordinator - Revenue Integrity Coding Analyst
University of Iowa

Job Info

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The University of Iowa Hospitals and Clinics department of Finance and Accounting Services is seeking a Revenue Integrity Coding Analyst. The role will perform audits of medical records to assure appropriateness and accurate coding and charge assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines, CPT guidelines, and UIHC policies and procedures.

This position is remote work eligible.

Responsibilities:

• Identifies charging, coding, or clinical documentation issues and works with ancillary departments to resolve issues and notify appropriate leadership.
• Performs assigned audits by researching documentation, analyzing information, and making recommendations to improve workflow.
• Leads audit evaluations according to Revenue Integrity Department processes. Meets with departmental leadership to review findings, documentation standards, and recommendations for improvement.
• Responds to desk audit findings with next step recommendations and improvements.
• Perform ancillary service quality assurance reviews and departmental audits and meets with department leaders and staff to inform on documentation findings to increase accuracy and improve charge capture.
• Provides feedback to departments regarding missing, incomplete, nonspecific, ambiguous, or conflicting documentation.
• Provides coding, documentation, and compliance guidance as requested.
• Assists and directly provides training and orientation in group settings as well as one-on-one.
• Plans and presents to nursing, physician, and staff regarding processes, updates, and reviews relating to audit findings and regulatory compliance.
• Coordinates with Revenue Integrity Analysts to complete various inquiries by departments to ensure accurate and timely responses.
• Collaborates with Revenue Integrity team on opportunities to improve and implement front-end process change to support denial prevention.
• Works closely with Denials/Appeals and Coding as needed to bridge and drive results through the revenue cycle.
• Regularly reviews information to identify enhancements to the quality assurance methodology and documentation requirements. Maintains in-depth knowledge of Medicare and Medicaid billing practices, guidelines, laws, and regulations to ensure accurate Medicare and Medicaid billing.
• Remains current with regulation changes and related operational processes.
• Contributes to the development of policies and procedures as they relate to improving processes, strengthening controls, enhancing revenue, and improving cash flow.
• Actively participates in team development and in accomplishing department goals and objectives.
• Performs other duties as assigned.

Required qualifications:

• A Bachelor's degree or an equivalent combination of education and experience.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or CPC coding certification required.
• 3 years of related experience
• Extensive knowledge of federal regulations and policies pertaining to documentation, coding, and billing
• Reasonable knowledge of complex financial and statistical analysis and presentation.
• Excellent written and verbal communication skills.
• Demonstrated proficiency in computer software applications. Must have experience using Microsoft Excel.
• Experience with Epic's Patient Accounting System.
• Previous coding audit experience

Desired Qualifications:

• Knowledge of and experience in case management and utilization management.
• Knowledge of UIHC policies and procedures
• Experience with SQL databases.

Application Process: In order to be considered, applicants must upload resume and cover letter and mark them as a "Relevant File" to the submission..Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be subject to a criminal background check. Up to 5 professional references will be requested at later step in the recruitment process. For additional questions, please contact Sharon Walther at sharon-walther@uiowa.edu

This position is not eligible for University sponsorship for employment authorization.

Additional Information

• Classification Title: Senior Compliance Coordinator
• Appointment Type: Professional and Scientific
• Schedule: Full-time

Compensation

• Pay Level: 4B

Contact Information

• Organization: Healthcare
• Contact Name: Sharon Walther
• Contact Email: sharon-walther@uiowa.edu

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