Compliance Analyst

About the role

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.
• Be proficient in data analytics programs, systems, and databases to identify risks and track audit findings.

Responsibilities

• 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.
• Required: High School diploma or equivalent
• Preferred: Bachelor's Degree in a health care related field
• Required: Three years of related coding or auditing experience in a health care setting
• Required: Five years multi-specialty physician/hospital coding experience in an academic medical center
• Preferred: Experience interacting with physicians/hospital staff regarding coding requirements
• Required: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA)

Qualifications

• Required: High School diploma or equivalent
• Preferred: Bachelor's Degree in a health care related field

Skills

• Proficiency in data analytics programs, systems, and databases
• Knowledge of CPT/ICD10 coding
• Ability to interact with physicians/hospital staff regarding coding requirements
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA)

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.