Revenue Assurance Specialist

UnitedHealth Group, Inc.; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare solutions company is seeking a Revenue Assurance SME for a remote position. The role involves auditing regulatory compliance, analyzing data for decision-making, and creating educational materials for clients. Candidates should have a CPC certification or equivalent and significant experience in healthcare billing and coding. Advanced Excel skills are essential.

Qualifications

• Certified Professional Coder (CPC) or related certification required within the first year.
• 3+ years of experience in Medicare/CMS Regulatory Guidance.
• 3+ years of experience in a healthcare environment focusing on billing, coding, or revenue cycle processes.

Responsibilities

• Audit Corporate Standard CDM/client CDMs for regulatory compliance.
• Utilize and analyze large datasets to drive data-driven decision making.
• Create and deliver regulatory guidance and educational materials to clients.

Skills

Data analysis

Regulatory compliance

Advanced Microsoft Excel

Job description

A company is looking for a Revenue Assurance SME - Remote.

Key Responsibilities

• Audit Corporate Standard CDM/client CDMs for regulatory compliance
• Utilize and analyze large datasets to drive data-driven decision making
• Create and deliver regulatory guidance and educational materials to clients

Required Qualifications

• Certified Professional Coder (CPC) or revenue cycle related certification required within the first year
• 3+ years of experience in Medicare/CMS Regulatory Guidance
• 3+ years of experience in a healthcare environment focusing on billing, coding, or revenue cycle processes
• 3+ years of experience with financial and regulatory risk in healthcare charging practices
• Proven advanced understanding and capabilities in Microsoft Excel