Revenue Cycle Audit Specialist (H)

umiami; Medley (FL); On-site; USD 55,000 - 85,000; Full time

Job summary

The University of Miami/UHealth Central Business Office is seeking a dedicated full-time Revenue Cycle Audit Specialist to review external audits related to billing and coding. You will help mitigate cash and regulatory risk by analyzing findings and communicating recommendations.

The role requires 3+ years of relevant experience, strong analytical skills, and proficiency with Microsoft Office. Collaboration with Revenue Cycle teams and adherence to policies are essential.

Qualifications

• High School Diploma or equivalent required.
• Minimum 3 years of relevant experience.
• Any relevant education, certifications and/or work experience may be considered.

Responsibilities

• Provides specialized feedback and recommendations to relevant senior staff.
• Maintains knowledge of local, national, and federal coding and billing regulations.
• Serves as primary UHealth liaison for governmental and commercial payer audits.
• Reviews and analyzes documentation to support acceptable billing and documentation practices. Prepares logs and statistical reports of review findings and disseminates information.
• Gives technical and educational assistance to the Revenue Cycle teams.
• Adheres to University and unit-level policies and safeguards University assets.

Skills

Interpersonal skills

Communication

Data analysis

Microsoft Office

Education

High School Diploma or equivalent

Job description

The University of Miami/UHealth Central Business Office department has an exciting opportunity for a full-time Revenue Cycle Audit Specialist.

Core Job Summary:

The Revenue Cycle Audit Specialist conducts reviews of Revenue Cycle external audits related to billing and coding. This role contributes to the success of the Revenue Cycle and compliance program by analyzing, reviewing, and responding to external audits to mitigate cash and regulatory risk.

Core Responsibilities:

• Provides specialized feedback and recommendations to relevant senior staff.
• Maintains knowledge of local, national, and federal coding and billing regulations.
• Serves as primary UHealth liaison for governmental and commercial payer audits.
• Reviews and analyzes documentation to support acceptable billing and documentation practices.Prepares logs and statistical reports of review findings and appropriately disseminates information.
• Gives technical and educational assistance to the Revenue Cycle teams.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Core Qualifications:

High School Diploma or equivalent required

Minimum 3 years of relevant experience

Knowledge, Skills and Attitudes:

• Ability to maintain effective interpersonal relationships
• Ability to communicate effectively in both oral and written form
• Skill in collecting, organizing and analyzing data
• Proficiency in computer software (i.e. Microsoft Office)
• Ability to work independently and/or in a collaborative environment

Any relevant education, certifications and/or work experience may be considered.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status: Full time

Employee Type: Staff