Revenue Cycle Audit Specialist (H)

University of Miami; Avenue (MD); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Tuition remission

Dental insurance

Job summary

The University of Miami seeks a Revenue Cycle Audit Specialist to conduct reviews of external audits related to billing and coding, supporting the Revenue Cycle and compliance program. This role analyzes, reviews, and responds to audits to mitigate cash and regulatory risk.

The incumbent will maintain knowledge of billing regulations, serve as the liaison for payer audits, and prepare findings and education for Revenue Cycle teams, contributing to a compliant, efficient operation.

Qualifications

• High School Diploma or equivalent required.
• Minimum 3 years of relevant experience.

Responsibilities

• Provides specialized feedback and recommendations to senior staff.
• Maintains knowledge of local, national, and federal coding and billing regulations.
• Serves as primary liaison for governmental and commercial payer audits.
• Reviews and analyzes documentation to support acceptable billing and documentation practices.

Skills

Interpersonal relationships

Effective communication

Data collection & analysis

Independent & collaborative work

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

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

The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults.

Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.

The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.

With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

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