Senior Risk Analyst - Rev

Mayo Career Site US; Rochester (MN); On-site; USD 90,000 - 130,000; Full time

Job summary

Mayo Clinic in Rochester, MN is seeking a Revenue Compliance professional to support compliance initiatives focused on Medicare Conditions of Participation, billing regulations, and coding guidelines. You will review patient records to proactively assess billing accuracy and provide coaching, training, and oversight to colleagues across Revenue Cycle, CDI, and related functions.

The role involves drafting and updating policies, guiding procedures, leading multi-disciplinary workgroups, and

Job description

This position will work closely with Revenue Compliance leadership, revenue compliance analysts, Revenue Cycle, Clinical Documentation Improvement (CDI) programs and others to support compliance program initiatives focusing on Medicare Conditions of Participation, billing regulations, and coding guidelines. Accountable for reviewing patient medical records to proactively assess billing accuracy. Provides direct and indirect support to colleagues including coaching, training, project delegation and oversight, regular statuses, and scheduling. Monitors internal and external revenue compliance risks, and has responsibility for supporting compliance with interpretation and analysis of billing standards. Serves as a resource for the Practice and Revenue Cycle concerning policies, procedures, and applicable regulations. Works directly with Mayo Clinic leadership to enforce policy compliance while mitigating organizational risk. Drafts and updates policies and oversees implementation of procedures. Leads multi-disciplinary workgroups and projects. Assists with investigations and responds to complaints filed with regulatory agencies. Represents compliance on institutional committees and other functions and projects as assigned. Some travel may be required to other Mayo Clinic sites and/or training conferences.

This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position. Also, Mayo Clinic DOES NOT participate in the F-1 STEM OPT extension program.