Compliance Analyst - Administrative Office Building at University of Wisconsin Medical Foundation in Middleton, Wisconsin

Posted in Health Care 10 days ago.

Type: Full-Time





Job Description:

We are seeking a Compliance Analyst to:


  • Lead compliance audits of billing providers and professional coders within UW Health across multiple specialties. 

  • Ensure compliance with governmental and third-party payer regulations.

Education:

Minimum – High School diploma or equivalent and graduate of a Medical Coding Program.  Two (2) years of Coding experience may be considered in lieu of the medical coding program in addition to the experience below.

Preferred – Bachelor’s degree in a health care related field.

Work Experience:

Minimum –


  • Three years of related coding or auditing experience in a health care setting

  • Experience with third-party reimbursement and billing systems

Preferred –


  • Five years multi-specialty physician/hospital coding experience in an academic medical center

  • Experience interacting with physicians/hospital staff regarding coding requirements

Licenses and Certifications:

Minimum – Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA)

Required Skills, Knowledge, and Abilities:


  • In depth knowledge of coding process, coding software systems, and electronic medical records

  • Excellent written and oral communication skills

  • Experience with word processing, spreadsheets and database software

  • In depth knowledge of Official Coding and Clinical Documentation Guidelines

  • Strong working knowledge of medical terminology

  • Proven knowledge of CPT and ICD-10 coding

  • Strong understanding of locating and using Medicare rules and regulations

  • Ability to analyze, research and problem solve complex issues

Physical Requirements:

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools.  Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties.  Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Work Schedule:

This is a full-time, 1.0 FTE position that is scheduled to work Monday through Friday, between the hours of 7:00 am – 4:30 pm. Hours may vary based upon the operational needs of the department.

UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.

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UW Medical Foundation benefits

UW Health values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability