Compliance Analyst

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🔥 6 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $68.5k - $102.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Aspirus Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Aspirus Health is a healthcare organization providing a wide range of medical services and programs. The company operates various hospitals and clinics, offering specialties such as behavioral health, cancer care, emergency services, and surgery. Aspirus Health is committed to patient safety, quality compliance, and advancing care accessibility in Minnesota and Northern Wisconsin. They provide community support through programs like the Aspirus Scholars Program and have resources for health planning, such as advance care directives and a health insurance marketplace. Aspirus Health also focuses on sustainability and social responsibility.

📋 Description

• Audit high risk reimbursement issues for both professional and facility billing across all of UW Health (Madison, Northern Illinois, and joint ventures). • Utilize in depth knowledge of CPT/ICD10 coding to assess, research, educate, and problem solve complex issues/questions. • Work with key stakeholders across the organization on projects and actively participate in meetings/workgroups. • Ability to be proficient in data analytics programs, systems, and databases to identify risks and track audit findings. • Responsible for compliance audits of billing providers and facilities

🎯 Requirements

• Graduate of a Medical Coding Program • Two years of Coding experience may be considered in lieu of the medical coding program, in addition to the experience below. Required • High School diploma or equivalent Preferred • Bachelor's Degree in a health care related field Preferred • 3 years of related coding or auditing experience in a health care setting Required • Experience with third-party reimbursement and billing systems Required • 5 years multi-specialty physician/hospital coding experience in an academic medical center Preferred • Experience interacting with physicians/hospital staff regarding coding requirements Preferred • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA) Required

🏖️ Benefits

• An excellent benefits package, including health and dental insurance • Paid time off • Retirement plans • Two-week paid parental leave and adoption assistance • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance • Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being • Tuition benefits eligibility