Revenue and Billing Compliance Coordinator

Stelle nicht auf LinkedIn

🕒 vor 1 Monat

🧀 Wisconsin – Remote

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⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

🚔 Compliance

👻 Geisterscore 17%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of ThedaCare

ThedaCare

5001 - 10000 Mitarbeiter

Gegründet 1909

🏥 Gesundheitswesen

🤝 Non-Profit

Healthcare • Non-profit

ThedaCare ist ein regionales Gesundheitssystem, das Nordost- und Zentral-Wisconsin betreut. Es betreibt sieben Krankenhäuser und über 180 Pflegestandorte, beschäftigt fast 2. 000 Pflegekräfte und ein großes Team von Anbietern, die über 60 Fachgebiete abdecken. Außerdem bietet es eine breite Palette von klinischen und nicht-klinischen Rollen, Arbeitnehmerleistungen und gemeindeorientierten Diensten in mehreren Städten und Gemeinden an. Die Organisation legt großen Wert auf Patientenversorgung, berufliche Entwicklung und das Wohlbefinden der Mitarbeiter.

Beschreibung

• Research and provide billing guidance supporting operational leaders in implementing new services and charge codes • Identify opportunities for accurate and comprehensive charge capture • Monitor, communicate, and assist functional departments with implementing payer and regulatory policy changes • Partner with clinical and revenue cycle leaders to ensure accurate telehealth billing and reimbursement • Collaborate with compliance and revenue cycle teams to audit professional claim accuracy • Monitor and resolve charge router errors • Partner with clinical leaders to maintain charge reconciliation • Monitor Revenue Cycle AI solutions for compliance and accuracy • Research regulatory and payer policies to assist with appeals of global denial trends • Manage payer denial trends for timely resolution or escalation • Monitor and ensure timely resolution of government payer audits • Communicate audit volumes and escalations with the compliance team • Own payer portal administration • Perform other duties as assigned

🎯 Anforderungen

• Minimum 5 years of progressive experience in revenue cycle or healthcare compliance • 3 years specific to physician billing and coding • A nationally recognized physician coding certification • Strong understanding of billing, coding, regulatory and payer policies, including telehealth billing requirements across commercial and government payers • Exceptional communication, presentation, and interpersonal skills • Excellent investigational skills • Ability to work independently • Strong Excel and PowerPoint skills • Excellent time management and ability to prioritize in a fast-paced, growth environment • Knowledge of healthcare regulations and compliance requirements • Required experience with Epic practice management system • Ability to support, advance, and live ThedaCare's mission and vision • Commitment to and evidence of demonstrating ThedaCare's guiding principles

🏖️ Vorteile

• Lifestyle Engagement, including health coaches, relaxation rooms, health-focused apps (Wonder, Ripple), and mental health support • Access & Affordability, including minimal or zero copays • Team member cost-sharing premiums • Daycare • Continued opportunities for learning and development • Accessible and transparent leadership • Commitment to work/life balance • Flexible schedule

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