The Audit Coordinator reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.
The Audit Coordinator will be responsible for coordinating the Audit activities relevant to the Central Business office of Northwestern Medicine West Region. This includes government and nongovernment ADRs correspondence reviews Medicare Bad Debt Cost reporting audits and others.
The Coordinator will receive research and facilitate appropriate responses to audits within the contracted or payer timeframe. This position will gather information related to Medicare bad debts and ensure Medicare Bad Debt Cost Reporting is completed timely. In addition the Coordinator will review medical records for both Governmental and nonGovernmental audits and assists with postdischarge analysis and chart correction as needed.
Responsibilities:
- Values Patient Satisfaction and Service Excellence:
- Demonstrates ICARE values (Integrity Compassion Accountability Respect and Excellence) in daily work and interactions.
- Presents a friendly approachable professional demeanor and appearance.
- Provides accurate information and timely updates to patients and customers.
- Addresses questions and concerns promptly or identifies appropriate person and resources to do so.
- Provides directions or help to patients and customers with finding their way. Uses effective service recovery skills to solve problems or service breakdowns when they occur.
- Demonstrates teamwork by helping coworkers within and across departments.
- Communicates effectively with others respects diverse opinions and styles acknowledges the assistance and contributions of others.
- Efficiency and Business Growth:
- Uses organizational and unit/department resources efficiently.
- Manages work schedule efficiently completing tasks and assignments on time.
- Contributes to opportunities and processes for continuous improvement.
- Participates in efforts to reduce costs streamline work processes improve and grow services we provide.
- NonClinical RoleSpecific Roles & Responsibilities:
- Conducts audits of charges as compared to clinical/medical record documentation.
- Assists with responding to patients inquiries concerning the accuracy of billed charges and charge descriptions.
- Assists with resolving thirdparty payor inquiries and billing disputes.
- Provides summary reports and analysis to hospital staff and management as requested and required.
- AA/EOE.
Qualifications :
Required:
- 5 years of experience in Patient Financial Services.
- High school diploma or equivalent.
- Specialized training in medical terminology and coding.
- Strong background in both Governmental and NonGovernmental billing as well as claims followup and insurance denials.
- Knowledge of Medicares Cost reporting analysis.
Preferred:
- 5 7 years of previous Patient Financial Services experience.
Additional Information :
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age sex race color religion national origin gender identity veteran status disability sexual orientation or any other protected status.
Remote Work :
No
Employment Type :
Fulltime