Sr. Revenue Cycle Audit Specialist (H)

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 The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Sr. Revenue Cycle Audit Specialist (H) to work in Miami, FL. The Senior Revenue Cycle Audit Specialist conducts reviews of Revenue Cycle external audits related to billing and coding. This role serves as a team lead for the Revenue Cycle Audits team. The Senior Revenue Cycle Audit Specialist contributes to the success of the Revenue Cycle and compliance program by analyzing, reviewing, and responding to external audits to mitigate cash and regulatory risk.

CORE JOB FUNCTIONS                                                                                                           

• Provides specialized feedback and recommendations to relevant senior staff.

• Maintains knowledge of local, national, and federal coding and billing regulations.

• Serves as primary UHealth liaison for governmental and commercial payer audits.

• Reviews and analyzes documentation to support acceptable billing and documentation practices.

• Prepares logs and statistical reports of review findings and appropriately disseminates information.

• Gives technical and educational assistance to junior staff members and the Revenue Cycle teams.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS                                                                                                            

• Bachelor’s degree in relevant field required

• Refer to department description for applicable certification requirements

• Minimum 5 years of relevant experience required

• Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.

• Teamwork: Ability to work collaboratively with others and contribute to a team environment.

• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. - Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

Any appropriate combination of relevant education, experience and/or certifications may be considered.

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The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff