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Revenue Assurance Analyst II
The University of Kansas Health System. Work with the Director and Assistant Director of Revenue Assurance, Audit, and Advisory Services to develop and perform reviews .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare compliance auditing, including proficiency in medical terminology, ICD-10, and CPT codes. Capable of conducting comprehensive audits, analyzing findings, and providing actionable recommendations to leadership and clinical staff.
Highest-signal resume keywords
Certified Professional Coder (CPC)Medical Chart AuditingRegulatory Compliance KnowledgeExcellent Communication SkillsHealthcare Compliance Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Audit ProceduresFinancial Record AuditingRisk AssessmentCoding KnowledgeAnalytical Tools
Soft Skills
MentoringPresentation SkillsCollaboration
Tools & Technologies
Epic Proficiency
Certifications & Qualifications
Certified Public Accountant (CPA)Registered Health Information Administrator (RHIA)Registered NurseCertified Health Care Compliance Certification
Industry Keywords
Medicare ComplianceMedicaid ComplianceHealth System PoliciesBilling Accuracy CompliancePayer-Policy Compliance
About the role
Key responsibilities & impact- Work with the Director and Assistant Director of Revenue Assurance, Audit, and Advisory Services to develop and perform reviews
- Communicate recommendations and provide education to department leadership and providers based on audit findings
- Perform federal and state regulatory research
- Make presentations to internal and external audiences
- Conduct regular comprehensive audits of internal controls, financial records, legal and regulatory compliance, and health system policies
- Identify compliance issues, assess risks, and recommend solutions
- Analyze and prepare reports on audit findings with recommendations to leadership and providers
- Monitor new laws and regulations affecting health system operations and internal policies
- Perform high-risk/high-dollar audits of clinical, operational, and financial processes for regulatory, payer-policy, and billing accuracy compliance
- Facilitate external government and commercial payer audits, including tracking audits, responding to documentation requests, and appealing denials
- Review and educate HIM coding and billing staff on peer review, coding, and billing rules
- Prepare clear, concise audit workpapers
- Mentor providers and clinical staff on billing and coding compliance
- Follow up with auditees regarding management responses and implementation of recommendations
- Address compliance queries from Medicare, Medicaid, third parties, internal legal counsel, the Hospital Executive office, and other interested parties
- Serve as a billing guidance resource for HIM coding and billing staff
- Conduct meetings with health system leadership and clinicians to review findings and recommendations
- Use audit procedures and analytical tools for special projects
- Research commercial contract requirements and reimbursement logic
- Participate as a subject-matter expert in Revenue Cycle/HITS workgroups
Requirements
What you’ll need- Associate's Degree OR high school graduate with 7 or more years of experience in a healthcare compliance-related audit field
- 5 or more years of medical chart auditing, claims and billing, coding, or applicable experience
- Required certification or credential: Certified Professional Coder (CPC), Certified Public Accountant (CPA), Registered Health Information Administrator (RHIA), Registered Nurse, Certified Health Care Compliance certification, or other applicable certifications including Epic proficiency or certifications
- Proficient knowledge of medical terminology, ICD-10, and CPT codes
- Knowledge of Medicare, Medicaid, and other federal/state compliance guidelines
- Excellent communication skills
- Coding knowledge
- Ability to perform professional, clinical, and/or technical competencies of the assigned unit or department
Benefits
Comp & perks- Equal employment opportunity employer
- Reasonable accommodations for qualified individuals with disabilities
- Employment with the health system contingent upon agreeing to the health-system dispute-resolution program and signing the agreement to the DRP