Compliance Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Compliance Analyst auditing high risk reimbursement issues at UW Health. Engaging with stakeholders, utilizing coding knowledge, and performing compliance audits in a remote role.
Responsibilities:
- 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
Similar Jobs
Deputy Compliance Officer
Compliance Officer managing BSA/AML operations at LemFi, supporting consumer compliance programs for immigrant communities. Leading day-to-day compliance operations and ensuring regulatory adherence.
Associate Director, Regulatory Risk, Compliance, Accreditation
Associate Director overseeing compliance and accreditation activities for Planned Parenthood’s Information Security program. Engaging with teams and stakeholders to assess and manage regulatory risks.
Compliance Manager – Examinations & Regulatory Governance
Compliance Manager at Sporttrade overseeing participant compliance and regulatory governance. Ensuring adherence to regulations and maintaining compliance frameworks for market participants.
Compliance Officer – MLRO
Compliance Officer managing AML/CFT compliance program for a global crypto payment fintech in Nigeria. Establishing policies, conducting audits, and ensuring regulatory adherence.
Senior Analyst, Personal Trading & Compliance
Sr Analyst providing support for monitoring personal trading activity at Empower. Collaborating with business partners to execute Compliance processes and regulatory research.
Senior Director, Personal Trading & Compliance
Senior Director leading Empower's Personal Trading and Code of Ethics program for compliance. Collaborating with senior leadership to navigate the regulatory environment and strengthen the compliance framework.
Director – Regulatory Affairs
Director of Regulatory Affairs at Tenpoint Therapeutics leading strategy and compliance for YUVEZZI™. Overseeing regulatory submissions and cross-functional collaboration across multiple regions.
Compliance Manager – Predictions
Compliance Manager at DraftKings focusing on regulatory alignment for prediction markets. Overseeing compliance activities and collaborating with cross-functional teams in a regulated environment.
Technical Privacy Compliance Manager
Technical Privacy Compliance Manager enhancing data privacy initiatives and partnering with Engineering and Product teams at DraftKings. Leading DSR program, data lifecycle, and ensuring regulatory compliance.
Regulatory Gaming Compliance Manager
Regulatory Gaming Compliance Manager at DraftKings overseeing compliance activities and regulatory reporting across jurisdictions. Partnering with various teams to ensure regulatory alignment and operational readiness.
Compliance Manager
Affordable Housing Compliance Manager responsible for compliance with housing regulations and oversight of affordable housing properties. Requires extensive experience in affordable housing compliance and regulation adherence.
Local Trade Compliance Officer
Trade Compliance Manager ensuring compliance with import/export-related trade regulations at ABB. Responsible for guiding local compliance processes and regulations in North America.
Compliance Manager
Manager, Compliance supporting the Chief Compliance Officer in ensuring adherence to healthcare compliance standards. Develops initiatives, manages audits, and leads compliance investigations.
Junior Compliance Specialist, CEE
Junior Compliance Specialist supporting compliance activities in CEE countries at Sobi. Focused on monitoring and reporting in the pharmaceutical sector with opportunities for growth.
Junior Compliance Specialist, CEE
Junior Compliance Specialist supporting compliance activities in CEE for pharmaceutical launches. Focusing on data collection, monitoring, and trainings in a team-oriented environment.
Junior Compliance Specialist, CEE
Junior Compliance Specialist at Sobi supporting compliance activities in CEE region. Collaborating with teams to ensure adherence to regulations and guidelines in pharmaceutical industry.
Specialist Care Therapeutic Area, Global Regulatory Affairs and Patient Safety
Regulatory affairs professional joining the global regulatory and patient safety team on a temporary contract at Chiesi. Contributing to aligned global regulatory strategy and supporting lifecycle management across assigned regions.
Senior Environmental Compliance Specialist
Senior Environmental Compliance Specialist at EHS Support leading environmental compliance projects and mentoring staff while developing innovative solutions.
Vice President, Regulatory Affairs
Vice President of Regulatory Affairs developing global strategies for innovative therapeutics and devices at Contraline. Leading regulatory processes from preclinical stages to commercialization as a senior regulatory leader.
RMF/GRC Program Lead
RMF/GRC Program Lead overseeing risk management and compliance initiatives for Chickasaw Nation Industries. Developing policies and educating teams on best practices.