Job description

Overview:
The Revenue Cycle Audit Specialist impacts the institution’s ability to maximize appropriate third-party reimbursement opportunities and interacts, communicates, and coordinates efforts related to reimbursement and reporting.
Schedule: Monday-Friday (8am-4:30pm)

Location: 255 East Main Street
Columbus, Ohio 43215
United States

Why Nationwide Children's Hospital?:
The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose.

Here,Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.

We’re 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

Nationwide Children’s Hospital. A Place to Be Proud.

Responsibilities:

• Performs extensive analyses facilitating accurate and compliant reporting related to reimbursement and uncompensated care.
• Prepares and analyzes data to validate and test new techniques of cost finding. Manages data in an efficient manner and provides analytics as related to tracking government audits. Provides executive reports providing the current state of organizational audits.
• Explores federal, state, and voluntary regulatory standards for Medicare and Medicaid and creates educational materials. Communicates findings appropriate and assists with the implementation of new state and federal government requirements.
• Oversees projects and audits involving contracted payors. Monitors audited accounts to ensure financial resolutions related to government-mandated actions.
• Interprets audit findings and assertions and collaborates to author responses or draft appeals, providing complex interpretation of regulation as it applies to the respective claim and medical record.
• Assists with monthly reporting related to monthly and end-of-year close process. Assists with other quality improvement projects by collecting and or presenting data for other areas of the revenue cycle as assigned.

REQUIREMENTS
Education:

• High School Diploma or equivalent required.
• Bachelor of Business with concentrated study in accounting, economics, or finance preferred.

Experience:

• Excellent personal, computing, analytical, and organizational skills. Specific experience or interest in the development of detailed, activity-based cost information.
• Highly motivated, flexible, and interested in working in a dynamic organization.
• Ability to work independently, often with little direction.
• Expertise in financial analysis and trending reports.
• Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, and external groups.
• Three years of progressively responsible experience in medical accounts receivable financial management, preferred.
• QL or Python, Microsoft Outlook, Word, PowerPoint, and Excel experience, preferred.

Minnimum Physical Requirement:

• Standing (Occasionally)
• Walking (Fequently)
• Sitting Flexing/extending of neck Hand usage: grasping, gripping, turning, Repetitive hand/arm usage Use of Computer skills Color Vision Seeing- far/near (Continuously)
• Audible speech Hearing acuity
• Problem solving Decision making Interpreting data Employee expected to have excellent multi-tasking and organizational skills

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision.

EOE M/F/Disability/Vet

Job Type: Full-time

Work Location: In person

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