Audit Coordinator

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

The Audit Coordinator reflects the mission, vision, and values of NM, adheres to the organization’s 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 non-government ADR's, 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 non-Governmental audits and assists with post-discharge analysis and chart correction as needed.

Responsibilities:

• Values, Patient Satisfaction and Service Excellence:
  • Demonstrates I-CARE 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 co-workers 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.
• Non-Clinical Role-Specific 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 third-party payor inquiries and billing disputes.
  • Provides summary reports and analysis to hospital staff and management as requested and required.
• AA/EOE.

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 Non-Governmental billing as well as claims follow-up and insurance denials.
• Knowledge of Medicare's Cost reporting analysis.

Preferred:

• 5 -7 years of previous Patient Financial Services experience.

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.