Company Description
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?
Job Description
The Quality Auditor, Revenue Cycle 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.
Responsibilities:
- Responsible for providing quality audit services to evaluate and improve Revenue Cycle performance.
- Ensures that all quality audits are completed accurately, objectively, and in a timely manner.
- Completes all necessary documentation to support audit work.
- Creates performance reports for staff, department, and revenue cycle division.
- Identifies and produces reports for overall quality trends and provides input to Director, Revenue Cycle Training for training and development.
- Makes recommendations for the development of action plans with trainers, Managers, Operations Coordinator, and/or Team Leads.
- Analyzes data to derive conclusions and construct action plans.
- Responds thoroughly and promptly to customer needs.
- Manages customer relationships and follows issues through to closure.
- Completes other duties assigned by Director, Revenue Cycle Training.
Additional Functions:
- Coordinates audit schedule to ensure compliance with quality audit procedures for staff and departments.
- Completes individual staff quality audits for the Revenue Cycle Division.
- Completes all supporting information and documentation required for individual and departmental reporting.
- Designs and produces reports and individual quality scorecards as required.
- Provides input to Revenue Cycle leadership for department policies and procedures.
- Tracks individual, department, and division-wide quality audit performance in defined quality tools.
- Consistently communicates quality audit results to appropriate Manager, Operations Coordinator, Team Lead and/or Staff. Ensure compliance with quality sign off and documentation procedures for Quality Auditors, Department Manager, Operations Coordinator, and Team Lead.
- Assesses and communicates staff development needs to Director, Revenue Cycle Training and training team.
- Collaborates with the Epic application teams for project planning and execution, curriculum development, and project execution.
AA/EOE
Qualifications
Required:
- Bachelor's degree or equivalent experience.
- 3+ years of experience within patient accounting or a related health care setting.
- Strong personal computer skills (Word, Excel, PowerPoint, Visio).
- Excellent verbal and written communication skills.
- Demonstrated analytical and problem solving skills.
- Excellent interpersonal skills.
Preferred:
- Experience with Access.
- Technical competence in patient accounting systems (preferably Epic).
- Strong leadership, organization, planning and time management skills.
- Strong ability to grasp new concepts and apply them.
- Strong ability to understand complex workflows and follow procedures.
Additional Information
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.
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