Payor Audit & Denials Coordinator (Non-Exempt)

Education: High school diploma or equivalent certification.

Experience: A minimum of five years related healthcare experience in revenue cycle, health information management, auditing or patient accounting experience preferred.

Preferred Certifications: Certified Revenue Cycle Representative (CRCR), Certification in Healthcare Compliance (CHC), Registered Health Information Technician (RHIT)

OTHER SKILLS & KNOWLEDGE

• Excellent interpersonal, communication and organizational skills to effectively work with others involved in the audit and appeal process.

• Must possess the ability to prioritize, delegate, and organize various tasks/projects simultaneously to ensure departmental and Mercy-wide goals are timely met.

• Possesses integrity, imagination and initiative as evidenced by self-improvement.

• Demonstrates personal qualities such as kindness, compassion, understanding, integrity, interest and respect for others.

• Ability to maintain confidentiality when working with sensitive information.

• Ability to stay current on changing governmental regulations related to Recovery Audit Contractors.

• Knowledge of computer applications and their implications on the audit and appeal process.

• Creative, results-oriented, well organized, task-driven, self-starter with high energy level, and ability to influence others

• Ability to work independently to accomplish and carry out goals/objectives in a collaborative manner.

• Very high personal integrity and work ethic with the ability to demonstrate and obtain.

• Ability to travel periodically across the Ministry as required.