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Government Audit Analyst Job in Sacramento, California

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Job Title: Government Audit Analyst

Employer:UC Davis Medical Center
Type:FULL TIME, OTHER
Job Location:Other
Skills:Coding certification from AAPC or AHIMA,
Specialties:coding experience, organizational and time management skills
Required Certifications:UB-04,AHIMA,AAPC,CMS
Preferred Certifications:CMS
Required Experience:1 to 2 years
Location:2315 Stockton Blvd Sacramento 95817, CA, US
Date Posted:7/29/2021

UC Davis Medical Center

Sacramento, CA


Government Audit Analyst

Salary Range: $ 2,613.03 -$5,245.21 Biweekly

Closing Date: 8/30/2021


The Government Audit Analyst (payroll title Regulatory & Compliance 3) is responsible for the coordination of activities associated with government audits such as Medicare and Medicaid Recovery Audit Contractors (RACs), Comprehensive Error Rate Testing (CERTs), Noridian Targeted Probe and Educate (TPEs). The Analyst is

accountable for managing all the activities related to government audits including retrieving, reviewing, and submitting medical records, assessing the

accuracy of the coding and provider documentation, and developing training as needed. Under the direction of the Chief Compliance Officer and

Compliance Manager, the Analyst acts as the Compliance liaison for government audit contractors. Additionally, this role requires significant analysis of government audit denials and data management skills to ensure that all external audit requests are promptly responded to on behalf of UC Davis Health.

 

Required Qualifications

• Coding certification from AAPC or AHIMA

• Extensive physician and outpatient hospital coding experience

• Strong organizational and time management skills iwthability to handle multiple demands  and deadlines, and establish priorities

• Experience and skill to read, comprehend, interpret, and instruct others relative to State/Federal regulations, procedures and policies relating to coding, billing and reimbursement

• Extensive technical knowledge of Centers for Medicare & Medicaid Services (CMS) Recovery Audit program and Comprehensive Error Rate Testing program including program guidelines and hard-stop timelines

• Strong interpersonal skills and communication abilities

• Detail-oriented and demonstrated critical thinking skills

• Strong analytical skills to define problems, formulate logical solutions, and make recommendations

• Experience with billing criteria relative to CMS 1500 and UB-04 claims processing

• Detail knowledge of healthcare documentation requirements, coding regulatory requirements, and healthcare billing

 

Preferred Qualifications

• Experience working in a Compliance capacity

• Previous experience performing coding and billing audits

• Demonstrated Epic systems knowledge

• Experience with MS Word, Excel, PowerPoint and Access software

• Bachelor's degree in public health, healthcare, policy, law or related field or extensive related experience

 

Special Requirements

• This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.


To view full job description and submit an on-line application visit UC Davis Career Opportunities at 

http://50.73.55.13/counter.php?id=204522

Job ID 17289


The University of California, Davis is an Affirmative Action/Equal Opportunity Employer

Applying

To view full job description and submit an on-line application visit UC Davis Career Opportunities at 

http://50.73.55.13/counter.php?id=204522

Job ID 17289


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